Association for Hospital Medical Education Mona M. Signer President and CEO May 19, 216
Today s Topics Main Residency Match Trends SOAP Single Accreditation System What s New at NRMP
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 22 23 24 25 26 27 28 29 21 211 212 213 214 215 216 NRMP PGY 1 Positions Data sources: NRMP, AAMC
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, 22 23 24 25 26 27 28 29 21 211 212 213 214 215 216 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
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 27 28 29 21 211 212 213 214 215 216 + 567 PGY-1 positions over 215 Offered Filled Filled US Seniors
Position Increases by Specialty At least +5 Categorical Positions, 27-216 2,5 2, 1,5 1, 5 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 27 4, 35, 3, 25, 2, 15, 1, 5, All In Policy 27 28 29 21 211 212 213 214 215 216 Others DOs IMGs US IMGs Prior US Grads US Seniors
Seniors Matched to PGY-1 Positions 2,856 More Seniors Matched Over 1 Years 18, 16, 14, 12, 1, 8, 6, 4, 2, 14,992 949 17,57 1,13 27 28 29 21 211 212 213 214 215 216
PGY-1 Matches by Applicant Type 4, Change Since 27 3, 2,856 2, 1, 1,522 1,26 158 589-63 -1, US Senior US Grad USIMG DO IMG Other
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 27 28 29 21 211 212 213 214 215 216 US Seniors Osteopathic Physicians US IMGs IMGs Prior US Grads
Today s Topics Main Residency Match Trends SOAP Single Accreditation System What s New at NRMP
2, 1,8 1,6 1,4 1,2 1, 8 6 4 2 11 663 1,178 Unfilled Positions 128 Fewer Than 215 92 59 663 663 82 13 453 423 136 127 89 15 129 146 452 123 112 SOAP 63 127 352 48 74 8 21 46 18 378 4 123 1 481 455 473 461 444 484 459 449 475 465 27 28 29 21 211 212 213 214 215 216 55 Surg-Prelim Med-Prelim T-Year & Other Prelim Categorical Advanced Reserved
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 1 1 2 2 2 2 9 7 7 7 12 17 17 18 24 42 5 87 93 94 215 SOAP 155 216 SOAP 448 5 1 15 2 25 3
81 Unfilled Positions Not in SOAP Thoracic Surgery Emergency Medicine PM&R Obstetrics-Gynecology Internal Medicine 1 1 2 2 2 Neurology 3 Psychiatry Dermatology Radiology - Diagnostic 4 4 4 Internal Medicine-Preliminary Pathology 6 6 Other 7 Child Neurology 9 Anesthesiology Surgery-Preliminary 13 17 484 444 1 2 3 4 5
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 975 5 27 28 29 21 211 212 213 214 215 216
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 975 27 28 29 21 211 212 213 214 215 216
13,92 SOAP-Eligible Applicants 263 More Than 215 7, 6, 5, 5,871 4, 3, 4,2 2, 1, 2,199 995 817 18 US Senior US Grad USIMG DO IMG Other US Senior US Grad USIMG DO IMG Other
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 116 12 83 73 71 93 51 48 28 24 22 16 15 14 9 9 9 9 9 7 6 5 5 3 3 169 Available Positions Preferred Specialty 5 1 15 2 25 3 35 4 45 5
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 512 445 284 266 244 218 217 172 127 127 16 13 13 93 43 42 39 34 33 32 2 19 18 753 1,38 2,631 Available Positions Preferred Specialty 5 1, 1,5 2, 2,5 3,
SOAP Offers 212-216 2,5 2, 1,132 Positions 939 Positions 1,75 Positions 1,193 Positions 1,97 positions 1,5 1, 92 613 5 399 63 47 56 481 53 477 5 1,33 878 998 1,129 1,22 212 213 214 215 216 Accepted Rejected Expired
216 SOAP Positions Offered & Accepted by Round 1,2 1, 1,24 27 1,178 Unfilled Positions 1,97 Positions in Soap 8 6 4 2 352 645 374 15 17 End of Day 1: 2 positions remained 127 21 6 252 13 8 16 2 14 5 5 1 2 3 4 5 SOAP Round End of SOAP: 75 positions remained Accepted Rejected Expired
SOAP Positions Accepted by Applicant & Position Type 7 6 5 4 3 2,199 3 192 989 applicants accepted 1,22 positions 2 1 387 995 4,2 817 5,871 2 68 1 38 27 31 2 2 13 3 45 55 1 2 43 US Seniors US Grads USIMGs DOs IMGs None Accepted PGY-1 Only PGY-2 Only Categorical PGY-1 & PGY-2
2,5 Seniors in SOAP 212-216 2, 2,199 2,142 2,76 2,5 1,816 1,5 1, 5 653 665 65 595 69 6 62 623 645 666 591 337 56 66 615 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.
Today s Topics Main Residency Match Trends SOAP Single Accreditation System What s New at NRMP
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.
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
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
Today s Topics Main Residency Match Trends SOAP Single Accreditation System What s New at NRMP
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
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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