CaRMS Forum. CaRMS Forum. April 29, April 29, 2018

Transcription

1 CaRMS Forum CaRMS Forum April 29, 2018 April 29, 2018

2 Match overview Program perspective Match data > IMG results CMG supply and demand Unmatched and unfilled CMG results

3 Key themes Ratio for CMGs continues to tighten Programs continue to experience heavier volumes Shifting alignment between applicant interest and quota distribution Multi-year CMG match rate continues to be above 99%

4 Match overview

5 1 Applicant pool breakdown 2018 First and second iterations combined Applicant type Registrants Inactive/withdrawn applicants Active applicants ROL not submitted Final participants* CMG 3, , ,980 USMG IMG 2, , ,758 *Final participants: submitted a rank order list. Does not double count if an applicant participates in first and second iterations.

6 R-1 match national highlights Applicant type First iteration Current year Prior year Matched % Matched Unmatched Matched % Matched Unmatched Quota 228 CMG 2, USMG IMG ,041 3,080 Applicant type Current year Second iteration Matched % Matched Unmatched Matched Matched with prior PG training Prior year % Matched Unmatched CMG USMG IMG Filled 150 Unfilled

7 3 Previously unmatched CMGs returning as current year graduates

8 R-1 match regional highlights (applicant view) First iteration Region Current year Prior year Matched % Matched Unmatched Matched % Matched Unmatched Western Ontario Quebec Eastern Second iteration Region Current year Prior year Matched % Matched Unmatched Matched % Matched Unmatched Western Ontario Quebec Eastern % Unmatched current year CMGs after second iteration National: 2.4% Western: 2.8% Ontario: 3.2% Quebec: 1.4% Eastern: 1.6%

9 R-1 match highlights by region (program quota view) Western Ontario Quebec Eastern First iteration % fill rate 1, % fill rate % fill rate % fill rate Second iteration % total fill rate % total fill rate 92.47% total fill rate % total fill rate Filled positions Unfilled positions

10 6 Who entered postgraduate training in Canada , , , , , , , , ,000 1,500 2,000 2,500 3,000 3,500 Prior year CMGs matched Current year CMGs matched IMG matched USMG matched

11 Program perspective

12 7 Average number of program applications by CMG and IMG applicants in the first iteration CMG, IMG, CMG IMG

13 8 Number of applications submitted by CMGs 1,400 1,200 Number of CMGs 1, ,106 1,128 1,203 1, < 5 Applications 6-10 Applications Applications Applications Applications > 40 Applications Number of applications

14 9 Positions offered for CMGs, by discipline group 1,600 1,400 1,200 1,000 1,245 1,305 1,327 1,333 1,357 1, Family Medicine Internal Medicine Non-surgical disciplines Surgical disciplines

15 10 Program applications: all disciplines combined 70,000 60,000 50,000 40,000 30,000 36,654 40,148 48,167 51,650 54,598 60,258 20,000 10,000 2,913 2,705 2,972 2,858 2,984 2,867 2,970 2,913 2,967 2,899 2,965 2, Quota Distinct CMG applicants Applications

16 11 Program applications: Family Medicine 35,000 30,000 25,000 20,000 26,344 27,699 29,218 32,940 15,000 10,000 16,108 19,072 5, ,245 1, ,305 1, ,327 1, ,333 2, ,357 1, ,348 1, Program sites Quota Distinct CMG applicants Applications

17 12 Program applications: Internal Medicine 7,000 6,000 5,000 4,000 4,837 4,820 5,044 5,910 6,440 6,338 3,000 2,000 1, Program sites Quota Distinct CMG applicants Applications

18 IMG results

19 13 IMG registrants 3,500 3,000 Mandatory NAC OSCE New IMG registrants Returning IMG registrants 2,500 2,000 1,500 1, New IMG registrants 1,077 1,145 1,263 1,424 1,579 1,614 1, ,109 1,108 Returning IMG registrants 985 1,103 1,183 1,357 1,508 1,551 1,564 1,526 1,351 1,386 1,370

20 14 IMG match rates based on years of participation 30% 25% 1st Attempts 2-3 Attempts >3 Attempts % Matched 20% 15% 10% 5% 1st attempt 2-3 attempts >3 attempts 0% Active IMGs 1, ,005 Active IMGs matched Active IMGs 1,409 1, Active IMGs matched Active IMGs Active IMGs matched

21 15 Regional IMG match results Region Final participation % matched Africa % Asia % Central America/Caribbean % Europe % Middle East % North America 4 0% Oceania/Pacific Islands 34 53% South America 45 24%

22 CMG Supply and demand Supply: available quota in discipline Demand: applicant first choice interest in discipline

23 16 First iteration participation and quota, second iteration unmatched Participation and quota 3,500 3,000 2,500 2,000 1,500 1, Unmatched current year CMGs CMG quota IMG quota IMG participation CMG participation Unmatched current year CMGs

24 17 CMG quota, participation and ratio 3,500 3,000 2,500 2, , , ,717 2, ,886 2, ,973 2,984 2,970 2,967 2, ,500 1, ,089 2,284 2,403 2,496 2,626 2,633 2,779 2,791 2,836 2,810 2, Participation - current year CMGs Participation - prior year CMGs Quota Ratio of quota to CMGs

25 18 CMG discipline choices 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Family Medicine Internal Medicine Surgical disciplines Non-surgical disciplines

26 19 Top 10 CMG discipline choices First choice disciplines Change from 2016 Family Medicine 35.7% 33.4% 33.2% -2.5% Internal Medicine 15.2% 16.0% 14.2% -1.0% Psychiatry 5.8% 6.2% 6.5% 0.7% Pediatrics 5.7% 5.9% 5.3% -0.4% Anesthesiology 4.8% 4.7% 5.0% 0.2% Emergency Medicine 4.4% 4.1% 4.2% -0.2% Obstetrics & Gynecology 3.8% 3.9% 3.8% 0.0% Diagnostic Radiology 2.6% 3.1% 2.8% 0.2% General Surgery 3.4% 3.7% 4.1% 0.7% Ophthalmology 1.9% 1.7% 2.4% 0.5%

27 20 Breakdown of CMG first choice interest by supply and demand categorization of first choice discipline % 33.9% 41.0% 39.1% 68.8% 0.2% 65.0% 1.2% 58.7% 59.7% 0.3% 1.3% Demand > Supply Supply = Demand Supply > Demand

28 21 Supply and demand ratio: CMG quota by discipline grouping Western Ontario Quebec Eastern National Family Medicine Internal Medicine Surgical disciplines Non-surgical disciplines

29 22 Supply and demand ratio: CMG quota for Family Medicine National Western Ontario Quebec Eastern

30 23 Lowest demand: CMGs first discipline choice compared to availability Average: Fill rate 40% 43% 73% 43% 63% 33% 50% 40% 60% 65% 75% 50% 40% 89% 89%

31 24 Highest demand: CMGs first discipline choice compared to availability 1.00 Average: Fill rate 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

32 CMG results

33 25 Graduate mobility: emigration at national level 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Home school Same province Out of province

34 26 CMG match results by first and lower rank choices: ROL frequency distribution 1,600 1,400 1,200 1, , % 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Rank level Cumulative % # Matched Current and prior year CMGs

35 27 CMG couples match results by first and lower rank choices: ROL frequency distribution % % 0% Rank level Cumulative % # Matched Current and prior year CMGs 100% 90% 80% 70% 60% 50% 40% 30%

36 28 CMGs matched to one of their top three program choices 100% 95% 90% 85% 80% 75% 70% 65% 60% 55% 50% Program choice 2018 First 58.9% Second 14.2% Third 8.7% Fourth 4.6% Fifth 3.4% Sixth 2.0% Seventh 1.5% Eighth 6.8%

37 29 CMGs matched to first choice discipline 100% 95% 2018: 86.7% 90% 85% 80% 75% Min: 86.4% in 2001 Max: 92.1% in 2011 Range: 5.7% Average: 89.1% 70%

38 30 CMGs matched to first choice discipline, by discipline group 100% 95% 90% Family Medicine, 98.9% Internal Medicine, 90.7% 85% 80% Surgical disciplines, 77.0% 75% Non-surgical disciplines, 76.9% 70% Family Medicine Internal Medicine Non-surgical disciplines Surgical disciplines

39 31 CMGs matched to first choice discipline, by region 100% 95% 90% 85% 80% Eastern, 90.5% Ontario, 89.5% Western, 88.6% National, 86.7% Quebec, 81.0% 75% 70% Eastern Ontario Quebec Western National

40 32 CMGs matched to one of their top three program choices, by discipline group 100% 95% 90% 85% 80% Internal Medicine, 87.7% Non-surgical disciplines, 84.1% Surgical disciplines, 81.9% 75% Family Medicine, 77.7% 70% Family Medicine Internal Medicine Non-surgical disciplines Surgical disciplines

41 Unmatched and unfilled

42 33 Unmatched current year CMGs after second iteration 3.0% 2.5% 2.4% 2.4% 2.0% 1.5% 1.0% 0.5% 0.8% 0.5% 0.5% 0.4% 0.7% 0.2% 0.9% 0.7% 1.6% 1.1% 1.6% 0.9% 0.0% % 0.6% 1.4% 0.9% 1.7% 1.0% Unmatched current year CMGs after second iteration Current year CMGs who did not match in first iteration and did not participate in second iteration 1.1% 1.6%

43 34 Categorizing unmatched CMGs after second iteration unmatched CMGs unmatched CMGs unmatched CMGs 8% 13% 27% 15% 3% 32% 16% 4% 22% 52% 50% 58% Not ranked by any programs Ranked by some programs but programs filled before rank Ranked by all programs but programs filled before rank Could have matched but did not rank program

44 35 CMG long-term match success 100% 99.4% 99.3% 99.5% 99.7% 99.3% % Matched 98% 96% 94% 97.6% 97.5% 97.8% 97.3% 96.5% 96.0% % Matched in year 92% % Matched to date 90% Remaining unmatched Unknown journey After second iteration

45 36 Comparing discipline choice to unfilled quota (1 of 2) 1 st choice discipline 1 st choice discipline of CMGs matching in 2 nd iteration 1 st choice discipline of CMGs participating and not matched in 2 nd iteration 1 st choice discipline of CMGs not matched in 1 st iteration and not participating in 2 nd iteration Quota unfilled at the end of 1 st iteration Quota unfilled at the end of 2 nd iteration Anesthesiology Anatomical Pathology Cardiac Surgery 1 0 Dermatology Diagnostic Radiology Emergency Medicine 1 0 Family Medicine General Pathology General Surgery 8 0 Hematological Pathology 2 1 Internal Medicine Medical Genetics and Genomics 1 1 Medical Microbiology 4 4 Neurology 1 1 Neurology-Pediatric Neuropathology Neurosurgery 1 0

46 37 Comparing discipline choice to unfilled quota (2 of 2) 1 st choice discipline 1 st choice discipline of CMGs matching in 2 nd iteration 1 st choice discipline of CMGs participating and not matched in 2 nd iteration 1 st choice discipline of CMGs not matched in 1 st iteration and not participating in 2 nd iteration Quota unfilled at the end of 1 st iteration Quota unfilled at the end of 2 nd iteration Nuclear Medicine 2 1 Obstetrics & Gynecology 6 0 Ophthalmology 6 0 Orthopedic Surgery 4 0 Otolaryngology 3 0 Pediatrics 1 0 Physical Medicine and Rehabilitation Plastic Surgery Clinical Investigator Program 1 0 Plastic Surgery 6 0 Psychiatry Public Health and Preventative Medicine 2 4 Public Health and Preventative Medicine including Family Medicine 1 3 Urology 1 0 Vascular Surgery Totals

47 38 Second iteration matched positions by applicant type and position discipline Current year CMGs IMGs Prior year CMGs CMGs matched in previous match IMGs matched in previous match Family Medicine Internal Medicine Non-surgical disciplines

48 39 Unfilled positions and unmatched graduates after second iteration, by region Unfilled positions (78) Unmatched current graduates (69) Unmatched prior graduates (54)

49 40 Revisiting the 2018 R-1 match national highlights Applicant type First iteration Current year Prior year Matched % Matched Unmatched Matched % Matched Unmatched Quota 228 CMG 2, USMG IMG ,041 3,080 Applicant type Current year Second iteration Matched % Matched Unmatched Matched Matched with prior PG training Prior year % Matched Unmatched CMG USMG IMG Filled 150 Unfilled

50 Additional content

51 41 CaRMS by the numbers Client services 2018 R-1 Main Residency Match First and second iterations combined Applications 2018 R-1 Main Residency Match First and second iterations combined 97.3% satisfaction 2,861 chats 1,286 documents translated 659 programs 3,308 quota 5,318 applicants 11,439 s 9,176 calls to the help desk 7.5% 48,423 reference letters 118,565 applications 7.6%

52 42 Couples match rates couples couples couples couples 1% 1% 1% 99% 100% 99% 99% Matched * Unmatched *Includes couples that matched only one partner

53 43 First choice discipline compared to availability (supply > demand) Nuclear Medicine 2.67 Neuropathology 2.00 Medical Microbiology 1.67 Family Medicine 1.39 Neurology - Pediatric Public Health and Preventative Medicine Internal Medicine Anatomical Pathology Diagnostic Radiology Medical Genetics Hematological Pathology 1.00 (Positions/applicant first choice discipline)

54 44 First choice discipline compared to availability (supply < demand) Plastic Surgery Dermatology Opthamology Otolaryngology Emergency Medicine Urology Vascular Surgery General Surgery Obstetrics & Gynecology Anesthesiology Neurosurgery Neurology Cardiac Surgery Pediatrics Radiation Oncology Orthopedics Physical Medicine & Rehabilitation Psychiatry (Positions/applicant first choice discipline)

55 45 Where IMG participants went to medical school # participants: 1,758 # matched: 398 # countries: 107 # schools: 465 Percent matched 0.00% 100.0% Country: Ireland Matched: 54.1% Final participation: 218 Country: Iran Matched: 15.5% Final participation: 161 Country: Pakistan Matched: 9.6% Final participation: 135 Country: Egypt Matched: 12.3% Final participation: 130 Country: India Matched: 12.7% Final participation: 110 Country: Saint Kitts and Nevis Matched: 10.2% Final participation: 88 Country: U.K. Matched: 39.3% Final participation: 61

56 46 Unfilled positions by discipline Discipline After first iteration After second iteration Family Medicine Internal Medicine 19 1 Psychiatry 10 1 Anatomical Pathology 7 1 Public Health and Preventive Medicine 7 0 Diagnostic Radiology 6 1 General Pathology 4 0 Medical Microbiology 4 4 Neuropathology 2 1 Nuclear Medicine 2 1 Discipline Physical Medicine & Rehabilitation After first iteration After second iteration 2 1 Anesthesiology 1 0 Dermatology 1 0 Hematological Pathology Medical Genetics and Genomics Neurology 1 0 Neurology - Pediatric 1 0 Vascular Surgery 1 1 TOTAL

57 47 Summary of 2018 match results First and second iterations combined Applicant type # matched % matched Current year CMG 2, Prior year CMG IMG USMG

58 48 Match results by school of graduation, first iteration School of graduation 2018 Graduates Matched Unmatched Final participation Prior year 2018 Prior year 2018 Prior year Total Total graduates Graduates graduates Graduates graduates Memorial University of Newfoundland Dalhousie University Université Laval Université de Sherbrooke Université de Montréal McGill University University of Ottawa Queen's University Northern Ontario School of Medicine University of Toronto McMaster University Western University University of Manitoba University of Saskatchewan University of Alberta University of Calgary University of British Columbia TOTAL 2, , , ,923 Total

59 49 Match results by school of graduation, second iteration School of graduation 2018 Graduates Matched Unmatched Final participation Prior year 2018 Prior year 2018 Prior year Total Total graduates Graduates graduates Graduates graduates Memorial University of Newfoundland Dalhousie University Université Laval Université de Sherbrooke Université de Montréal McGill University University of Ottawa Queen's University Northern Ontario School of Medicine University of Toronto McMaster University Western University University of Manitoba University of Saskatchewan University of Alberta University of Calgary University of British Columbia TOTAL Total

60 50 Positions by school of residency First iteration Second iteration School of residency Positions available Positions filled Positions unfilled Positions filled Positions unfilled Memorial University of Newfoundland Dalhousie University Université Laval Université de Sherbrooke Université de Montréal McGill University University of Ottawa Queen's University Northern Ontario School of Medicine University of Toronto McMaster University Western University University of Manitoba University of Saskatchewan University of Alberta University of Calgary University of British Columbia TOTAL 3,308 3,

61 51 Positions by discipline (1 of 2) First iteration Second iteration Discipline Positions available Positions filled Positions unfilled Positions filled Positions unfilled Anatomical Pathology Anesthesiology Cardiac Surgery Dermatology Diagnostic Radiology Emergency Medicine Family Medicine 1,532 1, Family Medicine integrated Emergency Medicine General Pathology General Surgery Hematological Pathology Internal Medicine Medical Genetics and Genomics Medical Microbiology Neurology Neurology - Pediatric Neuropathology Neurosurgery Nuclear Medicine Obstetrics and Gynecology

62 52 Positions by discipline (2 of 2) First iteration Second iteration Discipline Positions available Positions filled Positions unfilled Positions filled Positions unfilled Ophthalmology Orthopedic Surgery Otolaryngology - Head and Neck Surgery Otolaryngology - Head and Neck Surgery - Research Track Pediatrics Pediatrics - MD-PHD stream Physical Medicine & Rehabilitation Plastic Surgery Plastic Surgery - Clinician Investigator Program Plastic Surgery - Research Track Psychiatry Public Health and Preventive Medicine Public Health and Preventive Medicine including Family Medicine Radiation Oncology Urology Vascular Surgery TOTAL 3,308 3,

63 Thank you