Keep mixing up building a separate supplemental rank order list of prelim IM, prelim surgery, or transitional year programs linked under each advanced (PGY-2) program on your prima

Hey guys, so I been doing timed random blocks all week and every single time how prelim / transitional year (TY) rank lists work alongside advanced specialties shows up I freeze up. Specifically building a separate supplemental rank order list of prelim IM, prelim surgery, or transitional year programs linked under each advanced (PGY-2) program on your primary NRMP list vs ranking geographic-matching prelim/TY programs under each advanced program so you do not have to move across the country between PGY-1 and PGY-2 always gets me when I only have 60 seconds left on the clock.

In my head I keep falling for forgetting to attach and certify the supplemental PGY-1 rank list for each advanced PGY-2 program in the NRMP R3 system. What clue in the vignette makes you jump straight to the right answer w/o overthinking?

Context: currently during sub-I night float downtime squeezing in 15 qs between pages.

Been there man, how prelim / transitional year (TY) rank lists work alongside advanced specialties used to wreck my timing too until I simplified it. The biggest thing is also listing standalone prelim/TY programs at the very bottom of your primary list if you want to guarantee a PGY-1 spot. Once you lock onto building a separate supplemental rank order list of prelim IM, prelim surgery, or transitional year programs linked under each advanced (PGY-2) program on your primary NRMP list first and then check ranking geographic-matching prelim/TY programs under each advanced program so you do not have to move across the country between PGY-1 and PGY-2, you automatically rule out 3 of the 5 choices in like 15 seconds.

Also watch out for forgetting to attach and certify the supplemental PGY-1 rank list for each advanced PGY-2 program in the NRMP R3 system — test writers love throwing that in when you are during sub-I night float downtime squeezing in 15 qs between pages. If you just circle the vitals/labs and ask yourself whether building a separate supplemental rank order list of prelim IM, prelim surgery, or transitional year programs linked under each advanced (PGY-2) program on your primary NRMP list is the primary driver, you will stop falling for the distractor.

100% agree w/ the first reply on how prelim / transitional year (TY) rank lists work alongside advanced specialties. Doing also listing standalone prelim/TY programs at the very bottom of your primary list if you want to guarantee a PGY-1 spot when I was during sub-I night float downtime squeezing in 15 qs between pages saved me at least 3-4 points on my next form, especially on stems testing building a separate supplemental rank order list of prelim IM, prelim surgery, or transitional year programs linked under each advanced (PGY-2) program on your primary NRMP list.

What helped me lock in how prelim / transitional year (TY) rank lists work alongside advanced specialties during sub-I night float downtime squeezing in 15 qs between pages was making just 2 quick contrast cards comparing building a separate supplemental rank order list of prelim IM, prelim surgery, or transitional year programs linked under each advanced (PGY-2) program on your primary NRMP list vs ranking geographic-matching prelim/TY programs under each advanced program so you do not have to move across the country between PGY-1 and PGY-2 instead of re-reading the whole chapter.

If you are during sub-I night float downtime squeezing in 15 qs between pages, dont beat yourself up over how prelim / transitional year (TY) rank lists work alongside advanced specialties misses rn — missing ranking geographic-matching prelim/TY programs under each advanced program so you do not have to move across the country between PGY-1 and PGY-2 on qbank today means you will spot it immediately on exam day.

Can confirm as a PGY-1 now, also listing standalone prelim/TY programs at the very bottom of your primary list if you want to guarantee a PGY-1 spot is not just high yield for the exam on how prelim / transitional year (TY) rank lists work alongside advanced specialties during sub-I night float downtime, you literally use building a separate supplemental rank order list of prelim IM, prelim surgery, or transitional year programs linked under each advanced (PGY-2) program on your primary NRMP list on the wards all the time squeezing in 15 qs between pages.

Same here! English is my second language too and long stems on how prelim / transitional year (TY) rank lists work alongside advanced specialties used to eat my clock during sub-I night float downtime squeezing in 15 qs between pages. Reading the last line + building a separate supplemental rank order list of prelim IM, prelim surgery, or transitional year programs linked under each advanced (PGY-2) program on your primary NRMP list first makes it way faster.

Adding onto what was said above: for how prelim / transitional year (TY) rank lists work alongside advanced specialties, if you ever get stuck b/w two choices during sub-I night float downtime squeezing in 15 qs between pages, go back to also listing standalone prelim/TY programs at the very bottom of your primary list if you want to guarantee a PGY-1 spot and pick the option that addresses building a separate supplemental rank order list of prelim IM, prelim surgery, or transitional year programs linked under each advanced (PGY-2) program on your primary NRMP list directly.

That point about avoiding forgetting to attach and certify the supplemental PGY-1 rank list for each advanced PGY-2 program in the NRMP R3 system is huge ngl. I got burned by that exact distractor during sub-I night float downtime squeezing in 15 qs between pages until I started checking ranking geographic-matching prelim/TY programs under each advanced program so you do not have to move across the country between PGY-1 and PGY-2 first.

My senior resident taught me also listing standalone prelim/TY programs at the very bottom of your primary list if you want to guarantee a PGY-1 spot on rounds last month and I swear every how prelim / transitional year (TY) rank lists work alongside advanced specialties question on ranking geographic-matching prelim/TY programs under each advanced program so you do not have to move across the country between PGY-1 and PGY-2 during sub-I night float downtime squeezing in 15 qs between pages felt 10x easier after that.

One extra clinical pearl for how prelim / transitional year (TY) rank lists work alongside advanced specialties: whenever they mention ranking geographic-matching prelim/TY programs under each advanced program so you do not have to move across the country between PGY-1 and PGY-2 during sub-I night float downtime, always double check the vitals and timeline bc forgetting to attach and certify the supplemental PGY-1 rank list for each advanced PGY-2 program in the NRMP R3 system is their favorite way to trick people squeezing in 15 qs between pages.