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.

Today’s Topics  Main Residency Match Trends  Policy Update  New Resources  NRMP Research Reproduction prohibited without the written permission of the NRMP.

Main Residency Match PGY-1 Positions Offered and Filled 6,609 More Positions Since 2008 All In Policy 40,000 35,000 + 989 PGY-1 30,000 positions over 2016 25,000 20,000 15,000 10,000 5,000 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Offered Filled Filled US Seniors Reproduction prohibited without the written permission of the NRMP.

Main Residency Match Active Applicants 7,232 More Applicants Since 2008 All In Policy 40,000 35,000 7,284 7,460 7,366 7,568 7,334 30,000 6,828 6,659 7,246 5,069 7,484 25,000 5,323 5,014 7,335 5,095 5,133 4,279 3,769 3,590 3,695 2,982 2,949 3,390 20,000 2,677 2,738 2,969 1,472 2,178 2,360 1,502 1,520 2,045 1,487 1,662 2,013 1,870 1,364 1,317 1,356 1,222 1,184 15,000 10,000 18,539 18,187 18,025 17,487 17,374 16,559 16,527 16,070 15,638 15,242 5,000 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 US Seniors Prior US Grads DOs US IMGs IMGs Others PGY-1 Positions Reproduction prohibited without the written permission of the NRMP.

Main Residency Match PGY-1 Match Rate by Applicant Type Overall Match Rate = 77.0% All In Policy 100% US Seniors 94.3 90% Osteopathic 81.7 Physicians 80% 70% 60% US IMGs 54.8 52.4 IMGs 50% 46 46 Prior US Grads 40% 30% 20% 10% 0% 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Reproduction prohibited without the written permission of the NRMP.

Matc Ma tch h Ra Rates tes By Pr By Pref efer erred Specialty ed Specialty Mos Most S t Sen enior iors s Ma Matc tch h to P to Pref efer erred ed Sp Spec ecialty ialty 100% 99 98 98 98 97 96 97 97 97 96 96 96 96 96 96 95 95 90% 93 93 93 91 91 91 91 89 90 90 89 89 87 80% 84 83 85 80 80 77 76 75 79 76 75 70% 71 60% 50% 40% 30% 20% 10% 0% 2014 2017 Reproduction prohibited without the written permission of the NRMP.

Main Residency Match Unfilled Positions 1,279 Unfilled Positions, Half PGY-1 Only 2,000 SOAP 1,800 1,600 1,400 92 92 59 59 55 55 47 47 71 71 1,200 146 146 46 46 63 63 210 210 82 82 103 103 108 108 127 127 1,000 112 112 663 663 663 663 530 530 452 452 378 378 453 453 423 423 400 400 800 408 408 352 352 600 123 123 72 72 123 123 127 127 89 89 105 105 100 100 129 129 74 74 80 80 400 508 508 473 473 484 484 475 475 461 461 459 459 465 465 455 455 444 444 449 449 200 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Surg-Prelim Med-Prelim T-Year & Other Prelim Categorical Advanced Reserved Reproduction prohibited without the written permission of the NRMP.

Unmatched Seniors PGY-1 Positions in SOAP More Unfilled Positions Than Seniors Unmatched! SOAP 2,000 1,500 1,300 U.S. Seniors With ROLs Unmatched to PGY-1 Positions 1,100 1,000 1,059 883 PGY-1 Positions in SOAP 500 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Reproduction prohibited without the written permission of the NRMP.

Preferences of Unma Preferences of Unmatched Sen tched Seniors iors Avail Availab able S le SOA OAP Po P Positi sition ons 135 135 Emergency Medicine 122 122 General Surgery 117 117 Orthopaedic Surgery 92 92 Obstetrics-Gynecology 79 79 Psychiatry 73 73 Internal Medicine (C & M) 54 54 Family Medicine 43 43 Pediatrics 29 29 Physical Medicine & Rehab 26 26 Plastic Surgery 24 24 Radiology-Diagnostic Available Positions 24 24 Neurological Surgery 15 15 Preferred Specialty Otolaryngology 14 14 Dermatology 11 11 Anesthesiology 11 11 Pathology 10 10 Vascular Surgery 10 10 Other 8 Surgery Preliminary 7 Internal Medicine Preliminary 7 Thoracic Surgery 6 Interventional Radiology 5 Transitional Year 4 Neurology 4 Radiation Oncology 3 Child Neurology 1 Internal Medicine-Pediatrics 0 Obstetrics-Gynecology Preliminary 0 Pediatrics Preliminary 0 50 100 150 200 250 300 350 400 450 500 550 600 Reproduction prohibited without the written permission of the NRMP.

2017 SOAP Positions Offered & Accepted by Round 1,200 20 20 1,279 Unfilled Positions 1,177 Positions in Soap 1,000 396 396 800 End of SOAP: 101 positions remained 600 End of Day 1: 400 18 18 709 709 216 positions 107 107 remained 200 8 30 30 252 252 115 115 0 1 2 3 SOAP Round Accepted Rejected Expired Reproduction prohibited without the written permission of the NRMP.

SOAP Positions Accepted by Applicant & Position Type 2,140 700 9 600 1,066 applicants accepted 1,076 positions 214 214 500 400 300 355 355 1,001 3,934 901 5,803 200 0 0 1 108 108 0 76 76 100 51 51 36 36 53 53 57 57 51 51 32 16 16 8 4 1 6 0 US Seniors US Grads USIMGs DOs IMGs None Accepted PGY-1 Only PGY-2 Only Categorical PGY-1 & PGY-2 Reproduction prohibited without the written permission of the NRMP.

U.S. Allopathic Seniors in SOAP 2013 - 2017 2,500 2,142 2,140 2,140 2,050 2,050 2,000 1,8 1,816 16 2,076 1,500 1,000 665 666 645 645 633 633 653 653 623 615 609 610 610 500 602 602 595 595 591 591 570 570 606 606 506 0 SOAP Eligible Offers Accepted Unique Applicants With Any No Position Post-SOAP* Offers 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. Reproduction prohibited without the written permission of the NRMP.

Main Residency Match New AOA Programs 2017 Main Residency Match • 37 AOA program tracks, 166 positions 187 dually-accredited programs = 1,292 positions 2018 Main Residency Match (10/15/17) • 152 AOA program tracks, 720 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 Reproduction prohibited without the written permission of the NRMP.

Today’s Topics  Main Residency Match Trends  Policy Update  New Resources  NRMP Research Reproduction prohibited without the written permission of the NRMP.

NRMP Policy: Complete, Timely, & Accurate Information: Case Study Applicant X Performance in Medical School:  3 rd year Internal Medicine clerkship: “not meeting expectations of professionalism”; repeated 4 weeks  4 th year ICU clerkship, absent for 3 days without notifying attending; evaluated as “unprofessional”; repeated 4 weeks  4 th 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 Reproduction prohibited without the written permission of the NRMP.

NRMP Policy: Complete, Timely, & Accurate Information: Case Study 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 obvious he has integrity and cares about doing a good job. His integrity and willingness to learn are keys to his success going forward.” Reproduction prohibited without the written permission of the NRMP.

NRMP Policy: Complete, Timely, & Accurate Information: Case Study 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.” Reproduction prohibited without the written permission of the NRMP.

NRMP Policy: Complete, Timely, & Accurate Information NEW The medical school shall at all times provide complete, timely, and accurate information about its students and graduates. The submission of information by a school during the application, interview, and/or matching processes, including information contained in the Medical School Performance Evaluation, that is false, misleading, or incomplete is a violation of this Agreement. (Section 6.7, MPA for Schools) Reproduction prohibited without the written permission of the NRMP.