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Writer's pictureWarren Ray

How to Answer “What are your plans if you do not match?” in a Medical Residency Interview

One of the more challenging questions you may face during a medical residency interview is, “What are your plans if you do not match?”


Residency program directors ask this question not to doubt your abilities, but to gauge how well you’ve thought about your future, your resilience, and your level of commitment to the medical profession. Preparing for this question is crucial, as it shows that you’re realistic, proactive, and adaptable.


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This blog will explore:


  • Why this question is asked and what residency directors are looking for in your response.

  • How to structure a thoughtful and optimistic answer.

  • Key elements that should be included in your response.

  • Mistakes to avoid when answering.

  • A sample response that you can adapt to your personal circumstances.

  • The importance of professional coaching to prepare for difficult questions like this.


How to Answer “What Are Your Plans If You Don’t Match” in a Residency Interview


Why This Question is Asked


Residency directors understand that the match process is highly competitive, and they want to ensure that their candidates are prepared for all outcomes, including the possibility of not matching.


The question is designed to assess your foresight and your ability to handle disappointment. They want to see that you’re not only confident but also have a clear plan to continue developing your skills and improve your candidacy for future application cycles. This is a test of your resilience and your ability to think long-term about your career in medicine.


How to Approach the Question


When crafting your answer, it’s important to balance optimism with realism. You want to acknowledge that while you are confident in your application, there’s always the possibility of not matching. However, the focus of your response should not be on what could go wrong, but on what you plan to do to improve and strengthen your profile if needed. The key is to present a proactive, clear, and specific plan.


Start by briefly acknowledging that the match process is competitive.


Then, pivot to discussing the specific steps you would take to enhance your candidacy if you do not match. This could include gaining more clinical experience, conducting additional research, or pursuing further certifications that would make you a stronger candidate for the next match cycle.


Structuring Your Answer


Your answer should be structured in a way that demonstrates preparation, resilience, and a commitment to the medical field. Here’s a suggested approach:


  1. Acknowledge the competitive nature of the match process: Briefly note that you are aware that the process is competitive, but you remain confident in your application.


  2. Discuss the steps you would take: Explain what you would do to strengthen your candidacy if you don’t match, such as pursuing additional clinical work, research opportunities, or certifications.


  3. Reaffirm your commitment to medicine: Emphasize that regardless of the outcome, your passion and dedication to becoming a physician remain strong, and you are committed to continuing on this path.


Mistakes to Avoid


When answering this question, it’s important to avoid a few common pitfalls:


  • Being overly pessimistic: While acknowledging the possibility of not matching is important, don’t dwell on it. Avoid sounding negative or unsure about your future prospects.

  • Providing vague or unprofessional backup plans: Don’t mention any plans that suggest a lack of commitment to the medical profession. Your backup plan should be focused on making you a stronger candidate in the next match cycle.

  • Not having a clear plan: A vague or incomplete answer can make you seem unprepared. Make sure your answer is detailed and specific, demonstrating that you have thought carefully about your next steps.


Sample Response


Here’s an example of how you can frame your response:


“I understand that the match process is highly competitive, and while I am confident in my abilities and application, I have considered the possibility of not matching. If that were to happen, my priority would be to continue developing my clinical and research skills. I would seek additional clinical opportunities, perhaps in a fellowship or research position related to [your specialty], and I would also work on further improving my application by seeking feedback and refining my approach. My commitment to becoming a physician is unwavering, and I would be fully prepared to reapply in the next cycle with an even stronger candidacy.”

This response demonstrates that you are realistic, proactive, and focused on growth. It also shows that you remain dedicated to your career in medicine, regardless of the challenges you may face.


Master the Conversation


Navigating tough questions like “What are your plans if you do not match?” can be daunting, but with the right preparation, you can demonstrate your resilience and foresight. At OmniInterview, we specialize in helping non-native speakers prepare for challenging residency interviews, ensuring that you can confidently answer questions like these. Book a discovery session with OmniInterview today to take the next step toward mastering your residency interview.


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