Off-Cycle Openings, Residency Transfers, and Post-Prelim Limbo: How to Find a PGY-2 Spot — or Paid Work — Outside the Match

The Match isn’t the only pathway into a training position or paid work—it’s just the only one anyone explains. When you need a PGY-2 spot mid-cycle or income between training and practice, there’s a shadow market: program coordinator networks, specialty listservs, cold outreach, and non-clinical roles that accept unrestricted licenses without board certification. Timing beats searching, and nothing is real until the contract is signed.

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