APPD Forum for Fellowship Directors April 27, 2012 Laurie S. Curtin, Ph.D. Director, Match Policy
NRMP Matching Program Main Residency Match 38,000 applicants 4,400 programs 26,000 PGY-1 and PGY-2 positions Specialties Matching Service (SMS) 23 fellowship matches More than 40 subspecialties 6,000 positions 8,000 applicants
Combined Peds Fellowship Matches Peds Specialties Spring Match: January - June Cardiology Endocrinology New! Gastroenterology Infectious Disease New! Pulmonology PedsSpecialties Fall Match: August - December Critical Care Medicine Emergency Medicine Nephrology New! Rheumatology Developmental/Behavioral
Other Peds Fellowship Matches Neonatal-Perinatal Medicine: May October Hematology Oncology: November May Related Fellowship Matches Child & Adolescent Psychiatry: September January Pediatric Anesthesiology: March June Pediatric Surgery: November - May
Fellowship Sponsor Agreement Annual Commitment The 75% Rule At least 75% of programs with available positions will be registered in the Match These programs will actively participate by submitting rank order lists At least 75% of the available positions within the subspecialty will be in the Match
SMS Participation Criteria Programs must meet one of the following criteria: Accredited by the ACGME Affiliated with an ACGME-accredited program in the core discipline Lead to specialty certification or oversight by an ABMSrecognized certifying board NRMP IO must assume oversight!
NRMP Policy: Match Commitment Section 5.1 of the Match Participation Agreement reads: The listing of an applicant by a program on its certified rank order list or of a program by an applicant on the applicant's certified rank order list establishes a binding commitment to offer or to accept an appointment if a match results and to start training in good faith (i.e., with the intent to complete the program) on the date specified in the appointment contract. An applicant who terminates or resigns a position within 45 days of the start date specified in the appointment contract shall be presumed to have breached this Agreement unless evidence is submitted to the NRMP sufficient to show that the applicant entered into the program in good faith and the applicant has a reasonable basis to be released from his commitment to the program. In limited circumstances, the NRMP may grant a waiver of a Match commitment.
Waivers of the Match Commitment What Program Directors Should Know Applicants and programs cannot release each other from a Match commitment. Programs cannot discuss, interview for, or offer a position to an applicant who has a concurrent year Match commitment and has not obtained a waiver from the NRMP. Programs cannot discuss, interview for, or offer a matched position to another applicant until a waiver has been granted by the NRMP. If an applicant s waiver is denied and the applicant does not accept the matched position, s/he is barred for one year from accepting or stating a position in any program sponsored by an NRMP matchparticipating institution. Programs cannot offer a position to an applicant who is ineligible because a waiver was denied or because s/he violated the Match Participation Agreement. Reconsideration can be requested if a waiver is denied. The NRMP s goal is to treat similarly situated applicants and programs in like manner.
NRMP Policy: Communications Section 6.0 of the Match Participation Agreement reads: It is a breach of the Match Participation Agreement for: (a) a program to request applicants to reveal ranking preferences; or (b) an applicant or program to suggest or inform the other that placement on a rank order list is contingent upon submission of a verbal or written statement indicating ranking preferences; or (c) a program to require applicants to reveal the names or identities of programs to which they have or may apply; or (d) a program and an applicant in the SMS Matching Program to make any verbal or written contract for appointment to a concurrent year residency or fellowship position prior to the release of the List of Unfilled Programs.
SMS Match Results The 2012 appointment year was the largest in SMS history: 45 Specialties 2931 programs (2423 or 83% filled all positions) 6799 positions (6138 or 90% filled) 8249 applicants participated in at least one of the SMS Matches (6124 or 74% obtained a match)
Pediatric Fellowships Percent of Positions Filled by Applicant Type 2012 Appointment Yr. 100% 80% 60% 40% 20% 0% US Grads Osteopaths Canadian 5th Pathway USIMGs IMGs
Pediatric Fellowships Percent of Applicant Matches by Rank Choice 2012 Appointment Yr. 100% 80% 60% 40% 20% 0% 1st Choice 2nd Choice 3rd Choice >3rd Choice Other Unmatched
Pediatric Fellowships Applicants Per Position for 2012 Appointment Yr. 1.6 1.2 1.43 1.24 1.17 0.99 0.99 0.92 0.88 0.8 0.73 0.70 0.70 0.4 0
National Resident Matching Program www.nrmp.org nrmp@aamc.org 202-828-0676 866-617-5834