2012 Main Residency Match and SOAP

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1 212 Main Residency Match and SOAP April 212 Mona M. Signer Executive Director

2 MAIN RESIDENCY MATCH TRENDS

3 Main Residency Match PGY-1 Positions Offered and Filled More Positions Offered, More Positions Filled 25, 2, 15, 1, 5, Offered Filled Filled US Seniors

4 Main Residency Match Active Applicants Number of U.S. Seniors Declined 35, 3, 25, 2, 15, 1, 5, Others Osteopaths IMGs US IMGs US Physicians US Seniors

5 Main Residency Match PGY-1 Matches by Applicant Type Number of Unmatched Applicants Increased 35, 3, 25, 2, 15, 1, 5, Unmatched Others Osteopaths IMGs US IMGs US Physicians US Seniors

6 Main Residency Match PGY-1 Positions Filled by Applicant Type Number of Unfilled Positions Rose Modestly 25, 2, 15, 1, 5, Unfilled Others Osteopaths IMGs US IMGs US Physicians US Seniors

7 1,246 Unfilled Positions Half Were Preliminary 2,5 2, 1, , Surg-Prelim Med-Prelim T-Year & Peds-Prelim Categorical Advanced

8 Unmatched Seniors, Unfilled Positions Fewer Unmatched Seniors, More Unfilled Positions 2,5 2, 2,12 Unfilled PGY-1 Positions 1,5 1,1 1, U.S. Seniors Unmatched to PGY-1 Positions

9 Unmatched Applicants, Unfilled Positions Eight Unmatched Applicants for Every Unfilled Position 9, 8, 7, All Applicants Unmatched to PGY- 1 Positions 8,421 6, 5,12 5, 4, 3, 2, 1, 2,155 Unfilled PGY-1 Positions 1,

10 1 Percent Unmatched US Seniors Who Ranked One Specialty OS RO OT DM NS SG PL PH EM OB PA AN NE PS RD IM FM PD CN NM PM

11 Percent Unmatched Independents Who Ranked One Specialty PM RO OT NM OS NS SG DM PL PS FM PA IM OB RD PD EM NE PH CN AN

12 SUPPLEMENTAL OFFER AND ACCEPTANCE PROGRAM

13 1,131 Unfilled Positions in SOAP Orthopaedic Surgery Emergency Medicine Radiation Oncology Neurological Surgery Otolaryngology Physical Medicine & Rehab General Surgery Dermatology Plastic Surgery Obstetrics-Gynecology Internal Medicine - Pediatrics Child Neurology Neurology Pediatrics Psychiatry Anesthesiology Internal Medicine Pathology Other Radiology-Diagnostic Internal Medicine-Preliminary Family Medicine Surgery-Preliminary Unfilled 212 SOAP

14 115 Unfilled Positions Not in SOAP Pediatrics - Child Psychiatry 1 Pediatrics - Medical Genetics 1 Neurodevelopmental Disabilities 1 Radiation Oncology 1 Obstetrics-Gynecology 1 Anesthesiology 1 Pediatrics - Preliminary 2 Neurology 2 Physical Medicine & Rehab 2 Preventive Medicine 3 Pathology 3 Psychiatry 6 Family Medicine 7 Transitional Year 8 Dermatology 8 Internal Medicine-Preliminary 9 Internal Medicine 11 Child Neurology 12 Radiology - Diagnostic Surgery-Preliminary

15 13,546 SOAP-Eligible Applicants 7, 6, 5, 4, 3, 6,172 2, 1, 3,549 1,816 1, US Senior US Grad USIMG Osteo IMG Other US Senior US Grad USIMG Osteo IMG Other

16 Preferences of Unmatched Seniors and Available SOAP Positions Orthopaedic Surgery General Surgery Emergency Medicine Preferred Specialty Available Positions Internal Medicine 63 Otolaryngology 45 Obstetrics-Gynecology 39 Family Medicine 29 Pediatrics 28 Anesthesiology 26 Physical Medicine & Rehab 18 Psychiatry 16 Radiation Oncology 16 Radiology-Diagnostic 15 Pathology 12 Dermatology 12 Plastic Surgery 11 Neurology 9 Internal Medicine (preliminary) 4 Surgery-Preliminary (PGY-1 Only)

17 Preferences of All Unmatched Applicants and Available SOAP Positions Internal Medicine Family Medicine Pediatrics Psychiatry General Surgery Obstetrics-Gynecology Emergency Medicine Orthopaedic Surgery Pathology Anesthesiology Neurology Surgery-Preliminary (PGY-1 Only) Radiology Physical Medicine & Rehab Internal Medicine (preliminary) Neurological Surgery Dermatology Otolaryngology Radiation Oncology Plastic Surgery Internal Medicine-Pediatrics Child Neurology ,654 1, Preferred Specialty Available Positions

18 SOAP Positions Offered & Accepted by Round 1,2 1, 1, ,246 Unfilled Positions 1,131 Positions in Soap End of Day 1: 267 positions remained End of Day 2: 16 positions remained End of SOAP: 98 positions remained Accepted Rejected Expired

19 SOAP Positions Accepted by Applicant & Position Type , applicants accepted 1,33 positions ,75 3, , US Senior US Grad USIMG Osteo IMG None Accepted PGY-1 Only PGY-2 Only Categorical PGY-1 & PGY-2

20 SOAP Comments: Schools Process favors program directors Need more time to counsel students prior to ERAS opening Students asked to commit to program prior to offer Real-time updates when students accept offers Longer offer rounds Silence of the Lambs

21 SOAP Comments: Programs Process favors applicants, who receive multiple offers Need more time to review applications Revert List of Unfilled Programs to dynamic format at conclusion of SOAP Web-based ERAS; modify application allocation; faster USMLE scores Rolling offers with offer sent to next applicant immediately Shorter offer rounds Send offers to more applicants than the number of vacant positions

22 National Resident Matching Program (toll free)

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