I am having nighmares about not matching. SO many internal applicants at all the schools. feeling stressed and overwhelmed. my deans have been no help they say that my app is competitive but so is everyone else's. I'm going to be 30, I have a family to support, and I can't afford to take more unpaid time off. Just venting but I can't even apply a backup speacialty bc my backup letter writer ghosted me with absolutely no time to find another letter. I am so scared and sad becasue my SO isnt medicine and since taking a research yr all my friends are gone and i am just so stressed with no support. Anxiety through the roof. is anyone else feeling this way? << you are not alone!!! also some schools just require an department chair IM letter, dean's letter/MSPE and then 1-2 letters of your choice that speak to your clinical skills, which can be dermatology letters. i dont remember which schools specifically, but I watn to say some were in florida, one was UMD, and another was this https://atriumhealth.org/education/graduate-medical-education/physician-residencies/internal-medicine/application-information#:~:text=Do%20all%20of,from%20an%20internist.