
The way you spend the first 90 minutes of Match Day morning can absolutely wreck or stabilize the rest of the day. Most people wing it. That’s a mistake.
You do not want to be inventing your routine while your heart rate is 130, your group chat is exploding, and the NRMP email time is creeping closer. You want a script. So you follow the script.
This is that script.
The Night Before: Set Up So Morning You Does Not Suffer
At this point (Match Day Eve, ~9–10 PM), you should stop pretending you’ll “just see how you feel” in the morning. Decide everything now.
Decide your reveal strategy (non‑negotiable):
- When will you open the email?
- Alone or with others (partner, family, roommates, classmates)?
- On your phone or laptop?
- Will you look at social media before or after?
Write it down. Literally. “I will open my email at 11:00 AM, on my laptop, in my living room, with X and Y, no social media until after I know.”
Prepare your environment:
- Lay out clothes: something you can be photographed in and also sit on the floor crying (happy or sad) without caring.
- Clear one surface: table or counter for laptop/phone, coffee, tissues, water.
- Stage comfort tools:
– Noise‑canceling headphones or earbuds
– Box of tissues
– Water bottle, light snacks (nuts, granola bar, fruit)
– One “grounding” item (rosary, stone, worry coin, whatever you actually use)
Tech check (do this now, not at 10:58 AM):
- Confirm NRMP login works.
- Confirm the email account NRMP uses is accessible and not over quota.
- Turn off automatic OS updates / restarts on your laptop.
- Set alarms:
- Wake‑up alarm
- “Start routine” alarm (90 minutes before email)
- “Screens off / breathing” alarm (~10 minutes before)
| Alarm Time Before Email | Label on Phone |
|---|---|
| 8 hours | Go to bed |
| 90 minutes | Start Match routine |
| 30 minutes | Final check-in |
| 10 minutes | Screens away, breathe |
Then go to bed. Not doom‑scroll. Bed.
Match Morning Overview: Your 90‑Minute Blueprint
Let’s assume your email comes at 11:00 AM local time. Adjust times if yours is different, but keep the sequence.
- T‑90 to T‑75 (9:30–9:45): Wake, orient, first check
- T‑75 to T‑60 (9:45–10:00): Move your body, de‑charge adrenaline
- T‑60 to T‑45 (10:00–10:15): Clean up, dress, light fuel
- T‑45 to T‑30 (10:15–10:30): Tech + logistics double‑check
- T‑30 to T‑15 (10:30–10:45): Calm focus, boundaries, optional calls
- T‑15 to T‑0 (10:45–11:00): Grounding, no new input, final setup
We’ll walk minute‑by‑minute, but that’s your mental map.
| Period | Event |
|---|---|
| Wake and Move - T-90 to T-75 | Wake, water, quick check |
| Wake and Move - T-75 to T-60 | Light movement |
| Prep and Check - T-60 to T-45 | Shower, dress, eat |
| Prep and Check - T-45 to T-30 | Tech and logistics check |
| Calm and Ground - T-30 to T-15 | Calls, boundaries, mental prep |
| Calm and Ground - T-15 to T-0 | Grounding, devices set, open email |
T‑90 to T‑75: Wake Up Without Panic
At this point (90 minutes before the email), you should be awake and vertical, not scrolling Twitter in bed.
First 5–10 minutes:
- Get out of bed immediately when the alarm goes off. No snooze. Today is not a snooze day.
- Drink a full glass of water. You’re about to run a psychological marathon; don’t start it dehydrated.
- Open your blinds or turn on lights. Darkness amplifies anxiety.
Crucial boundary:
- Don’t open NRMP, your email, or any group chats yet.
- Quick glance at your phone is fine only to:
- Dismiss alarms
- Check for TECH DISASTERS ONLY (e.g., “Your email account has been locked,” “Power outage notice”)
If nothing’s on fire? Phone down.
Your only job in these 15 minutes is to move from “asleep” to “functional.”
T‑75 to T‑60: Move Your Body, Bleed Off Some Adrenaline
At this point, your mind is racing. So do something physical before it eats you alive.
15 minutes of light but deliberate movement:
Pick ONE short block and commit:
- 10–15 minute walk outside
– No podcasts. No news. Just walk, breathe, observe. - Or: 10 minutes of simple mobility in your room:
– 10 air squats
– 10 wall pushups or countertop pushups
– 10 slow forward folds / hamstring stretches
– Repeat twice, slowly - Or: a short, guided 10‑minute YouTube yoga/stretch session you save the night before.
The point is not fitness. The point is:
- Burn off some adrenaline.
- Get out of your head.
- Signal to your nervous system that your environment is safe.
If it’s pouring rain or dangerous outside, pace your hall. But move.
T‑60 to T‑45: Clean Up, Dress, Light Fuel
Now your body’s awake. Time to look and feel like a person who can handle news—good or bad.
Quick hygiene (10 minutes):
- Brush teeth, wash face, maybe shower if you’re a morning shower person.
- Put on real clothes.
Not full interview suit (too performative, too stiff). But not pajamas either.- Clean jeans or chinos / leggings
- Simple top or sweater
- Comfortable socks/shoes or clean socks if you’re at home
Why this matters: Someone is going to take photos. Also, you will feel different seeing yourself in the mirror looking “ready” versus “half‑asleep in an old T‑shirt.”
Light breakfast (5–10 minutes):
Your stomach may be a knot. Eat anyway. Small, easy, blandish.
Good options:
- Toast with peanut butter or avocado
- Banana + handful of nuts
- Yogurt with a bit of granola
- Oatmeal (light portion)
On the avoid list:
- Greasy food (bacon, heavy breakfast sandwiches)
- Huge sugary pastries
- 3 shots of espresso when you normally drink 1
Caffeine rule: Match your normal. If you usually drink one coffee, drink one coffee. Don’t suddenly decide today is the day to “try pre‑workout” or extra espresso. I watched a classmate shake so hard she had trouble clicking her email because she doubled her caffeine “for courage.”
T‑45 to T‑30: Tech, Logistics, and People Placement
At this point, you should look presentable, have food in you, and be at or very near the location where you’ll open the email.
Tech and access check (again, but faster):
- Open your laptop and:
- Log into your email (the account NRMP uses).
- Log into NRMP in a separate tab, just in case.
- Turn off all pending OS updates / downloads.
- Confirm your internet connection is stable.
- Plug in your laptop if battery is under 50%.
Notifications: choose your poison:
Decide your level of chaos:
Option A – Minimal notifications (what I recommend):
- Silence social media app notifications for the next 2 hours.
- Leave text notifications on for:
- Your partner/family
- One group chat (e.g., med school friends)
- Put your phone on “Do Not Disturb” but allow favorites to come through.
Option B – Hard lockdown (for high anxiety):
- Phone on airplane mode from T‑30 to T+30 (30 minutes after email).
- Tell people last night that they won’t hear from you until after you know.
You decide now. Not in the panic of the moment.
People logistics:
- If people are joining you in person, send a quick text:
- “I’ll be home and set up by 10:30, feel free to come by anytime after.”
- If you’re going solo:
- Confirm your “first call” list (parents, partner, best friend).
- Put them on your favorites list for quick dialing.
T‑30 to T‑15: Calm Focus, Boundary Setting, and Intentional Contact
These 15 minutes are where most people lose control. They start doom‑scrolling, watching everyone’s stories, and spiraling.
You’re going to do the opposite.
Set clear boundaries:
- Say out loud (yes, actually say it):
“I am not going to check social media until after I know my result.” - If you’re with others, tell them:
- “No one will say anything about other people’s matches until after I open mine.”
- “If someone texts you their news, don’t read it to me yet.”
Optional short call (5–10 minutes):
If hearing a familiar voice grounds you, this is a good slot.
- Call one person:
- Parent
- Partner
- Best friend
- Keep it short:
- “I’ve got about 5–10 minutes. I just wanted to hear your voice.”
- “Let’s talk again right after I open it.”
If calls make you more anxious, skip this. Message them last night instead: “I’ll text you once I know, probably around 11.”
Mini mental rehearsal (2–3 minutes):
Sit down where you’ll open the email. Close your eyes for a moment.
Run through three quick scenarios:
- You match at your top choice.
- You match at a mid‑list program.
- You match somewhere that wasn’t high on your list.
For each one, picture yourself:
- Reading it
- Taking three breaths
- Saying one sentence you like:
- “OK. That’s the result. I can handle this.”
- “This is where I’m going. Let’s go.”
- “This is not what I hoped, but I will figure it out.”
You’re not rehearsing fake happiness. You’re rehearsing stability.
T‑15 to T‑0: Grounding and Final Setup
Last 15 minutes. No more logistics. No new input. This is the “protect your brain” window.
T‑15 to T‑10: Physical Grounding
Pick ONE simple grounding exercise and do it fully:
4‑7‑8 breathing x 4 cycles:
- Inhale through nose 4 seconds
- Hold 7 seconds
- Exhale 8 seconds
Repeat 4 times.
Or: Box breathing x 5 cycles:
- Inhale 4 seconds
- Hold 4
- Exhale 4
- Hold 4
Or: 5‑4‑3‑2‑1 sensory check:
- Name 5 things you see
- 4 things you can touch
- 3 things you hear
- 2 things you can smell
- 1 thing you can taste
This is not “woo.” Your sympathetic nervous system is revved. You’re giving it a counter‑signal.

T‑10 to T‑5: Device and Room Setup
Now get your setup exactly how you want it.
- Place your laptop or phone on the table where you’ll open the email.
- If you’re using:
- Laptop: Have your email client open, inbox visible. Cursor ready on the refresh or sync button.
- Phone: Open the mail app to your inbox. Don’t open the NRMP email yet, obviously.
- Angle the screen so others (if present) can see or not see, depending on your preference.
- If someone’s recording video or taking photos, set ground rules:
- “Please don’t film my screen.”
- “No recording until after I’ve had 10 seconds to read it.”
- Or: “Go ahead and record, but don’t shove the phone in my face.”
Noise environment:
- TV off.
- Music optional—only if it soothes you. Instrumental is usually better than lyrics.
T‑5 to T‑2: Commitments and Self‑Talk
These 3 minutes feel like 30. You’re going to give your brain something clear to hang onto.
Say, out loud if possible:
- “My worth is not determined by this email.”
- “I will let myself feel whatever I feel.”
- “I can handle good news. I can handle hard news.”
Then choose one tiny post‑result action for each outcome:
- If it’s your top choice: “I’ll stand up, hug X, and take a deep breath before I text anyone.”
- If it’s mid‑list: “I’ll say ‘OK’ out loud and give myself 30 seconds before reacting.”
- If it’s a disappointment: “I will not make any big statements for at least 24 hours. I will message [person] and schedule a time to talk.”
You’re not scripting your emotion. You’re scripting your first 30 seconds so you don’t do something you’ll regret.
T‑2 to T‑0: Hands Off, Eyes Open
Last 2 minutes.
- No refreshing every 0.5 seconds.
- No opening your group chat to see who “got it early.”
- Just sit, or stand, wherever you chose.
If you want, you can:
- Hold someone’s hand.
- Hold your grounding item.
- Or sit with your hands on your legs, feet flat on the floor.
When the email hit time arrives:
- Take one full breath in and out before you click.
- Read the first line twice. Don’t skim. Your brain will try to race; make it slow down.
After T‑0: The First 10 Minutes Post‑Match
Technically outside the “first 90 minutes,” but this is where everything before either pays off or collapses.
Immediate steps (first 2–3 minutes):
- Read the entire email, not just the program name.
- If it’s good news:
- Let yourself react.
- Hug, cry, scream, whatever.
- If it’s disappointing:
- Sit. Breathe twice.
- Do not open social media yet.
- Do not say “my life is over” out loud. Your brain will remember that.
Next 5–10 minutes:
- Contact your first‑call person/people.
- If they’re not available, leave a brief message: “I matched at [Program]. Call when you can.”
- Only after that, consider:
- Posting on social media
- Checking your group chats
- Joining public celebrations
| Category | Value |
|---|---|
| Wake/Orient | 15 |
| Movement | 15 |
| Prep/Eat | 15 |
| Tech/Logistics | 15 |
| Calm/Calls | 15 |
| Grounding/Setup | 15 |
If You’re Attending a School‑Sponsored Match Ceremony
If your school has an in‑person ceremony where you open an envelope at a set time, adjust the plan:
- Treat “ceremony start time” like the email drop.
- Back the same 90‑minute structure from when you need to arrive, not just when you open:
- If ceremony starts at 10:30 and envelopes at 11:00:
- Be on‑site by 10:15.
- Start your routine at 8:45 instead of 9:30.
- If ceremony starts at 10:30 and envelopes at 11:00:
- Do grounding and self‑talk before you walk into the noisy room.
- Decide in advance:
- Will you open your envelope on stage, at a table, or somewhere private?
- Are you OK with photos as you read it?
The same rules apply: no last‑minute social media, no new logistics in the final 15 minutes.
Quick Checklist: Match Morning 90‑Minute Script
Use this as your day‑of reference:
- Wake up on time (T‑90)
- Drink water, open blinds/lights
- No social media yet
- 10–15 minutes light movement
- Hygiene: teeth, face, shower if desired
- Dress in real, comfortable clothes
- Light breakfast, normal caffeine
- Confirm email & NRMP access
- Set phone notifications as planned
- Confirm who is with you / who you will call
- Grounding exercise (breathing or 5‑4‑3‑2‑1)
- Set up laptop/phone and room
- Final self‑talk and outcome plan
- No new input for last 2 minutes
- Open email deliberately, read twice
Open your calendar right now and block off the 90 minutes before your Match email or ceremony start. Title that block “Match Morning Script” and paste this checklist into the event notes so you don’t improvise when your nervous system wants chaos.