After putting together my rank list in mid January, I emailed the PD of the residency I was planning on ranking #1. Since then, I have learned that of some major family health changes this month and will likely make this program my #4 on the ROL to be closer to family. I've reached out for advice and have been discouraged from updating this PD but can't help but feel like I should. I'm not someone trying to game the system, don't want to start my career off on the wrong note. Any advice would be appreciated.