guide to the match 2008 junior class meeting january 23, 2008
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Guide to the Match 2008
Junior Class Meeting
January 23, 2008
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Residency Positions
• Categorical - programs that begin in the PGY-1 year and provide the training required for board certification in medical specialties.
• Preliminary - one-year programs beginning in the PGY-1 year that provide prerequisite training for advanced programs.
• Advanced - programs that begin in the PGY-2 year after one year of prerequisite training.
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The “Match”
• Process by which students apply for and are “matched” to residency training programs.
• There are several kinds of “Match”
• Not all residency programs participate in a Match.
• Some Match participants offer positions outside the Match.
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Organizations
• National Residency Match Program (NRMP)
• Electronic Residency Application Service (ERAS)
• San Francisco Match
• American Urological Association
• U.S. Armed Services
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Residency Programs
“Main” Match
Early Match Programs
• Ophtho• Neuro Sg• PediNeuro• Plastic Sg
GU
Military
Army•Navy •AF
Application Service*
ERAS CAS ERAS ERASNavy /
AF
Match NRMP SF Match AUA JSGMESB
* Check with individual programs!
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Main Match
• Main Match: Sponsored by the NRMP. The main match offers PGY-1 and PGY-2 level residency training positions in most specialties.
• Couples Match: Part of the Main Match. Couples can link their program choices together so that they can be matched into a combination of programs suited to their needs.
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Residency Programs Participating in ERAS
*Anesthesiology Child Neurology (Neurology) *Dermatology *Emergency Medicine *Emergency Medicine/Family Medicine *Family Medicine *Internal Medicine *Internal Medicine/Dermatology *Internal Medicine/Emergency Medicine *Internal Medicine/Family Practice *Internal Medicine/Pediatrics *
Internal Medicine/Physical Medicine & Rehabilitation
*Internal Medicine/Psychiatry *Neurology *Neurological Surgery *Nuclear Medicine *Obstetrics and Gynecology *Orthopaedic Surgery
• *Otolaryngology *Pathology-Anatomic & Clinical
• *Pediatrics • *Pediatrics Dermatology • *Pediatrics/Emergency Medicine • *
Pediatrics/Physical Medicine & Rehabilitation
• *Pediatrics/Psychiatry/Child & Adolescent Psychiatry
• *Physical Medicine & Rehabilitation • *Plastic Surgery • *Psychiatry • *Psychiatry/Family Practice • Psychiatry/Neurology • *Radiation Oncology • *Radiology-Diagnostic • *Surgery-General • *Transitional Year • Urology • *Vascular Surgery (Integrated) New!* Indicates specialties that participate with the National Resident Matching Program (NRMP)
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Main Match Resources
• National Residency Match Program (NRMP) – A private, not-for-profit corp.
established in 1952 to provide a uniform process for applicants seeking residency positions
http://www.nrmp.org/
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Main Match Resources
• Electronic Residency Application Service (ERAS)– a service that transmits residency
applications, letters of recommendation, Dean's Letters, transcripts, and other supporting credentials to residency program directors using the Internet.
http://www.aamc.org/audienceeras.htm
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Main Match Resources
• Rank Order List Input Confirmation System (ROLIC)– Applicants and programs enter their
Rank Order Lists via the Web using NRMP code and password.
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IMPORTANT
• The NRMP is not an application service or a job placement service.
• Applicants must apply directly to residency programs in addition to registering for the Match.
• Most programs participate in the Electronic Residency Application Service (ERAS), which transmits residency applications to program directors via the Internet.
• Applicants must register with both NRMP and ERAS to participate in the services of each.
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Early Match Programs
• Early Match: collection of specialties that operate outside the Main Match. An earlier match process.– San Francisco Match– American Urological Association
(AUA)– Military Match, U.S. Armed Services
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Early Match Programs
• The San Francisco Match provides matching services for: – Neurological Surgery – Child Neurology/NDD– Ophthalmology – Plastic Surgery
http://www.sfmatch.org/
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Early Match Programs
• The American Urological Assn. (AUA)– Provides a matching service for
Urology Residency Programs– An Early Match
http://www.auanet.org/residents/
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Military Match Programs
• U.S. Armyhttp://www.mods.army.mil/MedicalEducation/
• U.S. Navy http://nmmpte.med.navy.mil/gme/MCPP.htm
• U.S. Air Forcehttp://airforcemedicine.afms.mil/idc/groups/public/documents/webcontent/knowledgejunction.hcst?functionalarea=AF_PhysicianGME&doctype=subpage&docname=CTB_046956
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IMPORTANT
• Participants in the Early Match should also register for the Main Match.– Some early match specialties require
a PGY-1 preliminary year– Main Match can serve as an effective
backup strategy
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Eligibility to Participate in Match 2009
• The applicant has been determined by the dean of student affairs to be on schedule for graduation in the year of the Match (2009)
• The applicant must be eligible to begin graduate medical training by July 1, 2009
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Resources
• Fellowship and Residency Electronic Interactive Database (FREIDA)– a database containing information on
approximately 7,500 graduate medical education programs that are accredited by the Accreditation Council for Graduate Medical Education (ACGME), as well as on 200 combined specialty programs.
http://www.ama-assn.org/ama/pub/category/2997.html
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Additional Resources
• Careers in Medicine– http://www.aamc.org/students/cim/
• Strolling Through the Match– http://www.aafp.org/x20259.xml
• Financing your Medical Education – http://www.aamc.org/students/financing/start.htm
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Timeline
• January – April 2008– Decide on specialty– Determine what type of Match is
involved– Externships: investigate & request
applications
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Timeline
• January – April 2008– Utilize Resources:
• Careers in Medicine• Strolling through the Match• FREIDA, ERAS, NRMP, USMLE• Office of Professional Development and
Career Guidance
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Timeline
• January – April 2008– Advising Dean assignments– Senior Schedules (March)
• Line up research projects for the senior year
• Start planning externships– AAMC Extramural Electives Compendium
» http://www.aamc.org/students/medstudents/electives/start.htm
– Visiting Student Application Service (VSAS)» http://www.aamc.org/programs/vsas/
students/start.htm
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Timeline
• February – April 2008 – Residency Program Directors Meeting
Wednesday, February 20, 2008
1:00 – 3:00 PM
RMSB 5th FL Auditorium and Labs
– Career Advising DinnerTuesday, March 18, 2008
6:30 – 9:00 PM
The Commons, Rosenstiel Marine School
– CV & Personal Statement WorkshopTime and location: TBA
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Timeline
• May - June 2008– Select specialty
• Start creating list of programs• Determine which Match is involved
– Work on application materials• Biographical information sheet• Introduction to Dean’s Letter• Curriculum vitae• Personal statement
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Timeline
• May - August 2008– Meet with Advising Deans– Request letters of recommendation– Schedule externships– Review Junior Clerkship evaluations!– Register with NRMP, ERAS and/or
other matching programs– Register for USMLE Step 2 CS, CK
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Timeline
• September - December 2008– Complete applications and all
support materials– Confirm receipt of letters of
recommendation– Dean’s letter released to all
programs: 11/1/08– Schedule and go to interviews– Complete early match rank order lists
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Timeline
• January - February 2009– Submit rank order list to NRMP (Main
Match)– Finish interviews– Early and Military Match results released
• March 2009– Match results released– Scramble– Match Day Celebration!
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2008 UMMSM Early Match Results
• Ophthalmology: 9/9
• Military Match:
• Urology: 4/4
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Special Issues
• The USMLE Step 2
• Externships
• The Dean’s Letters
• Couples Match
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USMLE Step 2 (CK and CS)
• Check to see what the requirements are for each program you apply to.
• If possible, take the exams early
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Externships
• Reasons to go on an externship– Audition for a program– Audition a program / city– Take advantage of a unique
educational experience
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Externships: UMMSM Requirements
• Must submit letter stating that you have been accepted to the program
• Must leave contact information with Coordinator for Student Services
• Must submit an evaluation upon your return– See handout for instructions
• Failure to comply with policies will result in no credit for the rotation!!
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The Medical Student Performance Evaluation
• “The Dean’s Letter”
• A letter of evaluation, not a letter of recommendation (don’t worry, we still recommend you)
• The content of the letter is non-negotiable
• A confidentiality waiver is available (optional)
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The Couples Match
• Identify yourself ASAP so we can plan orientation meetings.
• Let programs know if you intend to participate in the Couples Match.
• Let programs know early if you have other special issues!!!
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Approaching the Match:BE REALISTIC!
• When considering a specialty, consider the competitiveness of the specialty, the program, and your application.– Grades– Awards– Board Scores– Research– Extra-curricular activities
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NRMP Results 2007
Selected Specialties # Spots # FilledPositions per
Applicant (US Seniors)
Anesthesiology (PGY-1/2) 1338 1286 1.2
Dermatology (PGY-2) 288 287 0.8
Emergency Med (PGY-1) 1288 1282 1.2
ENT 270 268 0.9
Family Medicine 2603 2299 2.4
General Surgery (Cat) 1057 1055 1.2
Internal Medicine (Cat) 4798 4720 1.7
Neurology 539 520 1.7
OB/GYN 1155 1149 1.2
Orthopedic Surgery 616 614 0.9
Pathology 513 466 1.6
Pediatrics 2328 2265 1.4
Psychiatry 1057 1000 1.6
Radiology-Dx (PGY-1/2) 1043 1026 1.1
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Percent of Matches by Choice, 2007 U.S. Seniors
First Rank58.6%
First Rank58.6%
Second Rank15.7%
Second Rank15.7%
Third Rank9.5%
Third Rank9.5%
Fourth Rank5.5%
Fourth Rank5.5%
> Fourth Rank10.7%
> Fourth Rank10.7%
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Objective Structured Clinical Evaluation (OSCE)
June 7th – 8th, 2008
PARTICIPATION IS MANDATORY!