NRMP Update - mk0nrmp3oyqui6wqfm.kinstacdn.com · 88 Internal Medicine 14 Psychiatry 2 Neurological Surgery 7 Diagnostic Radiology 6 Neurology 28 General Surgery 22 Obstetrics/Gynecology

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


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


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


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


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


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


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


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


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


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


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


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



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


Transitional Year

Anesthesiology

Pathology

Pediatrics-Medical Genetics

Radiation Oncology


Osteopathic Neuromusculoskeletal Medicine

Pediatrics

Dermatology

Internal Medicine/Medical Genetics

Psychiatry

Emergency Medicine

Internal Medicine/Anesthesiology


Pediatrics-Physical Medicine and Rehabilitation

Physical Medicine and Rehabilitation

Psychiatry-Neurology

484

116 Unfilled Positions Not in SOAP

12,472 SOAP-Eligible Applicants


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


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


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


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


ONMM

Child Neurology

Radiation Oncology

Vascular Surgery

Internal Medicine Preliminary

Interventional Radiology

Internal Medicine-Pediatrics

Pathology

Surgery Preliminary

Thoracic Surgery

Transitional Year

Neurology


Pediatrics (C & M)

Plastic Surgery

Dermatology



Family Medicine

Anesthesiology

Otolaryngology


Emergency Medicine

Orthopaedic Surgery

General Surgery

Psychiatry

SOAP Positions

Preferred Specialty

Preferences of All Unmatched ApplicantsAvailable SOAP Positions


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


Available Positions

Preferred Specialty

SOAP Offers2012-2019


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


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



0 50 100 150 200 250 300 350 400 450 500 550 600

Surgery-Preliminary

Family Medicine


Transitional Year

Internal Medicine-Preliminary

Pediatrics (C & M)

Neurology

Anesthesiology

Emergency Medicine

Radiation Oncology

Pathology

Child Neurology

Psychiatry


Obstetrics-Gynecology P

Internal Medicine-Pediatrics

Dermatology


Obstetrics-Gynecology

Pediatrics-Preliminary

Orthopaedic Surgery


Vascular Surgery

ONMMUnfilled

After

SOAP

2019

SOAP

1,652 Unfilled Positions in SOAP

SOAP PositionsOffered and Accepted by Applicant and Position Type


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


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.




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



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?




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


Workshop proposals now being accepted on the website



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.nrmp.org

[email protected]

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NRMP Update - mk0nrmp3oyqui6wqfm.kinstacdn.com · 88 Internal Medicine 14 Psychiatry 2 Neurological Surgery 7 Diagnostic Radiology 6 Neurology 28 General Surgery 22 Obstetrics/Gynecology