To all who have been through the match, I need some realism before I put my family through unnecessary pain (or on the flip side decide to put them through worthwhile pain). I'm an MS-3 from a program with no urology clerkship in a somewhat unusual situation. I took paternity leave when I had my second child (before I decided on urology) and will have to make up my family med rotation for the first 2 months of 4th year.
Given the early timeline, this means in practice I'll be able to fit in only 1 away rotation before interviews begin. My plan was to go ahead and apply for 1 additional away later in the year after all is said and done both for practical experience and to make sure that I'm sending a signal of interest despite my circumstances. Will I have a significant problem only doing 1 away before applications are due? And what if I need to turn in one strong letter from a non-urologist? I do have an advisor who is a somewhat connected retired urologist willing to write 1 good letter and make some calls as well. I would be fine with matching a third tier program given my situation but I would also prefer not to be among the unmatched! Having two kids (and a wife who's also a third year), I'm trying not to put my family through the pain of the aways if my chances are really not too great. Other relevant details: 233 on Step 1; a significant resume before med school with lots of interesting international/policy work for real organizations but no research to speak of. All thoughts and advice welcome including innovative ideas on how to thread this needle.