NRMP Update · NRMP Update. Reproduction ... 1 Anesthesiology 1 Neurology 3 Dermatology 1...
Transcript of NRMP Update · NRMP Update. Reproduction ... 1 Anesthesiology 1 Neurology 3 Dermatology 1...
Reproduction prohibited without the written permission of the NRMP.
Mona M. SignerPresident and CEOGroup on Student AffairsApril 2017
NRMP Update
Reproduction prohibited without the written permission of the NRMP.
Today’s Topics
Main Residency Match Trends
SOAP
Seniors’ Application & Ranking Strategies
NRMP Conference
Reproduction prohibited without the written permission of the NRMP.
Main Residency Match
PGY-1 Positions Offered and Filled6,609 More Positions Since 2008
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Offered Filled Filled US Seniors
+ 989 PGY-1
positions
over 2016
All In Policy
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0
500
1,000
1,500
2,000
2,500
IM FM EM PD AN PS NE SG OB DR DM OS PA
Main Residency Match
At Least + 50 PositionsChange Since 2008
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2016 Main Residency Match
• 2 AOA programs
1 Family Medicine 1 Pediatrics
• 146 dually-accredited programs = 1,149 positions
2017 Main Residency Match
• 37 AOA programs, 166 positions
1 Anesthesiology 1 Neurology
3 Dermatology 1 Obstetrics/Gynecology
8 Emergency Medicine 2 Orthopaedic Surgery
5 Family Medicine 2 Pediatrics
13 Internal Medicine 1 Diagnostic Radiology
• 187 dually-accredited programs = 1,292 positions
Main Residency Match
New AOA Programs
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15,242 15,638 16,070 16,559 16,52717,487 17,374 18,025 18,187 18,539
1,8702,013
2,0452,178 2,360
2,677 2,7382,949 2,982
3,590
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Others IMGs US IMGs DOs Prior US Grads US Seniors
All In Policy
Main Residency Match
Active Applicants7,232 More Applicants Since 2008
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94.3
46
81.7
54.8
52.4
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
US Seniors
Osteopathic
Physicians
US IMGs
Prior US Grads
IMGs
All In Policy
Main Residency Match
PGY-1 Match Rate by Applicant TypeOverall Match Rate = 77.0%
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7,7978,548
8,794 8,2038,421
9,091 8,5838,653
8,6408,281
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
US Seniors US Physicians DOs US IMGs IMGs Others Unmatched
All In Policy
Main Residency Match
PGY-1 Positions Filled by Applicant Type8,281 Unmatched Applicants With ROLs
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3,121
156
1,236
1,594
706
-65
-1,000
0
1,000
2,000
3,000
4,000
US Senior US Grad USIMG DO IMG Other
Main Residency Match
PGY-1 Matches by Applicant TypeChange Since 2008
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71
75 76 77 79
85
89 89 8991 91
9396 96 96 96 96 97 97 98 99
76
93
80 80
8783
91
84
75
90
96
90
98
91
97 96 9597 98
9593
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2014 2017
Match Rates By Preferred Specialty
Most Seniors Match to Preferred Specialty
Reproduction prohibited without the written permission of the NRMP.
Today’s Topics
Main Residency Match Trends
SOAP
Seniors’ Application & Ranking Strategies
NRMP Conference
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455 473 461 444 484 459 449 475 465 508
127 89 105 129123
74 80123 100
72
663 663
453 423452
352408
378400
530
9259
82 103
146
112
127
210
108
7163
55
46
47
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Surg-Prelim Med-Prelim T-Year & Other Prelim Categorical Advanced Reserved
SOAP
Main Residency Match
Unfilled Positions1,279 Unfilled Positions, Half PGY-1 Only
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486
141
67
77
128
17
31
54
17
44
9
26
16
3
1
4
25
5
0
11
5
2
0
1
3
1
3
0 50 100 150 200 250 300 350 400 450 500
Surgery-Preliminary
Family Medicine
Internal Medicine-Preliminary
Anesthesiology
Internal Medicine
Radiology-Diagnostic
Transitional Year
Pathology
Child Neurology
Pediatrics
Obstetrics-Gynecology
Neurology
Other
Psychiatry
Physical Medicine & Rehab
Dermatology
Internal Medicine - Pediatrics
General Surgery
Neurological Surgery
Otolaryngology
Radiation Oncology
Plastic Surgery
Emergency Medicine
Orthopaedic Surgery
Thoracic Surgery
Vascular Surgery
Interventional Radiology
2016
SOAP2017
SOAP
486
Main Residency Match
1,177 Unfilled Positions in SOAP
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22
20
8
6
5
5
5
4
4
3
3
3
3
2
2
2
1
1
1
11
0 10 20 30 40 50
Surgery-Preliminary
Anesthesiology
Child Neurology
Emergency Medicine
Radiology - Diagnostic
Dermatology
Internal Medicine-Preliminary
Internal Medicine
Transitional Year
Interventional Radiology
Neurodevelopmental Disabilities
Otolaryngology
Radiation Oncology
Pathology
Neurology
Pediatrics-Preliminary
Psychiatry
Pediatrics
Medicine-Anesthesiology
Medicine-Medical Genetics
Pediatrics-Medical Genetics
484
444
Main Residency Match
102 Unfilled Positions Not in SOAP
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Unmatched Seniors
PGY-1 Positions in SOAP
More Unfilled Positions Than Seniors Unmatched!
1,059
0
500
1,000
1,500
2,000
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
1,100
PGY-1 Positions in SOAP
U.S. Seniors With ROLs
Unmatched to PGY-1
Positions
1,300
883
SOAP
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Unmatched Applicants
PGY-1 Positions in SOAP
7+ Unmatched Applicants for Every Unfilled Position
Unfilled PGY-1 Positions in SOAP
1,177
8,281
0
2,000
4,000
6,000
8,000
10,000
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
All Applicants With ROLs
Unmatched to PGY-1
Positions
1,298
7,797
SOAP
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13,796 SOAP-Eligible Applicants
124 Fewer Than 2016
2,140
1,001
3,934
901
5,803
17
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
US Senior US Grad USIMG DO IMG Other
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Preferences of Unmatched Seniors
Available SOAP Positions
0
0
1
3
4
4
5
6
7
7
8
10
10
11
11
14
15
24
24
26
29
43
54
73
79
92
117
122
135
0 50 100 150 200 250 300 350 400 450 500 550 600
Pediatrics Preliminary
Obstetrics-Gynecology Preliminary
Internal Medicine-Pediatrics
Child Neurology
Radiation Oncology
Neurology
Transitional Year
Interventional Radiology
Thoracic Surgery
Internal Medicine Preliminary
Surgery Preliminary
Other
Vascular Surgery
Pathology
Anesthesiology
Dermatology
Otolaryngology
Neurological Surgery
Radiology-Diagnostic
Plastic Surgery
Physical Medicine & Rehab
Pediatrics
Family Medicine
Internal Medicine (C & M)
Psychiatry
Obstetrics-Gynecology
Orthopaedic Surgery
General Surgery
Emergency Medicine
Available Positions
Preferred Specialty
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Preferences of Unmatched Applicants
Available SOAP Positions
33
1
5
5
6
7
9
9
9
9
9
54
70
83
118
124
141
161
178
93
185
188
258
362
433
460
0 50 100 150 200 250 300 350 400 450 500 550 600
Other
Pediatrics Preliminary
Obstetrics-Gynecology Preliminary
Interventional Radiology
Radiation Oncology
Vascular Surgery
Thoracic Surgery
Internal Medicine-Pediatrics
Otolaryngology
Child Neurology
Plastic Surgery
Transitional Year
Neurological Surgery
Dermatology
Surgery Preliminary
Internal Medicine Preliminary
Physical Medicine & Rehab
Radiology-Diagnostic
Pathology
Orthopaedic Surgery
Neurology
Anesthesiology
Obstetrics-Gynecology
Emergency Medicine
General Surgery
Pediatrics
Psychiatry
Family Medicine
Internal Medicine (C & M)
Available Positions
Preferred Specialty
2,499
1,196
717
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SOAP Offers
2012 - 2017
1,033
878998
1,1291,022 1,076
613
399
470
481
477
533
92
50
63
56
53
46
0
500
1,000
1,500
2,000
2,500
2012 2013 2014 2015 2016 2017
Accepted Rejected Expired
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2017 SOAP Positions
Offered & Accepted by Round
709
252
115
396
107
30
20
18
8
0
200
400
600
800
1,000
1,200
1 2 3
Accepted Rejected Expired
1,279 Unfilled Positions
1,177 Positions in Soap
End of Day 1:
216 positions
remained
End of SOAP:
101 positions
remained
SOAP Round
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SOAP Positions
Accepted by Applicant & Position Type
32 6 1 8 4
355
1651 53 57
214
36
76
108
51
9
0
0
0
1
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
2,140
3,934 901 5,8031,001
1,066 applicants accepted 1,076 positions
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U.S. Allopathic Seniors in SOAP
2013 - 2017
1,816
595 602 591
2,076
609 623
506
2,050
653 645
606
2,142
665 666615
2,140
610633
570
0
500
1,000
1,500
2,000
2,500
SOAP Eligible Offers Accepted Unique Applicants With AnyOffers
No Position Post-SOAP*
SOAP 2013 SOAP 2014 SOAP 2015 SOAP 2016 SOAP 2017
*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.
Reproduction prohibited without the written permission of the NRMP.
Today’s Topics
Main Residency Match Trends
SOAP
Seniors’ Application & Ranking Strategies
NRMP Conference
Reproduction prohibited without the written permission of the NRMP.
40%
44%
46%
50%
51%
53%
54%
54%
54%
55%
56%
56%
56%
62%
63%
63%
67%
67%
82%
83%
88%
0% 25% 50% 75% 100%
Research opportunities
Program flexibility to pursue electives
Quality of hospital facilities
Diversity of patient problems
Preparation for fellowship training
Social & recreational opportunities in area
Career paths of recent program graduates
Future fellowship opportunities at the institution
Housestaff morale
Balance between supervision & patient care
Cost of living
Quality of program director
Program size
Quality of faculty
Work/life balance
Quality of curriculum & training
Academic medical center program
Quality of residents in program
Reputation of program
Perceived goodness of fit
Desired geographic location
Percent US Seniors Citing Each Factor:
Applications
Source: 2017 Applicant Survey
Reproduction prohibited without the written permission of the NRMP.
4%
4%
6%
7%
12%
14%
15%
16%
21%
22%
22%
23%
24%
26%
27%
29%
29%
31%
31%
33%
35%
36%
37%
0% 25% 50% 75% 100%
Previous Match violation
Other benefits
Schools for my children in the area
Alternative duty hours
Opportunity for systems-based practice
Having friends at the program
Supplemental income (moonlighting) opportunities
Quality of ambulatory facilities
Community-based setting
Opportunity for international experience
Salary
ABMS board pass rates
Vacation/parental/sick leave
Availability of electronic health records
Quality of ancillary staff
Call schedule
Size of patient caseload
Cultural/ethnic/gender diversity at institution
Opportunity to perform specific procedures
Other support network in the area
Future job opportunities for myself
Cultural/ethnic diversity of geographic location
Job opportunities for spouse/significant other
Percent US Seniors Citing Each Factor:
Applications (cont’d)
Source: 2017 Applicant Survey
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40%
41%
41%
42%
42%
44%
45%
45%
47%
47%
52%
59%
61%
61%
63%
63%
70%
74%
75%
80%
88%
0% 25% 50% 75% 100%
Program flexibility to pursue electives
Quality of hospital facilities
Social & recreational opportunities in area
Future fellowship opportunities at the institution
Diversity of patient problems
Cost of living
Preparation for fellowship training
Program size
Balance between supervision & patient care
Career paths of recent program graduates
Academic medical center program
Work/life balance
Housestaff morale
Quality of curriculum & training
Quality of program director
Quality of faculty
Reputation of program
Quality of residents in program
Desired geographic location
Interview day experience
Overall goodness of fit
Percent US Seniors Citing Each Factor:
Ranking
Source: 2017 Applicant Survey
Reproduction prohibited without the written permission of the NRMP.
3%
3%
4%
5%
7%
11%
12%
12%
13%
18%
18%
19%
19%
19%
22%
23%
27%
28%
28%
28%
29%
30%
32%
36%
0% 25% 50% 75% 100%
Other benefits
Alternative duty hours
Previous Match violation
Schools for my children in the area
Opportunity for systems-based practice
Having friends at the program
Supplemental income (moonlighting) opportunities
Community-based setting
Quality of ambulatory facilities
Vacation/parental/sick leave
Opportunity for international experience
Salary
ABMS board pass rates
Availability of electronic health records
Opportunity to perform specific procedures
Quality of ancillary staff
Call schedule
Cultural/ethnic/gender diversity at institution
Cultural/ethnic diversity of geographic location
Size of patient caseload
Other support network in the area
Future job opportunities for myself
Job opportunities for my spouse/significant other
Research opportunities
Percent US Seniors Citing Each Factor:
Ranking (cont’d)
Source: 2017 Applicant Survey
Reproduction prohibited without the written permission of the NRMP.
8%
13%
14%
21%
69%
80%
86%
2%
3%
24%
50%
77%
70%
94%
0% 20% 40% 60% 80% 100%
Ranked one or more program(s) where I applied but did notinterview
Ranked the programs based on the likelihood of matching
Ranked a mix of competitive and less competitive specialties tohave a "fallback"• plan
Ranked one or more less competitive program(s) in my preferredspecialty as a "safety net"
Ranked all programs that I was willing to attend
Ranked all programs at which I interviewed
Ranked programs in the order of my preferences
Matched Unmatched
Seniors’ Ranking Behavior: Matched & Unmatched
Source: NRMP 2017 Applicant Survey
More likely to rank all
programs where they
interviewed
Less likely to rank
“safety net” programs
More likely to rank based on
likelihood of matching
Less likely to rank
alternate specialty
Less likely to rank all
programs willing to attend
More likely to rank programs
where they did not interview
Less likely to rank
programs in order of
preference
Reproduction prohibited without the written permission of the NRMP.
Matched Applicants*: Applications, Interviews,
Programs Ranked in Preferred Specialty
110.5
114.8
46.6
56.7
41.4
7.8
9
10.6
7.2
12.5
7.1
9
9.8
7.2
12.1
0 10 20 30 40 50 60 70 80 90 100 110 120
Foreign
US Foreign
Osteopathic
US Graduate
US Senior
Applications
Programs Ranked
Interviews Attended
*Applicants matched to preferred or alternate specialtySource: NRMP 2017 Applicant Survey
Highest ratio of ranked
programs to applications
Reproduction prohibited without the written permission of the NRMP.
57.9
67.2
15.5
32.7
14.6
3
4.4
2.9
3.8
4.2
2.9
4
2.6
3.8
3.9
0 10 20 30 40 50 60 70 80 90 100 110
Foreign
US Foreign
Osteopathic
US Graduate
US Senior
Applications
Programs Ranked
Interviews Attended
*Applicants matched to preferred or alternate specialtySource: NRMP 2017 Applicant Survey
Fewest applications in
alternate specialty
Highest ratio of ranked
programs to applications
Matched Applicants*: Applications, Interviews,
Programs Ranked in Alternate Specialty
Reproduction prohibited without the written permission of the NRMP.
91.6
96
47.9
56.3
61.2
2.8
2.7
4.6
3.1
7.2
3.2
3.2
5.8
4.4
7.4
0 10 20 30 40 50 60 70 80 90 100 110
Foreign
US Foreign
Osteopathic
US Graduate
US Senior
Applications
Programs Ranked
Interviews Attended
Source: NRMP 2017 Applicant Survey
Ranked programs where
they did not interview
Unmatched Applicants*: Applications, Interviews,
Programs Ranked in Preferred Specialty
Reproduction prohibited without the written permission of the NRMP.
58
74
19.1
25.7
18.7
1.5
2.5
1.6
1.1
2.2
1.3
1.6
1.5
1.5
2
0 10 20 30 40 50 60 70 80 90 100 110
Foreign
US Foreign
Osteopathic
US Graduate
US Senior
Applications
Programs Ranked
Interviews Attended
Source: NRMP 2017 Applicant Survey
Fewest applications in
alternate specialty
Unmatched Applicants*: Applications, Interviews,
Programs Ranked in Alternate Specialty
Reproduction prohibited without the written permission of the NRMP.
US Seniors Matched and Unmatched:
Applications, Interviews, Programs Ranked
18.7
61.2
33.1
41.3
2.2
7.2
8.4
12.6
2
7.4
7.9
12.3
0 10 20 30 40 50 60 70 80 90 100 110
Unmatched toAlternate Specialty
(applications,interviews, programs
ranked in alternatespecialty)
Unmatched toPreferred Specialty
(applications,interviews, programsranked in preferred
specialty)
Matched to AlternateSpecialty
(applications,interviews, programs
ranked in alternatespecialty)
Matched to PreferredSpecialty
(applications,interviews, programsranked in first-choice
specialty)
Applications
Programs Ranked
Interviews Attended
Source: NRMP 2017 Applicant Survey
More applications in
preferred specialty;
lower yield
Fewer applications in
alternate specialty; lower
yield
Reproduction prohibited without the written permission of the NRMP.
8.4
8.2
9.3
82.0
14.7
15.2
20.9
57.7
0 10 20 30 40 50 60 70 80 90
Programs Ranked
Interviews Attended
Interviews Granted
Applications SubmittedPreferred + Alternate
Specialty
Average Number of
Matched Unmatched
Unmatched Seniors: Lower Yield Per Application,
Fewer Interviews, Fewer Programs Ranked
24.3 more
applications
11.6 fewer interview offers
7 fewer interviews
attended
6.3 fewer ranked programs
Source: NRMP 2017 Applicant Survey
Reproduction prohibited without the written permission of the NRMP.
1.2
1.8
1.6
1.9
1.9
3.1
3.0
3.9
4.5
1.1
1.8
1.7
2.1
2.0
2.6
3.1
3.3
4.4
0 1 2 3 4 5
Pursue GME outside the U.S.
Pursue non-clinical training
Pursue another graduate degree
Delay graduation; reenter theMatch
Not participate in SOAP; reenterthe Match
Participate in SOAP for a positionin a less competitive specialty
Pursue research; reenter theMatch
Participate in SOAP for a Pposition; reenter the Match
Participate in SOAP for a positionin preferred specialty
Matched
Unmatched
Seniors Strategies if Unmatched
Source: NRMP 2017 Applicant Survey
Extremely
likelyNot at all likely
Reproduction prohibited without the written permission of the NRMP.
Today’s Topics
Main Residency Match Trends
SOAP
Seniors’ Application & Ranking Strategies
NRMP Conference
Reproduction prohibited without the written permission of the NRMP.
Anna Quindlen: Health Care in an Information Age
Dr. Daniel Goleman: Emotionally Intelligent Healthcare in Medical Education
Dr. Kenneth Shine: Sustaining the Medical Education Enterprise
NRMP Town Hall
Transition to Residency: Conversations
Across the Medical Education Continuum
May 4-6, 2017
www.nrmpconference.org
Reproduction prohibited without the written permission of the NRMP.
Broad Themes:
Goodness of Fit: exploring the role of medical schools and residency programs in addressing application overload
Matching Process: using Match data to understand and inform workforce planning
Unmatched Applicants: examining outcomes and considering alternatives to clinical medicine
Innovations in Medical Education: evaluating the flexibility of the Match in supporting competency-based curricula
Single Accreditation System: AOA programs in the NRMP
Transition to Residency: Conversations
Across the Medical Education Continuum
May 4-6, 2017
Reproduction prohibited without the written permission of the NRMP.
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