Association for Hospital Medical Education

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1 Association for Hospital Medical Education Mona M. Signer President and CEO May 19, 216

2 Today s Topics Main Residency Match Trends SOAP Single Accreditation System What s New at NRMP

3 First-Year GME Positions Allopathic Medicine 17,54 US Seniors Obtained PGY-1 Positions 3, 25, >9,6 more PGY-1 positions than active US seniors in the Match 2, US Allopathic Seniors Who Obtained Positions through SOAP 15, US Allopathic Seniors Matched 1, US Allpathic Seniors in the Match 5, US Allopathic Graduating Seniors NRMP PGY 1 Positions Data sources: NRMP, AAMC

4 First-Year GME Positions Allopathic and Osteopathic Medicine +22, MDs and DOs Obtained PGY-1 Positions 35, AOA Matches 3, 25, 2, 15, US Osteopathic Seniors and Graduates Who Obtained Positions through SOAP US Osteopathic Seniors and Graduates Matched Non US IMGs Who Obtained Positions through SOAP Non US IMGs Matched US IMGs Who Obtained Positions through SOAP US IMGs Matched 1, 5, US Allopathic Seniors Who Obtained Positions through SOAP US Allopathic Seniors Matched US Allopathic + Osteopathic Graduating Seniors* US Allopathic Graduating Seniors Data sources: NRMP, AAMC, AACOM, AOA

5 4, 35, 3, 25, 2, 15, 1, 5, Main Residency Match PGY-1 Positions Offered and Filled 6,15 More Positions Since 27 All In Policy PGY-1 positions over 215 Offered Filled Filled US Seniors

6 Position Increases by Specialty At least +5 Categorical Positions, ,5 2, 1,5 1, 5 IM FM EM PD AN PS NE SG OB DR DM OS PA

7 Active Applicants 162 More Seniors, 571 More Active Applicants 7,532 More Applicants Since 27 4, 35, 3, 25, 2, 15, 1, 5, All In Policy Others DOs IMGs US IMGs Prior US Grads US Seniors

8 Seniors Matched to PGY-1 Positions 2,856 More Seniors Matched Over 1 Years 18, 16, 14, 12, 1, 8, 6, 4, 2, 14, ,57 1,

9 PGY-1 Matches by Applicant Type 4, Change Since 27 3, 2,856 2, 1, 1,522 1, , US Senior US Grad USIMG DO IMG Other

10 PGY-1 Match Rates by Applicant Type Overall 216 Match Rate: 75.6% 1% 9% 8% 7% 6% 5% 4% 3% 2% 1% % All In Policy US Seniors Osteopathic Physicians US IMGs IMGs Prior US Grads

11 Today s Topics Main Residency Match Trends SOAP Single Accreditation System What s New at NRMP

12 2, 1,8 1,6 1,4 1,2 1, ,178 Unfilled Positions 128 Fewer Than SOAP Surg-Prelim Med-Prelim T-Year & Other Prelim Categorical Advanced Reserved

13 1,97 Unfilled Positions in SOAP Orthopaedic Surgery Emergency Medicine Plastic Surgery Radiation Oncology Otolaryngology Neurological Surgery General Surgery Internal Medicine - Pediatrics Other Dermatology Physical Medicine & Rehab Psychiatry Neurology Obstetrics-Gynecology Pediatrics Child Neurology Pathology Transitional Year Radiology-Diagnostic Internal Medicine Anesthesiology Internal Medicine-Preliminary Family Medicine Surgery-Preliminary SOAP SOAP

14 81 Unfilled Positions Not in SOAP Thoracic Surgery Emergency Medicine PM&R Obstetrics-Gynecology Internal Medicine Neurology 3 Psychiatry Dermatology Radiology - Diagnostic Internal Medicine-Preliminary Pathology 6 6 Other 7 Child Neurology 9 Anesthesiology Surgery-Preliminary

15 Unmatched Seniors, PGY-1 Positions in SOAP More Unmatched Seniors than PGY-1 Positions 2, SOAP 1,5 1,331 U.S. Seniors With ROLs Unmatched to PGY-1 Positions 1,13 1, 1,5 PGY-1 Positions in SOAP

16 Unmatched Applicants, PGY-1 Positions in SOAP 9 Unmatched Applicants for Every Unfilled Position 1, 8, 6, 7,43 SOAP 8,64 All Applicants With ROLs Unmatched to PGY-1 Positions 4, 2, 1,331 Unfilled PGY-1 Positions in SOAP

17 13,92 SOAP-Eligible Applicants 263 More Than 215 7, 6, 5, 5,871 4, 3, 4,2 2, 1, 2, US Senior US Grad USIMG DO IMG Other US Senior US Grad USIMG DO IMG Other

18 Preferences of Unmatched Seniors Available SOAP Positions Orthopaedic Surgery General Surgery Emergency Medicine Psychiatry Family Medicine Obstetrics-Gynecology Internal Medicine (C & M) Neurological Surgery Pediatrics Otolaryngology Dermatology Plastic Surgery Neurology Anesthesiology Physical Medicine & Rehab Internal Medicine (PGY-1 Only) Internal Medicine-Pediatrics Pathology Surgery-Preliminary (PGY-1 Only) Vascular Surgery Radiology-Diagnostic Radiation Oncology Transitional Year Thoracic Surgery Child Neurology Other Available Positions Preferred Specialty

19 Preferences of Unmatched Applicants Available SOAP Positions Internal Medicine (C & M) Family Medicine Psychiatry Pediatrics General Surgery Emergency Medicine Obstetrics-Gynecology Orthopaedic Surgery Pathology Neurology Anesthesiology Surgery-Preliminary (PGY-1 Only) Radiology-Diagnostic Internal Medicine (PGY-1 Only) Neurological Surgery Physical Medicine & Rehab Dermatology Otolaryngology Other Transitional Year Plastic Surgery Vascular Surgery Internal Medicine-Pediatrics Child Neurology Radiation Oncology Thoracic Surgery ,38 2,631 Available Positions Preferred Specialty 5 1, 1,5 2, 2,5 3,

20 SOAP Offers ,5 2, 1,132 Positions 939 Positions 1,75 Positions 1,193 Positions 1,97 positions 1,5 1, , ,129 1, Accepted Rejected Expired

21 216 SOAP Positions Offered & Accepted by Round 1,2 1, 1, ,178 Unfilled Positions 1,97 Positions in Soap End of Day 1: 2 positions remained SOAP Round End of SOAP: 75 positions remained Accepted Rejected Expired

22 SOAP Positions Accepted by Applicant & Position Type , applicants accepted 1,22 positions , , US Seniors US Grads USIMGs DOs IMGs None Accepted PGY-1 Only PGY-2 Only Categorical PGY-1 & PGY-2

23 2,5 Seniors in SOAP , 2,199 2,142 2,76 2,5 1,816 1,5 1, SOAP Eligible Offers Accepted Unique Applicants With Any Offers No Position Post-SOAP* SOAP 212 SOAP 213 SOAP 214 SOAP 215 SOAP 216 *Presentations before 215 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.

24 Today s Topics Main Residency Match Trends SOAP Single Accreditation System What s New at NRMP

25 Single Accreditation System NRMP Policy: Osteopathic medical schools may participate in the NRMP Match by following existing procedures. Programs may participate in the NRMP Match 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.

26 Single Accreditation System 216 Main Residency Match: 2 AOA programs 1 Family Medicine = 1 position 1 Pediatrics = 3 positions 146 dually-accredited programs = 1,149 positions

27 Single Accreditation System AOA Programs with ACGME Accreditation: 38 Initial Accreditation 8 Initial Accreditation Contingent 65 Pre-Accreditation 45 Continued Pre-Accreditation 18 Osteopathic Recognition 25 Osteopathic Recognition Pending

28 Today s Topics Main Residency Match Trends SOAP Single Accreditation System What s New at NRMP

29 New and Ongoing Research Charting Outcomes in the Match M.D. Seniors, 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 Application and Ranking Strategies of IMGs: JGME Application and Ranking Strategies of MD Seniors

30 Transition to Residency: Conversations Across the Medical Education Continuum May 4-6, 217 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

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