National Group on Student Affairs...Reproduction prohibited without the written permission of the...

Reproduction prohibited without the written permission of the NRMP.

Mona M. Signer Executive Director April 28, 2014

National Group on Student Affairs


Today’s Topics

Main Residency Match Trends Supplemental Offer & Acceptance

Program Upcoming NRMP Publications


0

5,000

10,000

15,000

20,000

25,000

30,000

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

US Allopathic SeniorsWho ObtainedPositions throughSOAP

US Allopathic SeniorsMatched

US AllopathicGraduating Seniors

NRMP PGY 1 Positions

Data sources: NRMP, AAMC

First-Year GME Positions Allopathic Medicine

No Shortage of PGY-1 Slots for Graduating Seniors

~8,000 more PGY-1 positions than graduating US seniors


0

5,000

10,000

15,000

20,000

25,000

30,000

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

AOA Matches

US Osteopathic Seniors andGraduates Who ObtainedPositions through SOAPUS Osteopathic Seniors andGraduates Matched

Non US IMGs Who ObtainedPositions through SOAP

Non US IMGs Matched

US IMGs Who ObtainedPositions through SOAP

US IMGs Matched

US Allopathic Seniors WhoObtained Positions throughSOAPUS Allopathic SeniorsMatched

US Allopathic + OsteopathicGraduating Seniors*

US Allopathic GraduatingSeniors

Data sources: NRMP, AAMC, AACOM, AOA

First-Year GME Positions Allopathic and Osteopathic Medicine

+22,000 USMDs and DOs Obtained PGY-1 Positions in 2014


Main Residency Match PGY-1 Positions Offered and Filled

500 More Positions

0

5,000

10,000

15,000

20,000

25,000

30,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Offered Filled Filled US Seniors

+ 2,678 PGY-1 positions since

All In Policy


Main Residency Match Active Applicants

112 Fewer Seniors, 86 Fewer Active Applicants

05,000

10,00015,00020,00025,00030,00035,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Others Osteopathic Physicians IMGs US IMGs US Physicians US Seniors


Main Residency Match PGY-1 Matches by Applicant Type

500 Fewer Unmatched Applicants

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Unmatched Others Osteopathic Physicians IMGs US IMGs US Physicians US Seniors


Main Residency Match Match Rates by Applicant Type

Overall Match Rate: 71%

0102030405060708090

100

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

US Seniors

Osteopathic Physicians

US IMGs Prior US Grads IMGs


Matches by Rank All Applicants


Percent Unmatched US Seniors Who Ranked One Specialty

0

10

20

30

40

50

60

70

80

90

100

NS OT PL OS PH DM SG OB RO CN PS EM FM PD NE PA IM AN RD


Today’s Topics




1,181 Unfilled Positions About Half Preliminary

466 486 481 455 473 461 444 484 459 449

184 194 136 127 89 105 129 123 74 80

994 862

663 696 487 459 425 460

367 427

97 71

101 92

59 82 103 146

112 127 63

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Surg-Prelim Med-Prelim T-Year & Peds-Prelim Categorical Advanced Reserved


1,075 Unfilled Positions in SOAP

123

63

59

18

20

31

44

23

10

28

24

25

3

3

4

3

4

0

2

2

0

0

0

131

77

72

28

51

57

63

38

13

34

20

23

9

5

0

3

7

0

0

0

2

12

2

0 50 100 150 200 250 300

Surgery-PreliminaryFamily Medicine

Internal Medicine-PreliminaryRadiology-Diagnostic

OtherPathology

Internal MedicineAnesthesiology

PsychiatryPediatrics

Transitional YearNeurology

Child NeurologyInternal Medicine - Pediatrics

Obstetrics-GynecologyPlastic Surgery

DermatologyGeneral Surgery

Physical Medicine & RehabOtolaryngology

Neurological SurgeryRadiation Oncology

Emergency MedicineOrthopaedic Surgery

2013 SOAP

2014 SOAP

462 428


110 Unfilled Positions Not in SOAP

1 1

2 2 2 2 2

3 3 3 3 3

6 6 6

7 9

13 15

21

0 10 20 30 40 50

Transitional Year

Family Medicine

Internal Medicine

Pediatrics - Preliminary

Emergency Medicine

Internal Medicine - Primary

Vascular Surgery

Internal Medicine-Preliminary

Psychiatry

Preventive Medicine

Internal Medicine - Pediatrics

Obstetrics Gynecology

Dermatology

Neurology

Radiation Oncology

Anesthesiology

Radiology - Diagnostic

Child Neurology

Other

Surgery-Preliminary

484 444


Unmatched Seniors, Unfilled PGY-1 Positions in SOAP

More Unmatched Seniors than PGY-1 Positions

1,694

0

500

1,000

1,500

2,000

2,500

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

975

921 934

Unfilled PGY-1 Positions in SOAP

U.S. Seniors Unmatched to PGY-1 Positions


Unmatched Applicants, Unfilled PGY-1 Positions in SOAP

Nine Unmatched Applicants for Every Unfilled Position

1,694

Unfilled PGY-1 Positions in SOAP

934

5,588

8,583

01,0002,0003,0004,0005,0006,0007,0008,0009,000

10,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

All Applicants Unmatched to PGY-1 Positions


13,276 SOAP-Eligible Applicants

2,050 1,025

3,724

752

5,688

37 0

1,000

2,000

3,000

4,000

5,000

6,000

US Senior US Grad USIMG Osteo IMG Other

US Senior US Grad USIMG Osteo IMG Other


Preferences of Unmatched Seniors and Available SOAP Positions

1 2 5 5 6 7 9 9 9 9 9

13 17 18 24 25 32

41 42

93 59

66 75 76

87 135

0 50 100 150 200 250 300

Vascular SurgeryInternal Medicine-Pediatrics

Child NeurologyPathology

OtherThoracic Surgery

Radiation OncologyNeurology

Transitional YearRadiology-Diagnostic

Surgery-Preliminary (PGY-1 Only)Internal Medicine (preliminary)

Physical Medicine & RehabDermatology

PsychiatryPlastic SurgeryAnesthesiology

Neurological SurgeryFamily MedicineOtolaryngology

PediatricsEmergency Medicine

Obstetrics-GynecologyInternal MedicineGeneral Surgery

Orthopaedic Surgery

Preferred SpecialtyAvailable Positions

428


Preferences of All Unmatched Applicants and Available SOAP Positions

17 22 24 32 34

38 38 56 83

85 87

103 111

121 149

176 181

206 221 245

325 442

579 628

0 100 200 300 400 500 600 700 800 900 1000

Vascular SurgeryRadiation Oncology

Child NeurologyThoracic Surgery

Plastic SurgeryInternal Medicine-Pediatrics

OtherTransitional Year

Neurological SurgeryOtolaryngology

DermatologyInternal Medicine (preliminary)

Radiology-DiagnosticSurgery-Preliminary (PGY-1 Only)

Physical Medicine & RehabNeurologyPathology

AnesthesiologyOrthopaedic SurgeryEmergency Medicine

Obstetrics-GynecologyGeneral Surgery

PediatricsPsychiatry

Family MedicineInternal Medicine

Preferred SpecialtyAvailable Positions

2,566 1,305


SOAP Offers 2012 - 2014

1,033 878 998

613

388 470

92

50

63

0

500

1,000

1,500

2,000

2,500

2012 2013 2014

Accepted Rejected Expired

939 Positions 1,075 Positions 1,132 Positions


SOAP Positions Offered & Accepted by Round

639

226 99 27

338

94

28 7 3

27

24

0

200

400

600

800

1,000

1,200

1 2 3 4 5

Accepted Rejected Expired

1,004

344

133 37 13

1,181 Unfilled Positions 1,075 Positions in Soap

End of Day 1: 210 positions

remained

End of SOAP: 77 positions

remained


SOAP Positions Accepted by Applicant & Position Type

40 8 1 14 1

349

27 42 39 40

35

12 9 8 4

173

58 42 65

35

26

0

100

200

300

400

500

600

700

US Seniors US Grads USIMGs DOs IMGs

None Accepted PGY-1 Only PGY-2 Only Categorical PGY-1 & PGY-2

2,050

3,629 752 5,688 1,025

968 applicants accepted 998 positions


U.S. Seniors in SOAP 2012 - 2014

1,816

605 567

262

2,076

595 571 528

2,050

609 623

412

0

500

1,000

1,500

2,000

2,500

SOAP Eligible Offers Accepted Unique Applicants WithOffers

No Position Post-SOAP

SOAP 2012 SOAP 2013 SOAP 2014


1. USMLE Step 1 Score (94%) 2. Letter of recommendation in the specialty (86%) 3. Medical School Performance Evaluation (84%) 4. USMLE Step 2 (80%) 5. Personal statement (78%) 6. Graduate of U.S. allopathic medical school (75%) 7. Grades in required clerkships (70%) 8. Gaps in medical education (70%) 9. Honors in clinical clerkships (69%) 10. Perceived commitment to specialty (69%)

NRMP 2014 Program Director Survey Top 10 Interview Screening Criteria


1. Interactions with faculty during interview/visit (93%) 2. Interpersonal skills (93%) 3. Interactions with housestaff during interview/visit (88%) 4. Feedback from current residents (82%) 5. USMLE Step 1 score (80%) 6. Letters of recommendation in the specialty (74%) 7. USMLE Step 2 score (71%) 8. Medical School Performance Evaluation (68%) 9. Perceived commitment to specialty (67%) 10. Evidence of professionalism and ethics (64%)

NRMP 2014 Program Director Survey Top 10 Ranking Criteria


38

61

1 0

20

40

60

80

100

Yes, Pass Only Target Score No

Programs Using Step 1 Scores

26

63

11

0

20

40

60

80

100

Never Seldom Often

Scores Required? Consider 1st Attempt Failures?


31

50

19

0

20

40

60

80

100

Yes, Pass Only Target Score No

Programs Using Step 2CK Scores

35

58

11

0

20

40

60

80

100

Never Seldom Often

Scores Required? Consider 1st Attempt Failures?


Today’s Topics




Main Residency Match Results & Data Book Program Results by State and Specialty 2014 Program Director Survey Unmatched Applicant White Paper Charting Outcomes in the Match Program Director Code of Conduct Match Tips for Applicants

Upcoming NRMP Publications


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