NRMP Update · 2016. 6. 28. · Surg-Prelim Med-Prelim T-Year & Other Prelim Categorical Advanced Reserved 46 SOAP. Reproduction prohibited without the written permission of the NRMP

Reproduction prohibited without the written permission of the NRMP.

Mona M. SignerPresident and CEOGSA PDCJune 25, 2016

NRMP Update


Today’s Topics

Main Residency Match Trends

SOAP

Single Accreditation System

What’s New at NRMP


First-Year GME Positions

Allopathic Medicine

17,540 US Seniors Obtained PGY-1 Positions

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 2015 2016

US Allopathic SeniorsWho Obtained Positionsthrough SOAP

US Allopathic SeniorsMatched

US Allpathic Seniors inthe Match

US AllopathicGraduating Seniors

NRMP PGY 1 Positions

Data sources: NRMP, AAMC

>9,600 more PGY-1

positions than active

US seniors in the Match


0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

AOA Matches

US Osteopathic Seniors andGraduates Who ObtainedPositions through SOAP

US 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 throughSOAP

US 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 MDs and DOs Obtained PGY-1 Positions


Main Residency Match

PGY-1 Positions Offered and Filled

6,015 More Positions Since 2007

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Offered Filled Filled US Seniors

+ 567 PGY-1

positions

over 2015

All In Policy


Position Increases by Specialty

At least +50 Categorical Positions, 2007 - 2016

0

500

1,000

1,500

2,000

2,500

IM FM EM PD AN PS NE SG OB DR DM OS PA


Active Applicants

162 More Seniors, 571 More Active Applicants

7,532 More Applicants Since 2007

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Others DOs IMGs US IMGs Prior US Grads US Seniors

All In Policy


Seniors Matched to PGY-1 Positions

2,856 More Seniors Matched Over 10 Years

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

14,992

17,057

1,130

949


2,856

158

1,522

1,260

589

-63

-1,000

0

1,000

2,000

3,000

4,000

US Senior US Grad USIMG DO IMG Other

PGY-1 Matches by Applicant Type

Change Since 2007


PGY-1 Match Rates by Applicant Type

Overall 2016 Match Rate: 75.6%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

US Seniors

Osteopathic

Physicians

US IMGs

Prior US Grads

IMGs

All In Policy


Today’s Topics


SOAP




1,178 Unfilled Positions

128 Fewer Than 2015

481455 473 461 444 484 459 449 475 465

136127 89 105 129

12374 80

123 100

663663 663

453 423452

352408

378 400

10192

59

82 103

146

112

127

210

108

55

63

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

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

46

SOAP


1,097 Unfilled Positions in SOAP

155

94

93

87

50

42

24

18

17

17

12

7

7

7

9

2

2

2

2

1

1

0

0

0 50 100 150 200 250 300

Surgery-Preliminary

Family Medicine

Internal Medicine-Preliminary

Anesthesiology

Internal Medicine

Radiology-Diagnostic

Transitional Year

Pathology

Child Neurology

Pediatrics

Obstetrics-Gynecology

Neurology

Psychiatry

Physical Medicine & Rehab

Dermatology

Other

Internal Medicine - Pediatrics

General Surgery

Neurological Surgery

Otolaryngology

Radiation Oncology

Plastic Surgery

Emergency Medicine

Orthopaedic Surgery

2015

SOAP2016

SOAP

448


81 Unfilled Positions Not in SOAP

17

13

9

7

6

6

4

4

4

3

2

2

2

1

1

0 10 20 30 40 50

Surgery-Preliminary

Anesthesiology

Child Neurology

Other

Pathology

Internal Medicine-Preliminary

Radiology - Diagnostic

Dermatology

Psychiatry

Neurology

Internal Medicine


PM&R

Emergency Medicine

Thoracic Surgery

484

444


Unmatched Seniors, PGY-1 Positions

in SOAP

More Unmatched Seniors than PGY-1 Positions = 4 Years

1,130

0

500

1,000

1,500

2,000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

975PGY-1 Positions in SOAP

U.S. Seniors With ROLs

Unmatched to PGY-1

Positions

1,331

1,005

SOAP


Unmatched Applicants, PGY-1

Positions in SOAP

9 Unmatched Applicants for Every Unfilled Position

Unfilled PGY-1 Positions in SOAP

975

8,640

0

2,000

4,000

6,000

8,000

10,000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

All Applicants With ROLs

Unmatched to PGY-1

Positions

1,331

7,430

SOAP


13,920 SOAP-Eligible Applicants

263 More Than 2015

2,199

995

4,020

817

5,871

18

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000




Preferences of Unmatched Seniors

Available SOAP Positions

3

3

5

5

6

7

9

9

9

9

9

14

15

16

22

24

28

48

51

93

71

73

83

102

116

169

0 50 100 150 200 250 300 350 400 450 500

Other

Child Neurology

Thoracic Surgery

Transitional Year

Radiation Oncology


Vascular Surgery

Surgery-Preliminary (PGY-1 Only)

Pathology

Internal Medicine-Pediatrics

Internal Medicine (PGY-1 Only)


Anesthesiology

Neurology

Plastic Surgery

Dermatology

Otolaryngology

Pediatrics


Internal Medicine (C & M)


Family Medicine

Psychiatry

Emergency Medicine

General Surgery

Orthopaedic Surgery

Available Positions

Preferred Specialty


Preferences of Unmatched Applicants

Available SOAP Positions

18

19

20

32

33

34

39

42

43

93

103

103

106

127

127

172

217

218

244

266

284

445

512

753

1,308

2,631

0 500 1,000 1,500 2,000 2,500 3,000

Thoracic Surgery

Radiation Oncology

Child Neurology

Internal Medicine-Pediatrics

Vascular Surgery

Plastic Surgery

Transitional Year

Other

Otolaryngology

Dermatology



Internal Medicine (PGY-1 Only)


Surgery-Preliminary (PGY-1 Only)

Anesthesiology

Neurology

Pathology

Orthopaedic Surgery


Emergency Medicine

General Surgery

Pediatrics

Psychiatry

Family Medicine

Internal Medicine (C & M)

Available Positions

Preferred Specialty


SOAP Offers

2012 - 2016

1,033

878998

1,1291,022

613

399

470

481

477

92

50

63

56

53

0

500

1,000

1,500

2,000

2,500

2012 2013 2014 2015 2016

Accepted Rejected Expired

939 Positions 1,075 Positions 1,193 Positions 1,097 positions1,132 Positions


2016 SOAP Positions

Offered & Accepted by Round

645

252

106

14 5

352

107

13

5

27

15

8

2

0

200

400

600

800

1,000

1,200

1 2 3 4 5

Accepted Rejected Expired

1,024

374

12721 6

1,178 Unfilled Positions

1,097 Positions in Soap

End of Day 1:

200 positions

remained

End of SOAP:

75 positions

remained

SOAP Round


SOAP Positions

Accepted by Applicant & Position Type

312 3 10 2

387

1345

5543

192

20

38

68

27

30

1

2

0

0

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

2,199

4,020 817 5,871995

989 applicants accepted 1,022 positions


U.S. Allopathic Seniors in SOAP

2012 - 2016

1,816

605 600

337

2,076

595 602 591

2,050

609623

506

2,142

653 645606

2,199

665 666615

0

500

1,000

1,500

2,000

2,500

SOAP Eligible Offers Accepted Unique Applicants With AnyOffers

No Position Post-SOAP*

SOAP 2012 SOAP 2013 SOAP 2014 SOAP 2015 SOAP 2016

*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.


Today’s Topics


SOAP





NRMP Policy:

• Osteopathic medical schools may participate in the NRMP by following existing procedures.

• Programs may participate in the NRMP if they have initial or continued ACGME accreditation and are open to MD applicants.

• The NRMP will continue to provide matching services for all ACGME-accredited programs and the MD and DO applicants who apply to those programs.

• Programs will be dually-accredited until AOA approval expires.

• To offer an osteopathic-focused track, programs must be approved by the Osteopathic Principles Review Committee.



Pathway A: AOA-approved with residents

• Eligible for ACGME Pre-accreditation upon receipt of application

• Graduates eligible for ACGME advanced training based on specialty eligibility standards in place on June 30, 2013

• Modifications to Common Requirements allow AOA certified faculty and AOA certified co-program directors



Pathway B: AOA-approved without residents

• Eligible for ACGME Pre-accreditation upon receipt of application

• Graduates eligible for ACGME advanced training based on specialty eligibility standards in place on June 30, 2013

• Faculty members and program directors not covered under the Common Requirements modifications



Pathway C: AOA-approved after July 1, 2015

• Not eligible for ACGME Pre-accreditation

• Must apply for ACGME accreditation as any new program

• Graduates not eligible for ACGME advanced training based on specialty eligibility standards in place on June 30, 2013

• Faculty members and program directors not covered under the Common Requirements modifications



2016 Main Residency Match:

2 AOA programs

1 Family Medicine = 1 position

1 Pediatrics = 3 positions

146 dually-accredited programs = 1,149 positions



44 AOA Institutions with ACGME Accreditation:*

5 osteopathic postdoctoral training institutions (OPTI)

2 educational consortia

1 college of osteopathic medicine

35 hospitals/medical centers

1 teaching health center

32 AOA Institutions with Completed Applications:*

11 Pre-accreditation

21 Continued Pre-Accreditation

*As of June 21, 2016



AOA Programs with ACGME Accreditation:*

46 Initial Accreditation

7 Initial Accreditation Contingent

80 Pre-Accreditation

52 Continued Pre-Accreditation

36 Osteopathic Initial Recognition

8 Osteopathic Recognition Pending

*As of June 21, 2016


1 Anesthesiology

1 Dermatology

7 Emergency Medicine

5 Family Medicine

13 Internal Medicine

1 Neurology

3 Obstetrics-Gynecology

4 Orthopaedic Surgery

1 Osteopathic NMM

2 Pediatrics

3 Diagnostic Radiology

5 Urology


Initial Accreditation


26 Family Medicine

8 Internal Medicine

1 Internal Medicine/Pediatrics

1 Sports Medicine


Osteopathic Recognition


Today’s Topics


SOAP




Restrictions on Persuasion: It is a violation for

1. a program to request applicants to reveal the names, specialties, geographic locations, or other identifying information about programs to which they have or may apply NEW!

2. a program to request applicants to reveal ranking preferences

3. an applicant to suggest or inform a program that placement on a ROL or acceptance of a SOAP offer is contingent upon submission of a verbal or written statement indicating the program’s preferences

4. a program to suggest or inform an applicant that placement on a ROL or SOAP preference list is contingent upon submission of a verbal or written statement indicating the applicant’s preference

5. a program and an applicant to make any verbal or written contract for appointment prior to the release of the List of Unfilled Programs

Match Policy Changes


Couples’ Rank Order Lists Limited to 700 ranks including “no match” combinations

Supplemental Offer and Acceptance Program Ends after 3 rounds, at 11:00 a.m. ET on Thursday

All communication restrictions suspended

Updated unfilled programs posted at 12:00 p.m. ET

New Match Fees 2017 Match: applicant registration = $75

2018 Match: applicant registration = $80

Couples’ fee = $15/partner

Match Policy Changes


Charting Outcomes in the Match: 4 Versions M.D. Seniors, NEW for D.O. Seniors, USIMGs, IMGs

Characteristics of Matched Seniors NEW for D.O. medical schools

Characteristics of Matched Applicants NEW for AOA programs in Main Residency Match NEW for all NRMP fellowship programs

Applicant/Program Director Surveys NEW Program Director survey for fellowship programs

Applicants Matching to PGY-1 Only Positions Joint with AMA

Application and Ranking Strategies of IMGs: JGME

Application and Ranking Strategies of MD Seniors: in progress

New and Ongoing Research


Broad Themes:

Goodness of fit: the role of medical schools and residency programs in addressing application overload

GME slots: are there enough?

Sustaining the medical education enterprise

Unmatched applicants: outcomes and alternatives to clinical medicine

Innovations in medical education: the flexibility of the Match in supporting competency-based curricula

Transition to a single accreditation system

www.nrmpconference.org

Transition to Residency: Conversations

Across the Medical Education Continuum

May 4-6, 2017


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Documents

NRMP Update · 2016. 6. 28. · Surg-Prelim Med-Prelim T-Year & Other Prelim Categorical Advanced Reserved 46 SOAP. Reproduction prohibited without the written permission of the NRMP