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NRMP Update
MONA M. SIGNER, PRESIDENT & CEO
GROUP ON STUDENT AFFAIRS
APRIL 2019
Main Residency Match Trends
Supplemental Offer & Acceptance Program
Transition to Residency Conference
First-Year GME PositionsAllopathic Medicine
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
18,311 U.S. Allopathic Seniors Obtained PGY-1 Positions
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
US Allopathic SeniorsWho Obtained Positionsthrough SOAP
US Allopathic SeniorsMatched
NRMP PGY 1 Positions
US AllopathicGraduating Seniors
Active US AllopathicSeniors
Data sources: NRMP, AAMC
13,269 more PGY-1
positions than active
US seniors in the Match
Main Residency MatchPGY-1 Positions Offered and Filled
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
9,385 More Positions Since 2010
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Offered Filled Filled US Seniors
All In Policy
+ 1,962 PGY-1
positions over
2018
Main Residency MatchAOA Programs
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
2019 Main Residency Match
378 AOA programs, 1,764 positions8 Anesthesiology 4 ONMM
21 Dermatology 7 Otolaryngology
42 Emergency Medicine 7 Pediatrics
86 Family Medicine 4 PM&R
88 Internal Medicine 14 Psychiatry
2 Neurological Surgery 7 Diagnostic Radiology
6 Neurology 28 General Surgery
22 Obstetrics/Gynecology 26 Transitional Year
6 Orthopaedic Surgery
2018: 173 programs, 764 positions
Main Residency MatchAOA Programs
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
2019 Main Residency Match
47 Programs with Osteopathic Recognition2 Anesthesiology 3 Pediatrics
1 Dermatology 2 PM&R
3 Emergency Medicine 1 Psychiatry
15 Family Medicine 1 Diagnostic Radiology
12 Internal Medicine 2 General Surgery
3 Obstetrics/Gynecology 2 Transitional Year
Main Residency MatchAOA Positions Filled by M.D. Applicants
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
2
1
0
0
3
6
4
2
11
22
14
6
23
57
41
102
221
0 100 200 300 400 500 600 700
Neurosurgery
PM&R
ONMM
Otolaryngology
Orthopaedic Surgery
Neurology
Diagnostic Radiology
Anesthesiology
Pediatrics
Psychiatry
Dermatology
OB-GYN
General Surgery
Transitional Year
Emergency Medicine
Family Medicine
Internal Medicine
Filled by M.D. Applicants
Quota
515 AOA Positions filled by M.D. applicants
Main Residency MatchActive Applicants
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
16,070 16,559 16,527 17,487 17,374 18,025 18,187 18,539 18,818 18,925
1,3561,364 1,317
1,487 1,6621,520 1,502 1,472 1,511 1,485
2,0452,178 2,360
2,677 2,7382,949 2,982
3,5904,617
6,001
3,6953,769 4,279
5,095 5,1335,014 5,323
5,069
5,075
5,080
7,246 6,6596,828
7,568 7,3347,366
7,4607,284
7,067
6,869
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
US Seniors Prior US Grads DOs US IMGs IMGs Others PGY-1 Positions
7,833 More Active Applicants Since 2010
Main Residency MatchPGY-1 Match Rate by Applicant Type
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
93.9
45.4
84.6
59
58.6
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Overall Match Rate = 79.6%
US Seniors
Osteopathic
Physicians
US IMGs
IMGs
Prior US Grads
Main Residency MatchU.S. Allopathic Seniors Matched to PGY-1 Positions
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
14,992
17,763
1,0781,162
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
20,000
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Matched Unmatched
2,771 More Seniors Matched Since 2010
Main Residency MatchPGY-1 Matches by Applicant Type
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
2,771
3,632
1,248
1,147
66
-62
-1,000
0
1,000
2,000
3,000
4,000
US Senior DO USIMG IMG US Grad Other
Change Since 2010
Match Rates By Preferred SpecialtyU.S. Allopathic Seniors
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
99 99 98 96 96 96 96 9594 93 91 91
89 88 8886
8684
84 82 82
9599 97 96
9397
78
9692
99
92
98
9390
8481
8684
8884
82
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2018 2019
Supplemental Offer & Acceptance Program
Main Residency MatchUnfilled Positions
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
461 444 484 459 449 475 465 508 475577
105 129123
74 80123 100 72 121
14835 33 26
29 3552
42 3570
151453 423434
297408
378400
530511
754
82 103146
112
127
210108
71 28
78
63
55
46
47 48
46
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Surg-Prelim Med-Prelim T-Year & Other Prelim Categorical Advanced Reserved Other P
1,768 Unfilled Positions
+500 unfilled positions in 2019
331 in AOA programs
Main Residency Match
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
559
271
229
145
134
69
38
30
29
28
27
24
18
12
9
7
5
4
3
3
3
0
2
0
2
0
0
0
0
1
0 50 100 150 200 250 300 350 400 450 500 550 600
Surgery-Preliminary
Family Medicine
Internal Medicine (C & M)
Transitional Year
Internal Medicine-Preliminary
Pediatrics (C & M)
Neurology
Anesthesiology
Emergency Medicine
Radiation Oncology
Pathology
Child Neurology
Psychiatry
Radiology-Diagnostic
Obstetrics-Gynecology…
Internal Medicine - Pediatrics
Dermatology
Physical Medicine & Rehab
Pediatrics- Preliminary
Obstetrics-Gynecology
Orthopaedic Surgery
Otolaryngology
Neurodevelopmental Disabilities
General Surgery
Vascular Surgery
Plastic Surgery
Neurological Surgery
Thoracic Surgery
Interventional Radiology
Other2019
SOAP2018
SOAP
1,652 Unfilled Positions in SOAP
+481 positions in 2019
Main Residency Match
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
19
18
12
9
6
6
6
5
5
5
4
3
3
3
2
2
2
1
1
1
1
1
1
0 10 20 30 40 50
Internal Medicine
Surgery-General
Child Neurology
Family Medicine
Neurology
Radiology-Diagnostic
Transitional Year
Anesthesiology
Pathology
Pediatrics-Medical Genetics
Radiation Oncology
Neurodevelopmental Disabilities
Osteopathic Neuromusculoskeletal Medicine
Pediatrics
Dermatology
Internal Medicine/Medical Genetics
Psychiatry
Emergency Medicine
Internal Medicine/Anesthesiology
Neurological Surgery
Pediatrics-Physical Medicine and Rehabilitation
Physical Medicine and Rehabilitation
Psychiatry-Neurology
484
116 Unfilled Positions Not in SOAP
12,472 SOAP-Eligible Applicants
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
1,916
961
3,593
1,173
4,818
110
1,000
2,000
3,000
4,000
5,000
6,000
US Senior US Grad USIMG DO IMG Other
704 Fewer SOAP Applicants in 2019
Unmatched U.S. Allopathic SeniorsPGY-1 Positions in SOAP
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
1,060
1,561
1,078 1,162
0
500
1,000
1,500
2,000
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
PGY-1 Positions in SOAP
U.S. Seniors With ROLs
Unmatched to PGY-1
Positions
SOAP
All Unmatched ApplicantsPGY-1 Positions in SOAP
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
1,561
7,826
0
2,000
4,000
6,000
8,000
10,000
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
All Applicants With ROLs
Unmatched to PGY-1 Positions
PGY-1 Positions in SOAP
SOAP
Preferences of Unmatched Allopathic SeniorsAvailable SOAP Positions
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
0
0
0
0
1
1
1
2
3
4
8
8
10
10
11
16
19
21
23
32
40
57
64
74
86
91
101
112
124
0 50 100 150 200 250 300 350 400 450 500 550 600
Obstetrics-Gynecology Preliminary
Pediatrics Preliminary
Neurodevelopmental Disabilities
ONMM
Child Neurology
Radiation Oncology
Vascular Surgery
Internal Medicine Preliminary
Interventional Radiology
Internal Medicine-Pediatrics
Pathology
Surgery Preliminary
Thoracic Surgery
Transitional Year
Neurology
Physical Medicine & Rehab
Pediatrics (C & M)
Plastic Surgery
Dermatology
Radiology-Diagnostic
Neurological Surgery
Family Medicine
Anesthesiology
Otolaryngology
Internal Medicine (C & M)
Emergency Medicine
Orthopaedic Surgery
General Surgery
Psychiatry
SOAP Positions
Preferred Specialty
Preferences of All Unmatched ApplicantsAvailable SOAP Positions
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
1
1
2
6
10
12
14
19
24
26
38
65
71
73
82
91
99
103
169
171
191
196
278
289
295
376
458
664
1,002
2,419
0 200 400 600 800 1,000 1,200 1,400 1,600 1,800 2,000 2,200 2,400 2,600
ONMMPediatrics Preliminary
Neurodevelopmental DisabilitiesRadiation Oncology
Obstetrics-Gynecology PreliminaryInterventional Radiology
Vascular SurgeryChild Neurology
Thoracic SurgeryInternal Medicine-Pediatrics
Plastic SurgeryTransitional Year
Physical Medicine & RehabInternal Medicine Preliminary
Neurological SurgerySurgery Preliminary
DermatologyOtolaryngology
NeurologyRadiology-DiagnosticOrthopaedic Surgery
PathologyEmergency Medicine
AnesthesiologyPediatrics (C & M)
Obstetrics-GynecologyGeneral Surgery
PsychiatryFamily Medicine
Internal Medicine (C & M)
Available Positions
Preferred Specialty
SOAP Offers2012-2019
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
1,033878
9981,129
1,022 1,076 1,055
1,310
613
399
470
481
477533 542
73592
50
63
56
53
46 47
50
0
500
1,000
1,500
2,000
2,500
2012 2013 2014 2015 2016 2017 2018 2019
Accepted Rejected Expired
2019 SOAP PositionsOffered and Accepted by Round
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
942
368
565
170
29
21
0
200
400
600
800
1,000
1,200
1,400
1,600
1 2
Accepted Rejected Expired
1,768 Unfilled Positions
1,652 Positions in SOAP
End of SOAP:
342 positions
remained
SOAP Round
Main Residency Match
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
0 50 100 150 200 250 300 350 400 450 500 550 600
Surgery-Preliminary
Family Medicine
Internal Medicine (C & M)
Transitional Year
Internal Medicine-Preliminary
Pediatrics (C & M)
Neurology
Anesthesiology
Emergency Medicine
Radiation Oncology
Pathology
Child Neurology
Psychiatry
Radiology-Diagnostic
Obstetrics-Gynecology P
Internal Medicine-Pediatrics
Dermatology
Physical Medicine & Rehab
Obstetrics-Gynecology
Pediatrics-Preliminary
Orthopaedic Surgery
Neurodevelopmental Disabilities
Vascular Surgery
ONMMUnfilled
After
SOAP
2019
SOAP
1,652 Unfilled Positions in SOAP
SOAP PositionsOffered and Accepted by Applicant and Position Type
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
32 7 2 15 4
400
13 45
122
62
219
30
62
236
45
11
0
0
1
1
0
100
200
300
400
500
600
700
800
US Seniors US Grads USIMGs DOs IMGs
None Accepted PGY-1 Only PGY-2 Only Categorical PGY-1 & PGY-2
1,916
3,593
1,173
4,818961
1,297 applicants accepted 1,310 positions
U.S. Allopathic Seniors in SOAP2012-2019
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
1,816
605 600
337
2,076
595 602 591
2,051
609 623
506
2,142
653 645606
2,199
665 666615
2,140
610 633570
2,146
581 609 620
1,916
663 684623
0
500
1,000
1,500
2,000
2,500
SOAP Eligible Offers Accepted Unique Applicants With Any Offers No Position Post-SOAP*
SOAP 2012 SOAP 2013 SOAP 2014 SOAP 2015 SOAP 2016 SOAP 2017 SOAP 2018 SOAP 2019
*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.
Transition to Residency Conference
Transition to Residency Conference
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
Plenary Session Speakers:
➢ Dr. Ezekiel Emanuel, Chair, Department of Medical Ethics, University of Pennsylvania School of Medicine, will share his thoughts on the challenge facing the American health care system today.
➢ Dr. Helen Fisher, Chief Scientific Advisor, Match.com, will discuss her Fisher Temperament Inventory and explain how knowledge of four basic biological styles of thinking and behaving can help build effective teams and spark innovation.
➢ Dr. Lawrence Smith, Dean, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, will address the importance of teachingmedical students to provide compassionate care to patients.
www.nrmpconference.org
Transition to Residency Conference
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
Key Themes:
➢ UME-GME Hot Topics✓ Changes to the MSPE: Have they met program director needs?✓ Innovative curricula: Can the Match be flexible to accommodate competency-based programs?✓ Single Accreditation System: impact on the Match and applicant trends✓ Alternatives to USMLE Step 1 to screen applicants
➢ Residency Prep✓ Advising the at-risk student: early identification and remediation✓ Candid career counseling: when and how to guide students toward non-medical professions✓ Preparing for residency: best practices in the UME-GME hand-off✓ Emotional IQ: How can schools foster self-awareness, self-regulation, and empathy to identify &
remediate professionalism issues?
➢ Residency Selection✓ Assessing competitiveness and quelling application overload✓ Program director perspectives on interviewing & ranking applicants✓ Transparency: what information do applicants want in the application
& interview processes?
www.nrmpconference.org
Transition to Residency Conference
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
Key Themes:
➢ Success in residency✓ Resilience: preventing burnout to keep residents engaged for a long career✓ The intersection of medicine and technology: current trends and innovation✓ EPAs: how do programs evaluate resident competency and engage residents in self-evaluation &
growth?
➢ Match workshops✓ Using the Registration, Ranking, & Results system✓ Policy primer: Tips and reminders about compliance with Match rules✓ Participating in the Supplemental Offer and Acceptance Program✓ Student verification: criteria for determining Match and SOAP eligibility
www.nrmpconference.org
Workshop proposals now being accepted on the website
Transition to Residency Conference
FAIR, EFFICIENT, TRANSPARENT, AND RELIABLE
New this year:
Pre-Conference for program directors, coordinators, & GME office staff✓ Learn about the matching algorithm and how to run a Match✓ Explore the R3 system and discover how to do everything: registering, finalizing program quotas,
creating reversions, entering/certifying ROLs, obtaining Match results✓ Review Match policies and learn about common violations of the Match Participation Agreement✓ How to prepare for Match Week and SOAP
Conference Fees:On/before August 2 On/after August 3
Pre-Conference ONLY $150 $200Main Conference ONLY $400 $450Pre-Conference & Main Conference $500 $600
www.nrmpconference.org
www.nrmp.org
support@nrmp.org
866-653-NRMP
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