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NRMP Update
Mona M. SignerExecutive DirectorNovember 1, 2013
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Today’s Topics
Main Residency Match Trends US Seniors’ Strategies in the Match New at NRMP
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Main Residency MatchPGY-1 Positions Offered and FilledAll In Policy Created a Rising Tide
2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
5,000
10,000
15,000
20,000
25,000
30,000
Offered Filled Filled US Seniors
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Main Residency MatchActive Applicants
960 More Seniors, 3,000 More Active Applicants
2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
5,000
10,000
15,000
20,000
25,000
30,000
35,000
Others Osteopaths IMGs US IMGs US Physicians US Seniors
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Main Residency MatchMatch Rates by Applicant Type
Increased for All Applicants Except US Seniors
2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
10
20
30
40
50
60
70
80
90
100US Seniors
Osteopathic
US IMGsPrior US GradsIMGs
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Unmatched US Seniors by School2009-2013
0% 5% 10% 15% 20% 25% 30%0
5
10
15
20
Percent Unmatched
Nu
mb
er
Un
ma
tch
ed Average = 6.9 graduates/school
Average = 5.9% of class
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Unmatched Seniors, Unfilled PGY-1 Positions in SOAP
Not Enough Unfilled Positions for Unmatched Seniors
2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
500
1,000
1,500
2,000
2,500
1,800
1,097
1,037 850
Unfilled PGY-1 Positions in SOAP
U.S. Seniors Unmatched to PGY-1 Positions
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1,041 Unfilled PositionsMore Than Half Preliminary
2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
375 466 486 481 455 473 461 444 484 459
202184 194 136 127 89 105 129 123 74
1148 994 862
663 696487 459 425 460
367
9297
71
101 92
59 82 103146
112
Surg-Prelim Med-Prelim T-Year & Peds-Prelim Categorical Advanced
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Preferences of Unmatched Seniors and Available SOAP Positions
Child NeurologyNeurology
Radiation OncologyTransitional Year
PathologyRadiology-Diagnostic
Internal Medicine (preliminary)Internal Medicine-Pediatrics
Surgery-Preliminary (PGY-1 Only)Dermatology
Plastic SurgeryPhysical Medicine & Rehab
PsychiatryAnesthesiology
Neurological SurgeryPediatrics
Family MedicineOtolaryngology
Obstetrics-GynecologyInternal Medicine
Emergency MedicineGeneral Surgery
Orthopaedic Surgery
0 50 100 150 200 250 300
25
67
91013131414192225
3440
4651
77
8393104
112153
Available Positions
Preferred Specialty
455
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SOAP PositionsOffered & Accepted by Round
1 2 3 4 5 6 7 80
200
400
600
800
1,000
559
203
8223
297
78
21
15
Accepted Rejected Expired
877
296
105
319 7 1 1
1,041 Unfilled Positions 939 Positions in Soap
End of Day 1:177 positions
remained
End of Day 2:66 positions
remained
End of SOAP:61 positions
remained
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SOAP PositionsAccepted by Applicant & Position Type
US Senior US Grad USIMG Osteo IMG0
100
200
300
400
500
600
700
31 6 1 14 0
393
21 39 3323
13
15 10 96
141
29 2544
23
24
None Accepted PGY-1 Only PGY-2 Only Categorical PGY-1 & PGY-2
2,076
3,745 923 5,9761,045
851 applicants accepted 878 positions
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Today’s Topics
Main Residency Match Trends US Seniors’ Strategies in the Match New at NRMP
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Percent US Seniors Citing Each Factor for Applications
Career paths of recent program graduates
Program flexibility to pursue electives
Future fellowship opportunities in the institu-tion
Program size
Cost of living
Housetaff morale
Social & recreational opportunities in area
Balance between supervision & patient care responsibility
Quality of program director
Diversity of patient problems
Work/life balance
Quality of faculty
Academic medical center program
Quality of residents in program
Quality of curriculum & training
Reputation of program
Geographic location of the residency
0% 25% 50% 75% 100%
56%
56%
57%
58%
60%
60%
61%
62%
67%
68%
68%
73%
74%
79%
86%
90%
95%
Source: NRMP 2013 Applicant Survey
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Percent US Seniors Citing Each Factor for Applications (cont’d)
Previous Match violation
Opportunity for systems-based practice
Supplemental income (moonlighting) oppor-tunities
Other benefits
Community-based program
Cultural/ethnic diversity at institution
ABMS board pass rates
Opportunity for international experience
Salary
Quality of ancillary staff
Vacation/parental/sick leave
Cultural/ethnic diversity of geographic location
Call schedule
Opportunities to perform specific procedures
Availability of electronic medical record
Research opportunities
Quality of hospital facility
Size of patient caseload
Preparation for fellowship training
0% 25% 50% 75%
6%
19%
21%
21%
21%
21%
25%
29%
31%
33%
33%
34%
38%
39%
41%
46%
54%
55%
56%
Source: NRMP 2013 Applicant Survey
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Percent US Seniors Citing Each Factor for Ranking
Career paths of recent program graduates
Preparation for fellowship training
Future fellowship opportunities in the institu-tion
Quality of hospital facility
Balance between supervision & patient care responsibility
Diversity of patient problems
Social/recreational opportunities in area
Program size
Housestaff morale
Academic medical center program
Work/life balance
Quality of curriculum & training
Quality of program director
Quality of faculty
Quality of residents in program
Reputation of program
Geographic location
0% 25% 50% 75% 100%
46%
48%
48%
49%
51%
51%
52%
55%
61%
63%
67%
67%
70%
76%
80%
84%
86%
Source: NRMP 2013 Applicant Survey
Reproduction prohibited without the written permission of the NRMP.
Percent US Seniors Citing Each Factor for Ranking (cont’d)
Previous Match violation
Opportunity for systems-based practice
Supplemental income (moonlighting) oppor-tunities
Other benefits
Community-based program
Vacation/parental/sick leave
Cultural/ethnic diversity at institution
Opportunity for international experience
ABMS board pass rates
Salary
Cultural/ethnic diversity of geographic location
Quality of ancillary staff
Opportunities to perform specific procedures
Call schedule
Availability of electronic medical record
Research opportunities
Size of patient caseload
Cost of living
Program's flexibility to pursue electives
0% 25% 50%
5%
12%
14%
14%
17%
21%
22%
23%
23%
23%
25%
29%
30%
33%
33%
41%
41%
43%
45%
Source: NRMP 2013 Applicant Survey
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Dermatology
Plastic Surgery
Radiation Oncology
Physical Medicine and Rehabilita-tion
Radiology-Diagnostic
Child Neurology (Neurology)
Internal Medicine/Pediatrics
Surgery-General
Anesthesiology
Neurology
Otolaryngology
Orthopaedic Surgery
Emergency Medicine
Obstetrics and Gynecology
Neurological Surgery
Psychiatry
Family Medicine
Internal Medicine
Pathology
Pediatrics
0% 20% 40% 60% 80% 100%
23
46
48
67
73
73
74
77
79
80
83
88
89
91
92
92
93
93
96
97
Percent US Seniors Ranking One Specialty By Preferred Specialty
Source: NRMP Data Warehouse
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
64
7376 77 77
8084
8890 91 91 91 92
96 96 96 96 97 97
Percent US Seniors MatchedBy Preferred Specialty
Source: NRMP Data Warehouse
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Unmatched Applicants: Applications, Interviews, Programs Ranked in Preferred Specialty
Other
Foreign
US Foreign
Osteopathic
US Graduate
US Senior
0 10 20 30 40 50 60 70 80 90
54.8
85.9
81.4
34.3
44.9
50.9
1.2
2.5
2.9
5.3
3.5
7.1
1.5
3.4
3.9
5.4
4
6.9Programs Ranked
Interviews Attended
Applications
Match outcome based on preferred specialtySource: NRMP 2013 Applicant Survey
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Unmatched Applicants: Applications, Interviews, Programs Ranked in Alternate Specialty
Foreign
US Foreign
Osteopathic
US Graduate
US Senior
0 10 20 30 40 50
41.9
42.1
13.3
19.4
19.4
1.6
2.5
2.9
3.6
5.6
1.6
2.8
2.4
2.6
5.1Programs Ranked
Interviews Attended
Applications
Match outcome based on preferred specialtySource: NRMP 2013 Applicant Survey
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Programs Ranked
Interviews Attended
Interviews Granted
Applications Submitted
0 10 20 30 40 50 60
6.9
7.1
8.9
50.9
10.9
11.7
16.3
32.8Average Number of
Matched Unmatched
Applications, Interviews, & Programs Ranked: 2013 US Allopathic Seniors
18.1 more applications
7.4 fewer interview offers
4.6 fewer interviews
4.0 fewer ranked programs
Match outcome based on preferred specialtySource: NRMP 2013 Applicant Survey
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Ranked one or more program) where I applied but did not in-terview
Ranked programs based on the likelihood of matching
Ranked one or more programs in an alternative specialty as a "fall-back" plan
Ranked one or more less competitive programs in first-choice specialty as a "safety net"
Ranked a mix of competitive and less competitive programs
Ranked all programs I was willing to attend
Ranked all programs at which I interviewed
Ranked the programs in order of my preferences
0% 20% 40% 60% 80% 100%
4%
16%
20%
21%
41%
62%
65%
97%
3%
5%
6%
34%
54%
72%
60%
98%
Matched Unmatched
Ranking Strategies:2013 US Allopathic Seniors
Match outcome based on preferred specialtySource: NRMP 2013 Applicant Survey
Less likely to rank “safety-net” programs
More likely to rank all programs where they interviewed
Less likely to rank a mix of programs
More likely to rank based on likelihood of matching
More likely to rank alternate specialty
Less likely to rank all programs willing to attend
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Today’s Topics
Main Residency Match Trends US Seniors’ Strategies in the Match New at NRMP
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PRISMThe Program Rating and Interview Scheduling
Manager
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MatchEvents
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Program Search
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Program Information
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My Programs
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Manage My Programs
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Manage Program Interview
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Interview Schedule
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Custom Program Notes
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Rating Programs
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Ratings Summary
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Ratings Export
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The New R3 System
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