Match season came to a close last month – and with that, some 17,000 U.S. medical school seniors earned a PGY-1 position. Most will go on to complete these programs and have happy, successful careers in their chosen specialty. But for a small number, second thoughts will creep in during residency. Maybe a life event changes the way a resident looks at his or her role in providing care; or perhaps exposure to another specialty – EM for example – occurred late in the fourth year of medical school. For these atypical applicants, there is a dearth of resources to help guide a re-match, if you will, and no guide for navigating the policies and politics associated with changing one’s mind.