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

Similar documents
REGULATION RESPECTING THE TERMS AND CONDITIONS FOR THE ISSUANCE OF THE PERMIT AND SPECIALIST'S CERTIFICATES BY THE COLLÈGE DES MÉDECINS DU QUÉBEC

Culture, Tourism and the Centre for Education Statistics: Research Papers

Culture, Tourism and the Centre for Education Statistics: Research Papers 2011

AnMed Health Family Medicine Residency Program Curriculum and Benefits

Research Output and Publications Impact of Postgraduate Institute of Medical Education and Research Chandigarh ( )

2016 Match List. Residency Program Distribution by Specialty. Anesthesiology. Barnes-Jewish Hospital, St. Louis MO

GUIDELINES FOR COMBINED TRAINING IN PEDIATRICS AND MEDICAL GENETICS LEADING TO DUAL CERTIFICATION

UNIVERSITY OF REGINA. Tuition and fees

Applications from foundation doctors to specialty training. Reporting tool user guide. Contents. last updated July 2016

Analysis of European Medical Schools Teaching Programs

THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON MCGOVERN MEDICAL SCHOOL CATALOG ADDENDUM

Portfolio-Based Language Assessment (PBLA) Presented by Rebecca Hiebert

EMORY UNIVERSITY. SCHOOL OF MEDICINE. Emory School of Medicine records,

Loyola University Chicago ~ Archives and Special Collections

Economics research in Canada: A long-run assessment of journal publications #

CÉGEP HERITAGE COLLEGE POLICY #8

THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON MCGOVERN MEDICAL SCHOOL CATALOG ADDENDUM

DUSOM Social Media Accounts Organization FaceBook Twitter YouTube Linkedin Instagram Pinterest Plus.google Tumblr/ Tagboard other

THE ROYAL AUSTRALIAN AND NEW ZEALAND COLLEGE OF RADIOLOGISTS

83 Fellows certified in 2016! Currently 161 Fellows registered Global Online Fellowship In Head & Neck Surgery and Oncology

Shintaro Yamaguchi. Educational Background. Current Status at McMaster. Professional Organizations. Employment History

GWU - Affiliated Sites for International Clinical Electives

Physician Assistant Studies

Dr. Tang has been an active member of CAPA since She was Co-Chair of Education Committee and Executive committee member ( ).

Emory PA Board Review Speaker Information 2016

Our visiting specialists bring their expertise to you!

Academic Search Alumni Edition Full Text Subject Title List

Allergy. Cardiology. The Village at Woodside 440 Society Hill Dr., Suite 202 Aiken, SC 29803

PROGRAM REQUIREMENTS FOR CLINICAL FELLOWSHIP TRAINING IN GENERAL COSMETIC SURGERY

Application Guidelines for Interventional Radiology Review Committee for Radiology

A Collage Of Canadian Cooking By home Economist in Business Canadian Home Economics Association

THE UNIVERSITY OF THE WEST INDIES Faculty of Medical Sciences, Mona. Regulations

PULMONARY AND CRITICAL CARE TRAINING PROGRAMS

SHARIF F. KHAN. June 16, 2015

Prof. Dr. Hussein I. Anis

Immersion Phase. Phase Directors Bill Cutrer, M.D., M.Ed. Lourdes Estrada, Ph.D. Program Manager Brenna Hansen

CONSULTATION ON THE ENGLISH LANGUAGE COMPETENCY STANDARD FOR LICENSED IMMIGRATION ADVISERS

Curriculum Vitae of. JOHN W. LIEDEL, M.D. Developmental-Behavioral Pediatrician

New developments in medical specialty training

Recruitment for Teaching posts of RUHS Information Booklet. Refer RUHS website ( for updated and relevant information.

Status of the MP Profession in Europe

PROGRAM REQUIREMENTS FOR CLINICAL FELLOWSHIP TRAINING IN FACIAL COSMETIC SURGERY

WINNIPEG, MANITOBA, CANADA

The Effect of Modernising Medical Careers on Foundation Doctor Career Orientation in the Northern Ireland Foundation School

Contract Promotional Review Committee support for the Pharmaceutical Industry. Medical Affairs Regulatory Legal

RRC Ne w s Ot o l a r y n g o l o g y

RESIDENCY TRAINING PROGRAM REGISTRATION LARGE ANIMAL INTERNAL MEDCINE

Introduction Research Teaching Cooperation Faculties. University of Oulu

Section 3.4 Assessing barriers and facilitators to knowledge use

FACULTY OF MEDICAL SCIENCES MONA. Year ending July 31, Professor Owen St. Clair Morgan, CD, MA, MD Dub, FRCP, FACP Dean

E35 RE-DISCOVER CAREERS AND EDUCATION THROUGH 2020

Name in full: Last First Middle. Telephone: Day Evening Social Security No.: Internship: Dates of Start and Completion. Name and Address of Hospital:

Icahn School of Medicine at Mount Sinai

BIENNIUM 1 ELECTIVES CATALOG. Revised 1/17/2017

Why Do They Fail? An Experimental Assessment of the Role of Reputation and Effort in the Public s Response to Foreign Policy Failures.

International comparison and review of a health technology assessment skills program

Adapting for the future: a plan for improving the flexibility of UK postgraduate medical training

2014 RDCR SYMPOSIUM AGENDA

Office of Medical Education. Annual Report

KAISER PERMANENTE PRACTITIONER DIRECTORY - LORAIN COUNTY NOVEMBER 2012

Class of 2013 Honors Award Winners

PROGRAM REQUIREMENTS FOR RESIDENCY EDUCATION IN DEVELOPMENTAL-BEHAVIORAL PEDIATRICS

MetroHealth Giving Advancing the excellence and charitable mission of MetroHealth

The Capacity Enhancement Program

FULL-TIME STUDIES IN ENGLISH AT THE FACULTY OF MEDICINE, MEDICAL PROGRAM THIRD YEAR SCHEDULE FOR THE ACADEMIC YEAR 2016/2017 LECTURES

Perioperative Care of Congenital Heart Diseases

2017- Part-Time Professor Department of Political Science, Concordia University, Montréal, Canada

LANGUAGES, LITERATURES AND CULTURES

FACULTY OF MEDICAL SCIENCES MONA

Attachment B to the Master License Agreement Online Archives

Mayo School of Health Sciences. Clinical Pastoral Education Residency. Rochester, Minnesota.

Longitudinal Integrated Clerkship Program Frequently Asked Questions

Using CBM to Help Canadian Elementary Teachers Write Effective IEP Goals

UNIVERSITY OF ALABAMA AT BIRMINGHAM. IPEDS Completions Reports, July 1, June 30, 2016 SUMMARY

Clinical Review Criteria Related to Speech Therapy 1

2011 Service Recognition Years of Service By Division

Soham Baksi. Professor, Department of Economics, University of Winnipeg, July 2017 present

Early Career Awards (ECA) - Overview

Manchester Academy for Healthcare Scientist Education STP OPEN DAY. MAHSE ( Professor Phil Padfield.

TIMSS Highlights from the Primary Grades

CURRICULUM VITAE OF MARIE-LOUISE VIERØ

7 Dr. Zu-Hua Gao Professor and Chair

Third Year Book Piscataway-New Brunswick. Page 1 of 17

Study Abroad: Planning and Development, Successes and Challenges

The University of Texas Southwestern Medical Center REGISTERED STUDENT ORGANIZATIONS,

FACTS. & Figures. University of Pennsylvania School of Medicine University of Pennsylvania Health System

RMIT. Open Day. 10am 4pm Sunday 13 August Bundoora. openday.rmit.edu.au

Determining the Drivers of Academic Success in Surgery: An Analysis of 3,850 Faculty

Joint Consortium for School Health Governments Working Across the Health and Education Sectors. Mental Resilience

THE UNIVERSITY OF THE WEST INDIES

Match Week & Match Day Requested Information Class Meeting Awards Ceremony Match Ceremony

University of Trento. Faculty of Law. Bachelor s Degree in Comparative, European and International Legal Studies.

Western Australia s General Practice Workforce Analysis Update

Education. American Speech-Language Hearing Association: Certificate of Clinical Competence in Speech- Language Pathology

11:00 am Robotics and the Law: An American Perspective Prof. Ryan Calo, University of Washington School of Law

University of the Cumberlands Master of Science in Physician Assistant Studies Program

DIRECTORY OF POSTGRADUATE COURSES

Dentist Under 40 Quality Assurance Program Webinar

Honored 20 Year Recipients

JUNE 15, :30 PM 9:15 PM

Transcription:

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

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

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%

Match overview

1 Applicant pool breakdown 2018 First and second iterations combined Applicant type Registrants Inactive/withdrawn applicants Active applicants ROL not submitted Final participants* CMG 3,021 31 2,990 10 2,980 USMG 69 10 59 18 41 IMG 2,475 206 2,269 511 1,758 *Final participants: submitted a rank order list. Does not double count if an applicant participates in first and second iterations.

2 2018 R-1 match national highlights Applicant type First iteration Current year Prior year Matched % Matched Unmatched Matched % Matched Unmatched Quota 228 CMG 2,649 93.0 198 52 64.8 24 USMG 24 70.6 10 0 0.0 3 IMG 117 46.4 135 238 18.6 1,041 3,080 Applicant type Current year Second iteration Matched % Matched Unmatched Matched Matched with prior PG training Prior year % Matched Unmatched CMG 83 54.6 69 11 13 30.8 54 USMG 0 0.0 2 0 0 0.0 2 IMG 6 7.9 70 36 1 4.4 806 78 Filled 150 Unfilled

3 Previously unmatched CMGs returning as current year graduates 60 50 54 40 44 30 20 22 27 31 10 0 2014 2015 2016 2017 2018

4 2018 R-1 match regional highlights (applicant view) First iteration Region Current year Prior year Matched % Matched Unmatched Matched % Matched Unmatched Western 747 93.6 51 9 56.3 7 Ontario 925 92.6 74 14 70.0 6 Quebec 802 92.5 65 25 71.4 10 Eastern 175 95.6 8 4 80.0 1 Second iteration Region Current year Prior year Matched % Matched Unmatched Matched % Matched Unmatched Western 20 47.6 22 7 25.9 20 Ontario 31 49.2 32 8 27.6 21 Quebec 29 70.7 12 8 57.1 6 Eastern 3 50.0 3 1 12.5 7 % Unmatched current year CMGs after second iteration National: 2.4% Western: 2.8% Ontario: 3.2% Quebec: 1.4% Eastern: 1.6%

5 2018 R-1 match highlights by region (program quota view) Western Ontario Quebec Eastern 64 35 110 19 First iteration 927 93.54% fill rate 1,155 97.06% fill rate 807 88.00% fill rate 191 90.95% fill rate Second iteration 7 2 69 41 57 99.29% total fill rate 33 99.83% total fill rate 92.47% total fill rate 19 100% total fill rate Filled positions Unfilled positions

6 Who entered postgraduate training in Canada 2018 76 2,732 398 24 2017 92 2,714 411 24 2016 72 2,761 408 18 2015 73 2,728 421 26 2014 69 2,710 449 27 2013 74 2,571 499 25 2012 65 2,557 407 31 2011 50 2,457 380 22 0 500 1,000 1,500 2,000 2,500 3,000 3,500 Prior year CMGs matched Current year CMGs matched IMG matched USMG matched

Program perspective

7 Average number of program applications by CMG and IMG applicants in the first iteration 30 25 CMG, 20.6 20 15 IMG, 19.3 10 5 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 CMG IMG

8 Number of applications submitted by CMGs 1,400 1,200 Number of CMGs 1,000 800 600 400 630 543 590 457 1,106 1,128 1,203 1,200 488 517 514 637 2015 2016 2017 2018 200 0 340 345 187 134 < 5 Applications 6-10 Applications 11-20 Applications 21-30 Applications 185 236 223 271 31-40 Applications 122 146 189 232 > 40 Applications Number of applications

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 1,348 800 909 904 893 883 871 884 600 400 432 447 455 457 451 453 200 327 316 309 297 288 280 0 2013 2014 2015 2016 2017 2018 Family Medicine Internal Medicine Non-surgical disciplines Surgical disciplines

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 2,926 0 2013 2014 2015 2016 2017 2018 Quota Distinct CMG applicants Applications

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 5,000 0 112 1,245 1,762 120 1,305 1,912 129 1,327 1,985 134 1,333 2,005 135 1,357 1,880 143 1,348 1,992 2013 2014 2015 2016 2017 2018 Program sites Quota Distinct CMG applicants Applications

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 1,000 432 748 447 807 455 772 457 869 451 928 453 850 0 21 22 22 2013 2014 2015 2016 2017 2018 Program sites Quota Distinct CMG applicants Applications 22 22 22

IMG results

13 IMG registrants 3,500 3,000 Mandatory NAC OSCE New IMG registrants Returning IMG registrants 2,500 2,000 1,500 1,000 500 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 New IMG registrants 1,077 1,145 1,263 1,424 1,579 1,614 1,600 995 954 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

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% 2014 2015 2016 2017 2018 Active IMGs 1,437 816 838 930 1,005 Active IMGs matched 291 213 216 215 237 Active IMGs 1,409 1,401 912 915 765 Active IMGs matched 154 193 154 146 115 Active IMGs 42 84 409 503 499 Active IMGs matched 4 15 38 50 46

15 Regional IMG match results Region Final participation % matched Africa 252 15% Asia 363 13% Central America/Caribbean 373 18% Europe 415 41% Middle East 272 16% North America 4 0% Oceania/Pacific Islands 34 53% South America 45 24%

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

16 First iteration participation and quota, second iteration unmatched Participation and quota 3,500 3,000 2,500 2,000 1,500 1,000 500 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 300 250 200 150 100 50 0 Unmatched current year CMGs CMG quota IMG quota IMG participation CMG participation Unmatched current year CMGs

17 CMG quota, participation and ratio 3,500 3,000 2,500 2,000 45 1.11 1.12 1.11 1.10 1.08 1.08 1.04 1.04 1.02 1.03 2,379 29 2,595 35 2,717 2,778 32 2,886 2,921 46 62 2,973 2,984 2,970 2,967 2,965 68 71 68 83 76 1.01 1,500 1,000 500 2,089 2,284 2,403 2,496 2,626 2,633 2,779 2,791 2,836 2,810 2,847 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Participation - current year CMGs Participation - prior year CMGs Quota Ratio of quota to CMGs

18 CMG discipline choices 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016 2018 Family Medicine Internal Medicine Surgical disciplines Non-surgical disciplines

19 Top 10 CMG discipline choices First choice disciplines 2016 2017 2018 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%

20 Breakdown of CMG first choice interest by supply and demand categorization of first choice discipline 2015 2016 2017 2018 31.0% 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

21 Supply and demand ratio: CMG quota by discipline grouping 2.00 1.80 1.60 1.40 1.20 1.00 0.80 0.60 Western Ontario Quebec Eastern National 0.40 0.20 0.00 Family Medicine Internal Medicine Surgical disciplines Non-surgical disciplines

22 Supply and demand ratio: CMG quota for Family Medicine 1.80 1.70 1.60 1.50 1.40 1.30 1.20 1.10 National Western Ontario Quebec Eastern 1.00 0.90 0.80 2013 2014 2015 2016 2017 2018

23 Lowest demand: CMGs first discipline choice compared to availability 6.00 5.00 5.00 Average: 2.27 4.00 3.00 2.00 1.00 0.00 3.00 2.67 2.33 2.50 2.50 2.67 2.22 1.95 2.00 1.75 1.67 1.33 1.38 1.13 Fill rate 40% 43% 73% 43% 63% 33% 50% 40% 60% 65% 75% 50% 40% 89% 89% 2016 2017 2018

24 Highest demand: CMGs first discipline choice compared to availability 1.00 Average: 0.53 0.80 0.60 0.40 0.44 0.46 0.53 0.63 0.67 0.51 0.53 0.56 0.58 0.63 0.36 0.45 0.52 0.53 0.54 0.20 0.00 Fill rate 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2016 2017 2018

CMG results

25 Graduate mobility: emigration at national level 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 2014 2015 2016 2017 2018 Home school Same province Out of province

26 CMG match results by first and lower rank choices: ROL frequency distribution 1,600 1,400 1,200 1,000 800 600 400 200 0 1,495 359 211 115 89 49 39 35 27 24 10 9 9 9 6 5 2 3 3 2 1 3 2 1 1 1 1 1 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 23 24 25 26 29 30 42 45 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Rank level Cumulative % # Matched Current and prior year CMGs

27 CMG couples match results by first and lower rank choices: ROL frequency distribution 100 90 80 70 60 50 40 30 20 10 0 95 24 23 20% 9 3 5 2 4 3 2 1 2 2 2 1 2 1 1 1 1 1 1 1 1 10% 0% 1 2 3 4 5 6 7 8 9 10 11 12 15 16 24 25 26 27 37 41 42 51 61 66 Rank level Cumulative % # Matched Current and prior year CMGs 100% 90% 80% 70% 60% 50% 40% 30%

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%

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% 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016 2018

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% 2013 2014 2015 2016 2017 2018 Family Medicine Internal Medicine Non-surgical disciplines Surgical disciplines

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% 2013 2014 2015 2016 2017 2018 Eastern Ontario Quebec Western National

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% 2013 2014 2015 2016 2017 2018 Family Medicine Internal Medicine Non-surgical disciplines Surgical disciplines

Unmatched and unfilled

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% 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 11 11 17 23 42 41 55 39 46 68 69 16 10 5 17 28 23 16 25 29 31 46 2.0% 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%

34 Categorizing unmatched CMGs after second iteration 2016 48 unmatched CMGs 2017 68 unmatched CMGs 2018 69 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

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 2013 2014 2015 2016 2017 2018 4 6 6 4 11 69 11 14 7 6 9 46 After second iteration

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 3 10 1 0 Anatomical Pathology 1 1 7 1 Cardiac Surgery 1 0 Dermatology 5 8 1 Diagnostic Radiology 8 5 6 1 Emergency Medicine 1 0 Family Medicine 44 25 3 158 65 General Pathology 1 2 4 General Surgery 8 0 Hematological Pathology 2 1 Internal Medicine 9 6 1 19 1 Medical Genetics and Genomics 1 1 Medical Microbiology 4 4 Neurology 1 1 Neurology-Pediatric 3 2 1 Neuropathology 1 1 2 1 Neurosurgery 1 0

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 1 1 2 1 Plastic Surgery Clinical Investigator Program 1 0 Plastic Surgery 6 0 Psychiatry 3 2 1 10 1 Public Health and Preventative Medicine 2 4 Public Health and Preventative Medicine including Family Medicine 1 3 Urology 1 0 Vascular Surgery 2 3 1 1 1 Totals 83 69 46 228 78

38 Second iteration matched positions by applicant type and position discipline 60 50 40 51 30 20 10 0 12 20 26 14 2 9 1 3 4 1 6 1 Current year CMGs IMGs Prior year CMGs CMGs matched in previous match IMGs matched in previous match Family Medicine Internal Medicine Non-surgical disciplines

39 Unfilled positions and unmatched graduates after second iteration, by region Unfilled positions (78) Unmatched current graduates (69) Unmatched prior graduates (54) 7 22 20 2 32 21 69 12 6 3 7

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 2,649 93.0 198 52 64.8 24 USMG 24 70.6 10 0 0.0 3 IMG 117 46.4 135 238 18.6 1,041 3,080 Applicant type Current year Second iteration Matched % Matched Unmatched Matched Matched with prior PG training Prior year % Matched Unmatched CMG 83 54.6 69 11 13 30.8 54 USMG 0 0.0 2 0 0 0.0 2 IMG 6 7.9 70 36 1 4.4 806 78 Filled 150 Unfilled

Additional content

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 emails 9,176 calls to the help desk 7.5% 48,423 reference letters 118,565 applications 7.6%

42 Couples match rates 2015 117 couples 2016 107 couples 2017 109 couples 2018 111 couples 1% 1% 1% 99% 100% 99% 99% Matched * Unmatched *Includes couples that matched only one partner

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 1.13 1.10 1.09 1.08 1.02 1.00 Hematological Pathology 1.00 (Positions/applicant first choice discipline)

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 0.36 0.45 0.52 0.53 0.54 0.60 0.64 0.68 0.70 0.72 0.73 0.80 0.80 0.84 0.85 0.88 0.97 0.97 (Positions/applicant first choice discipline)

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

46 Unfilled positions by discipline Discipline After first iteration After second iteration Family Medicine 158 65 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 1 0 1 1 Neurology 1 0 Neurology - Pediatric 1 0 Vascular Surgery 1 1 TOTAL 228 78

47 Summary of 2018 match results First and second iterations combined Applicant type # matched % matched Current year CMG 2,732 96.0 Prior year CMG 76 57.1 IMG 398 22.6 USMG 24 58.5

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 74 2 76 3 1 4 77 3 80 Dalhousie University 101 2 103 5 0 5 106 2 108 Université Laval 193 4 197 6 0 6 199 4 203 Université de Sherbrooke 180 6 186 15 4 19 195 10 205 Université de Montréal 271 9 280 23 2 25 294 11 305 McGill University 158 6 164 21 4 25 179 10 189 University of Ottawa 161 0 161 9 0 9 170 0 170 Queen's University 93 2 95 4 0 4 97 2 99 Northern Ontario School of Medicine 65 1 66 3 0 3 68 1 69 University of Toronto 247 0 247 28 2 30 275 2 277 McMaster University 199 10 209 12 3 15 211 13 224 Western University 160 1 161 18 1 19 178 2 180 University of Manitoba 100 0 100 7 1 8 107 1 108 University of Saskatchewan 92 1 93 5 1 6 97 2 99 University of Alberta 146 0 146 9 0 9 155 0 155 University of Calgary 143 1 144 12 0 12 155 1 156 University of British Columbia 266 7 273 18 5 23 284 12 296 TOTAL 2,649 52 2,701 198 24 222 2,847 76 2,923 Total

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 1 1 2 0 4 4 1 5 6 Dalhousie University 2 0 2 3 3 6 5 3 8 Université Laval 1 1 2 0 0 0 1 1 2 Université de Sherbrooke 9 3 12 3 1 4 12 4 16 Université de Montréal 8 1 9 4 2 6 12 3 15 McGill University 11 3 14 5 3 8 16 6 22 University of Ottawa 4 2 6 5 3 8 9 5 14 Queen's University 3 0 3 0 3 3 3 3 6 Northern Ontario School of Medicine 2 1 3 1 0 1 3 1 4 University of Toronto 7 2 9 13 6 19 20 8 28 McMaster University 3 2 5 9 3 12 12 5 17 Western University 12 1 13 4 6 10 16 7 23 University of Manitoba 5 0 5 2 3 5 7 3 10 University of Saskatchewan 2 2 4 3 1 4 5 3 8 University of Alberta 3 1 4 5 1 6 8 2 10 University of Calgary 4 2 6 8 5 13 12 7 19 University of British Columbia 6 2 8 4 10 14 10 12 22 TOTAL 83 24 107 69 54 123 152 78 230 Total

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 78 71 7 7 0 Dalhousie University 132 120 12 12 0 Université Laval 230 182 48 15 33 Université de Sherbrooke 200 171 29 12 17 Université de Montréal 296 274 22 6 16 McGill University 191 180 11 8 3 University of Ottawa 197 187 10 8 2 Queen's University 128 128 0 0 0 Northern Ontario School of Medicine 60 55 5 5 0 University of Toronto 407 407 0 0 0 McMaster University 216 210 6 6 0 Western University 182 168 14 14 0 University of Manitoba 138 123 15 15 0 University of Saskatchewan 118 100 18 18 0 University of Alberta 195 188 7 6 1 University of Calgary 194 175 19 17 2 University of British Columbia 346 341 5 1 4 TOTAL 3,308 3,080 228 150 78

51 Positions by discipline (1 of 2) First iteration Second iteration Discipline Positions available Positions filled Positions unfilled Positions filled Positions unfilled Anatomical Pathology 46 39 7 6 1 Anesthesiology 113 112 1 1 0 Cardiac Surgery 8 8 0 0 0 Dermatology 29 28 1 1 0 Diagnostic Radiology 88 82 6 5 1 Emergency Medicine 72 72 0 0 0 Family Medicine 1,532 1,374 158 93 65 Family Medicine integrated Emergency Medicine 2 2 0 0 0 General Pathology 9 5 4 4 0 General Surgery 86 86 0 0 0 Hematological Pathology 4 3 1 1 0 Internal Medicine 506 487 19 18 1 Medical Genetics and Genomics 8 7 1 0 1 Medical Microbiology 8 4 4 0 4 Neurology 50 49 1 1 0 Neurology - Pediatric 10 9 1 1 0 Neuropathology 4 2 2 1 1 Neurosurgery 21 21 0 0 0 Nuclear Medicine 8 6 2 1 1 Obstetrics and Gynecology 83 83 0 0 0

52 Positions by discipline (2 of 2) First iteration Second iteration Discipline Positions available Positions filled Positions unfilled Positions filled Positions unfilled Ophthalmology 39 39 0 0 0 Orthopedic Surgery 54 54 0 0 0 Otolaryngology - Head and Neck Surgery 29 29 0 0 0 Otolaryngology - Head and Neck Surgery - Research Track 1 1 0 0 0 Pediatrics 149 149 0 0 0 Pediatrics - MD-PHD stream 1 1 0 0 0 Physical Medicine & Rehabilitation 31 29 2 1 1 Plastic Surgery 20 20 0 0 0 Plastic Surgery - Clinician Investigator Program 1 1 0 0 0 Plastic Surgery - Research Track 1 1 0 0 0 Psychiatry 206 196 10 9 1 Public Health and Preventive Medicine 11 7 4 4 0 Public Health and Preventive Medicine including Family Medicine 14 11 3 3 0 Radiation Oncology 23 23 0 0 0 Urology 32 32 0 0 0 Vascular Surgery 9 8 1 0 1 TOTAL 3,308 3,080 228 150 78

Thank you