How to Avoid Common Mistakes When Ranking Residency Programs

With the March 5th rank order list deadline approaching, it's crucial to avoid common mistakes that many applicants make when finalizing their rankings. The residency match process can be overwhelming, and understanding how to rank programs strategically can make all the difference.

The More Programs You Rank, the Better Your Chances

One fundamental principle to keep in mind is that ranking more programs increases your chances of matching. If you applied to a program and received an interview, it means they saw potential in you. Leaving a program off your list—unless you had a particularly negative experience—reduces your chances of matching and increases the likelihood of entering the stressful post-match scramble.

Most applicants rank all the programs where they interviewed. If you are uncertain about a program but do not have major reservations, it's generally wise to include it in your rank order list.

Can You Trust Positive Messages from Programs?

A common mistake applicants make is placing too much weight on positive messages from programs. Some candidates receive emails or messages indicating that a program values them and would like to see them match there. However, these messages are often sent to a large number of applicants, not just to a select few.

Programs aim to ensure that enough candidates rank them highly to fill all their spots. Receiving a positive message does not guarantee a match. Some applicants have ranked a program highly based on such messages, only to be disappointed on match day. While it's encouraging to receive positive feedback, it should not dictate your ranking strategy.

How to Rank Programs Strategically

Your rank order list should reflect your true preferences, not where you think you are most competitive. Studies show that 80% of applicants match within their top four choices. The match algorithm prioritizes your preferences over the program’s preferences, so ranking programs in the order you genuinely want to attend them is the best approach.

If you have a dream program—even if you think you may not be the strongest candidate—you should rank it first. Since the algorithm is designed to favor applicant choices, there is no downside to ranking your favorite program at the top.

Factors to Consider When Ranking Programs

When finalizing your rank order list, focus on what matters most to you:

• University vs. Community Programs – Do you prefer an academic setting with research opportunities or a hands-on, community-based experience?
• Fellowship Opportunities – Are there specific subspecialties or career paths you want to pursue that a program can support?
• Workload and Training Environment – While some programs may seem “easier,” rigorous training is essential to becoming a competent physician.
• Geographic Location – Consider lifestyle, family, and future career prospects when evaluating where you want to train.

Final Thoughts

The match process is designed to work in your favor when you rank programs based on preference rather than strategy. There is no way to “game” the system—your best bet is to be honest about where you truly want to train. By ranking programs thoughtfully and avoiding common pitfalls, you can maximize your chances of securing a residency that aligns with your career goals.

Make your choices wisely, trust the process, and best of luck on Match Day!

If you want to watch this video CLICK HERE to access it.

If you need more help, you can check out our program HERE.