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NRMP

Update

Mona M. Signer Executive Director November 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 Match PGY-1 Positions Offered and Filled

All In Policy Created a Rising Tide

0

5,000

10,000

15,000

20,000

25,000

30,000

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Offered Filled Filled US Seniors

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Main Residency Match

Active Applicants 960 More Seniors, 3,000 More Active Applicants

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Others Osteopaths IMGs US IMGs US Physicians US Seniors

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Main Residency Match Match Rates by Applicant Type

Increased for All Applicants Except US Seniors

0

10

20

30

40

50

60

70

80

90

100

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

US Seniors

Osteopathic

US IMGs

Prior US Grads

IMGs

Reproduction prohibited without the written permission of the NRMP.

Unmatched US Seniors by School 2009-2013

0

5

10

15

20

0% 5% 10% 15% 20% 25% 30%

Nu

mb

er

Un

ma

tch

ed

Percent Unmatched

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

1,800

0

500

1,000

1,500

2,000

2,500

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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 Positions More Than Half Preliminary

375 466 486 481 455 473 461 444 484 459

202 184 194 136 127 89 105 129 123 74

1148 994 862

663 696

487 459 425 460

367

92 97

71

101 92

59 82 103 146

112

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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

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Preferences of Unmatched Seniors and

Available SOAP Positions

2

5

6

7

9

10

13

13

14

14

19

22

25

34

40

46

51

77

83

93

104

112

153

0 50 100 150 200 250 300

Child Neurology

Neurology

Radiation Oncology

Transitional Year

Pathology

Radiology-Diagnostic

Internal Medicine (preliminary)

Internal Medicine-Pediatrics

Surgery-Preliminary (PGY-1 Only)

Dermatology

Plastic Surgery

Physical Medicine & Rehab

Psychiatry

Anesthesiology

Neurological Surgery

Pediatrics

Family Medicine

Otolaryngology

Obstetrics-Gynecology

Internal Medicine

Emergency Medicine

General Surgery

Orthopaedic Surgery

Preferred Specialty

Available Positions

455

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SOAP Positions Offered & Accepted by Round

559

203

82 23

297

78

21

15

0

200

400

600

800

1,000

1 2 3 4 5 6 7 8

Accepted Rejected Expired

877

296

105

31 9 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 Positions Accepted by Applicant & Position Type

31 6 1 14 0

393

21 39 33 23

13

15 10 9 6

141

29 25 44

23

24

0

100

200

300

400

500

600

700

US Senior US Grad USIMG Osteo IMG

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

2,076

3,745 923 5,976 1,045

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

56%

56%

57%

58%

60%

60%

61%

62%

67%

68%

68%

73%

74%

79%

86%

90%

95%

0% 25% 50% 75% 100%

Career paths of recent program graduates

Program flexibility to pursue electives

Future fellowship opportunities in the…

Program size

Cost of living

Housetaff morale

Social & recreational opportunities in area

Balance between supervision & patient…

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

Source: NRMP 2013 Applicant Survey

Reproduction prohibited without the written permission of the NRMP.

Percent US Seniors Citing Each Factor for

Applications (cont’d)

6%

19%

21%

21%

21%

21%

25%

29%

31%

33%

33%

34%

38%

39%

41%

46%

54%

55%

56%

0% 25% 50% 75%

Previous Match violation

Opportunity for systems-based practice

Supplemental income (moonlighting)…

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…

Call schedule

Opportunities to perform specific…

Availability of electronic medical record

Research opportunities

Quality of hospital facility

Size of patient caseload

Preparation for fellowship training

Source: NRMP 2013 Applicant Survey

Reproduction prohibited without the written permission of the NRMP.

Percent US Seniors Citing Each Factor for

Ranking

46%

48%

48%

49%

51%

51%

52%

55%

61%

63%

67%

67%

70%

76%

80%

84%

86%

0% 25% 50% 75% 100%

Career paths of recent program graduates

Preparation for fellowship training

Future fellowship opportunities in the…

Quality of hospital facility

Balance between supervision & patient…

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

Source: NRMP 2013 Applicant Survey

Reproduction prohibited without the written permission of the NRMP.

Percent US Seniors Citing Each Factor for

Ranking (cont’d)

5%

12%

14%

14%

17%

21%

22%

23%

23%

23%

25%

29%

30%

33%

33%

41%

41%

43%

45%

0% 25% 50%

Previous Match violation

Opportunity for systems-based practice

Supplemental income (moonlighting)…

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…

Quality of ancillary staff

Opportunities to perform specific…

Call schedule

Availability of electronic medical record

Research opportunities

Size of patient caseload

Cost of living

Program's flexibility to pursue electives

Source: NRMP 2013 Applicant Survey

Reproduction prohibited without the written permission of the NRMP.

23

46

48

67

73

73

74

77

79

80

83

88

89

91

92

92

93

93

96

97

0% 20% 40% 60% 80% 100%

Dermatology

Plastic Surgery

Radiation Oncology

Physical Medicine and…

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

Percent US Seniors Ranking One Specialty

By Preferred Specialty

Source: NRMP Data Warehouse

Reproduction prohibited without the written permission of the NRMP.

64

73 76 77 77

80 84

88 90 91 91 91 92

96 96 96 96 97 97

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percent US Seniors Matched

By Preferred Specialty

Source: NRMP Data Warehouse

Reproduction prohibited without the written permission of the NRMP.

Unmatched Applicants: Applications,

Interviews, Programs Ranked in Preferred

Specialty

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

6.9

0 10 20 30 40 50 60 70 80 90

Other

Foreign

US Foreign

Osteopathic

US Graduate

US SeniorApplications

Programs Ranked

Interviews Attended

Match outcome based on preferred specialty Source: NRMP 2013 Applicant Survey

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Unmatched Applicants: Applications,

Interviews, Programs Ranked in Alternate

Specialty

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

5.1

0 10 20 30 40 50

Foreign

US Foreign

Osteopathic

US Graduate

US Senior

Applications

Programs Ranked

Interviews Attended

Match outcome based on preferred specialty Source: NRMP 2013 Applicant Survey

Reproduction prohibited without the written permission of the NRMP.

6.9

7.1

8.9

50.9

10.9

11.7

16.3

32.8

0 10 20 30 40 50 60

Programs Ranked

Interviews Attended

Interviews Granted

Applications Submitted

Average 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 specialty Source: NRMP 2013 Applicant Survey

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4%

16%

20%

21%

41%

62%

65%

97%

3%

5%

6%

34%

54%

72%

60%

98%

0% 20% 40% 60% 80% 100%

Ranked one or more program) where I applied but did notinterview

Ranked programs based on the likelihood of matching

Ranked one or more programs in an alternative specialty asa "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

Matched Unmatched

Ranking Strategies:

2013 US Allopathic Seniors

Match outcome based on preferred specialty Source: 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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PRISM The Program Rating and Interview Scheduling

Manager

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Match

Events

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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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