NRMP Update NRMP Update Mona M. Signer President and CEO AAMC - - PowerPoint PPT Presentation
NRMP Update NRMP Update Mona M. Signer President and CEO AAMC Annual Meeting November 5, 2017 Reproduction prohibited without the written permission of the NRMP. Todays Topics Main Residency Match Trends Policy Update New
Reproduction prohibited without the written permission of the NRMP.
Mona M. Signer President and CEO AAMC Annual Meeting November 5, 2017
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PGY-1 Positions Offered and Filled 6,609 More Positions Since 2008
5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Offered Filled Filled US Seniors
+ 989 PGY-1 positions
All In Policy
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15,242 15,638 16,070 16,559 16,527 17,487 17,374 18,025 18,187 18,539 1,184 1,222 1,356 1,364 1,317 1,487 1,662 1,520 1,502 1,472 1,870 2,013 2,045 2,178 2,360 2,677 2,738 2,949 2,982 3,590 2,969 3,390 3,695 3,769 4,279 5,095 5,133 5,014 5,323 5,069 7,335 7,484 7,246 6,659 6,828 7,568 7,334 7,366 7,460 7,284
5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
US Seniors Prior US Grads DOs US IMGs IMGs Others PGY-1 Positions
All In Policy
Active Applicants 7,232 More Applicants Since 2008
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94.3 46 46 81.7 54.8 52.4
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
US Seniors Osteopathic Physicians US IMGs Prior US Grads IMGs
All In Policy
PGY-1 Match Rate by Applicant Type Overall Match Rate = 77.0%
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71 75 76 77 79 85 89 89 89 91 91 93 96 96 96 96 96 97 97 98 99 76 93 80 80 87 83 91 84 75 90 96 90 98 91 97 96 95 97 98 95 93 0% 10% 20% 30% 40%
50% 60% 70% 80% 90% 100%
2014 2017
Mos Most S t Sen enior iors s Ma Matc tch h to P to Pref efer erred ed Sp Spec ecialty ialty
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455 455 473 473 461 461 444 444 484 484 459 459 449 449 475 475 465 465 508 508 127 127 89 89 105 105 129 129 123 123 74 74 80 80 123 123 100 100 72 72 663 663 663 663 453 453 423 423 452 452 352 352 408 408 378 378 400 400 530 530 92 92 59 59 82 82 103 103 146 146 112 112 127 127 210 210 108 108 71 71 63 63 55 55 46 46 47 47
200 400 600 800 1,000 1,200 1,400 1,600 1,800 2,000 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Surg-Prelim Med-Prelim T-Year & Other Prelim Categorical Advanced Reserved
SOAP
Unfilled Positions 1,279 Unfilled Positions, Half PGY-1 Only
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PGY-1 Positions in SOAP More Unfilled Positions Than Seniors Unmatched!
1,059
500 1,000 1,500 2,000 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
1,100 PGY-1 Positions in SOAP U.S. Seniors With ROLs Unmatched to PGY-1 Positions 1,300 883
SOAP
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Avail Availab able S le SOA OAP Po P Positi sition
1 3 4 4 5 6 7 7 8 10 10 10 10 11 11 11 11 14 14 15 15 24 24 24 24 26 26 29 29 43 43 54 54 73 73 79 79 92 92 117 117 122 122 135 135 50 100 150 200 250 300 350 400 450 500 550 600 Pediatrics Preliminary Obstetrics-Gynecology Preliminary Internal Medicine-Pediatrics Child Neurology Radiation Oncology Neurology Transitional Year Interventional Radiology Thoracic Surgery Internal Medicine Preliminary Surgery Preliminary Other Vascular Surgery Pathology Anesthesiology Dermatology Otolaryngology Neurological Surgery Radiology-Diagnostic Plastic Surgery Physical Medicine & Rehab Pediatrics Family Medicine Internal Medicine (C & M) Psychiatry Obstetrics-Gynecology Orthopaedic Surgery General Surgery Emergency Medicine
Available Positions Preferred Specialty
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709 709 252 252 115 115 396 396 107 107 30 30 20 20 18 18 8 200 400 600 800 1,000 1,200 1 2 3
Accepted Rejected Expired
1,279 Unfilled Positions 1,177 Positions in Soap
End of Day 1: 216 positions remained End of SOAP: 101 positions remained
SOAP Round
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32 6 1 8 4 355 355 16 16 51 51 53 53 57 57 214 214 36 36 76 76 108 108 51 51 9 1
100 200 300 400 500 600 700
US Seniors US Grads USIMGs DOs IMGs
None Accepted PGY-1 Only PGY-2 Only Categorical PGY-1 & PGY-2
2,140 3,934 901 5,803 1,001
1,066 applicants accepted 1,076 positions
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1,8 1,816 16 595 595 602 602 591 591 2,076 609 623 506 2,050 2,050 653 653 645 645 606 606 2,142 665 666 615 2,140 2,140 610 610 633 633 570 570
500 1,000 1,500 2,000 2,500
SOAP Eligible Offers Accepted Unique Applicants With Any Offers No Position Post-SOAP*
SOAP 2013 SOAP 2014 SOAP 2015 SOAP 2016 SOAP 2017
*Presentations before 2015 included only seniors with a certified ROL who did not have any position at the conclusion of SOAP, regardless of whether they
participated in SOAP. This presentation includes all SOAP-participating seniors who did not have any position at the conclusion of SOAP.
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187 dually-accredited programs = 1,292 positions
3 Anesthesiology 3 Orthopaedic Surgery 8 Dermatology 1 Osteopathic NM 29 Emergency Medicine 1 Otolaryngology 18 Family Medicine 2 Pediatrics 49 Internal Medicine 8 Psychiatry 1 Neurological Surgery 3 Radiology-Diagnostic 2 Neurology 9 Surgery-General 9 Obstetrics/Gynecology 6 Transitional Year
New AOA Programs
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Applicant X Performance in Medical School:
3rd year Internal Medicine clerkship: “not meeting
expectations of professionalism”; repeated 4 weeks
4th year ICU clerkship, absent for 3 days without
notifying attending; evaluated as “unprofessional”; repeated 4 weeks
4th year Surgery clerkship, evaluated as “does not
meet expectations” due to lack of initiative and lack of engagement in clinical care”
On academic probation twice
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Medical School Performance Evaluation:
Internal Medicine: “X scored above the expected mean and ahead of the majority of his peers… He performed extra work in internal medicine and performed at a very high level with his attendings: unanimous agreement that his fund of knowledge…is at the level of an intern. He should become an excellent physician.”
Surgery: “X completed his surgical rotation demonstrating competency in all skill areas necessary to pass the clerkship. It is
integrity and willingness to learn are keys to his success going forward.”
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Medical School Performance Evaluation:
Summary: “X has been an excellent medical student. Evaluators have noted a strong knowledge base…. He did an excellent job with patient communication. ….very empathetic …able to easily build rapport and treated all patients with great respect. ….very efficient, and adapts rapidly to changing circumstances…” “The faculty of the College of Medicine feels confident that X possesses the essential attributes of a physician and that he should become a kind and competent physician and house officer.”
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The medical school shall at all times provide complete, timely, and accurate information about its students and
during the application, interview, and/or matching processes, including information contained in the Medical School Performance Evaluation, that is false, misleading,
MPA for Schools)
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Applicants are at all times responsible for the completeness, timeliness, and accuracy of the information they provide to programs. The submission of information by an applicant during the application, interview, and/or matching processes (which includes information submitted through the Electronic Residency Application Service or another application process and SOAP that is false, misleading, incomplete, or plagiarized from another sources is a violation of this Agreement. (Section 4.5, MPA for
Applicants & Programs)
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The omission of information that is pertinent to a program’s decision whether to rank an applicant, determine an applicant’s ability to satisfy program requirements or standards, or identify circumstances that may reasonably be expected to affect adversely the applicant’s licensure status, visa status, or ability to start the training program shall be considered a violation of this
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Applicants also have an obligation to submit complete, timely, and accurate information to the NRMP for the period beginning with submission of an electronically signed Match Participation Agreement until the 45th day following the start date of the program position obtained through the matching algorithm, SOAP, or the conclusion
process, whichever is later. (Section 4.5, MPA for Applicants &
Programs)
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All participants shall conduct their affairs in an ethical and professionally responsible manner. The duty under this Agreement extends throughout the application, interview, matching process and SOAP and until the 45th day following the start date of training or the conclusion of any NRMP-related waiver, investigation, or appeal process, whichever is later. (Section 6.1, MPA for Applicants & Programs)
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selection decisions without coercion or undue pressure.
written commitments.
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specialties, geographic locations or other information about programs where they apply;
preferences;
placement on a ROL or acceptance of a SOAP offer is contingent upon submission of a verbal or written statement indicating the program’s preference;
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placement on a ROL or a SOAP preference list is contingent upon submission of a verbal or written statement indicating the applicant’s preference; or
written contract for appointment to a concurrent year residency or fellowship position prior to the release of the List of Unfilled Programs. (Section 6.2, MPA for
Applicants & Programs)
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53 14 13 13 9 70 8 9 8 6
10 20 30 40 50 60 70 80
Strongly believe I was not pressured 2 Not sure if I was pressured 4 Strongly believe I was pressured
Matched Unmatched
Percent of Applicants Reporting Pressure by Match Status
Source: 2017 Applicant Survey
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41 38 38 35 40 44 48 52 50 53 65 61 63 52 63 63 67 68 69 71 77 79 78 9 14 14 18 17 14 15 12 15 16 9 14 12 23 14 16 13 12 12 12 11 10 11 50 48 48 47 43 42 37 36 35 31 26 25 25 25 23 21 20 20 19 17 12 11 11
10 20 30 40 50 60 70 80 90 100 Not Pressured Not Sure Pressured
Source: 2017 Applicant Survey
Percent of Applicants Reporting Pressure by Specialty
Pressure by Match Status
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relationship to violator
failure to do so may compromise NRMP’s ability to investigate
is to remain confidential
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the MPA.
worded letter may be sent to the program director & DIO.
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The information submitted to the NRMP on the applicant rank order list is confidential. Applicants have the right to keep their rank order lists confidential and not to share them with any other individual or entity. It is a breach of this Agreement for a medical school to ask, require, or
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Videos Currently Available
The Match Process for Applicants The Match Process for Institutions and Programs How the Matching Algorithm Works Couples in the Match Couples and the Matching Algorithm IMGs and the Main Residency Match Process Program Types in the Main Residency Match
Coming Soon
Creating a Rank Order List Supplemental Rank Order Lists Reversions Applicant Match History SOAP for Applicants; SOAP for Programs; SOAP for Schools
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Currently Available for Applicants
Registering for the Match Navigating the R3 System Applicant Coupling Withdrawing from the Match Entering & Certifying a Rank Order List
Coming Soon for Applicants
Entering & Certifying a Rank Order List Entering & Certifying a Supplemental Rank Order List Ranking as a Couple SOAP: Viewing Unfilled Programs SOAP: Viewing/Responding to Offers Applicant Match History SOAP for Applicants; SOAP for Programs; SOAP for Schools
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Currently Available for Schools
Navigating the R3 System Adding/Maintaining Administrators Managing Students & Graduates Upload Student List & Edit Details
Coming Soon for Schools
Verifying Applicant Graduation Status Verifying SOAP Eligibility
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Studies in progress
Career trajectory of applicants who match to PGY-1 only positions
(with AMA)
Impact of communication skills on residency match success (with
NBME)
Probability of matching to a specialty using historical Charting
Outcomes data
Other work underway
Filled positions and matched applicants by state of medical school Number of matched applicants by country of medical school
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