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Facts about the Match

Learn about the residency matching process, including its history, common challenges, and strategies for success. Discover valuable resources and advice to help you secure a residency program that aligns with your goals.

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Facts about the Match

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  1. Facts about the Match

  2. Introduction • Prior to the mid 70’s, getting into a residency was “crazy” • Then the NIMP became the NRMP • Programs were still quite variable so getting into the “right place” was important (but still pyramidal) • The ACGME has “leveled the field” • Today the “Match” really means finding the program that matches the applicant

  3. Caveats • Students get information from many sources (Student Affairs, current residents, other students, parents, family doctor, etc) • Much of the information is WRONG

  4. NRMP 2007-2009 USF Data 1. Percentile Distribution for All Matched Seniors: All Specialties Combined

  5. NRMP 2007-2009 USF Data 25. Percentile Distribution for All Matched Seniors: Unmatched

  6. 2010 Match-Scramble Survey • 111 (of 126) schools responded • 14,623 seniors represented (NRMP = 16,070) • 871 unmatched on Monday 3/15/10 (6.0%) • 194 without a PGY-1 position on 3/29/10 (1.3%) • 179 “ready to start” according to their student affairs deans (1.2%)

  7. 2010 Match-Scramble Survey • Of those 179 • 81 - not competitive for chosen field • 49 - USMLE issues • 28 - Rank order issues • 18 - Difficulty with the process • 16 - Geography • 13 - Overly Aggressive • 11 - Poor interviewing skills • 6 - Professionalism issues • 2 - Poor Letters of Recommendation • 1 - Poor advice

  8. Things to consider • How competitive is the student • How competitive is the discipline • How much help is the student going to need, how do you help get it • Alternate Plan, where indicated • “What Color is Your Parachute-2010” by Richard Bolles ($12.91 at Amazon) • Interviewing skills • Dress • Careers in Medicine (AAMC resource)

  9. 2010 NRMP Data for US Seniors

  10. Things to Address • Need to list at least 7 institutions that the student is willing to go to (or more) • Interviewing do’s and don’ts • How to put together a match list.

  11. Determining “risk” • Surgery example • risk of surgery is estimated by • risk of operation x risk of patient • Match example • Risk of not matching is a combination of • risk of “chosen field” x risk of student • Take home message • Understand how competitive your field is • Understand how competitive you are

  12. Risk of Discipline

  13. Your Risk • Getting an interview • USMLE Step 1 Score • Rank in Class • Getting help • Getting ranked highly • AOA • “Audition Rotation” +/- • Rank in Class • Interview • Letter from someone KNOWN

  14. Getting “GOOD” advice • Career Counselor/Master Trainers • Michael Flannery (IM) • Erika Abel (IM/Peds) • Lara Katzin (Neuro) • William Marshall (Surgery & Specialties) • Kelly O’Keefe (Emergency Medicine) • Eduardo Gonzalez (Family Medicine) • USF Faculty (sometimes wrong) • Residents (often wrong, N=1) • Other Students (often wrong, N=0) • Family/friends (usually wrong, old)

  15. USMLE Step 2 Exam • Required to be ranked? • Delay in starting residency • Score “decays” with time

  16. Summary • Get good advice • Understand the field and yourself • Meet with USF Chair and/or PD • Rank at least 7 programs • Have a developed “Plan B” • DON’T count on the scramble • Take Step 2 early

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