The NRMP and the Match

1. The NRMP and the Match Presented by: Ellen Hardy, Program Coordinator / Dermatology

2. A Summary of the All In Policy • The All In Policy applies to positions for which the NRMP offers matching services, including PGY-1, PGY-2, and in the case of Child Neurology, PGY-3 positions. • All PGY-1 positions and PGY-2 positions in specialties that can begin at either the PGY-1 or PGY-2 level must be placed in the Main Residency Match, regardless of whether the program begins in the PGY-1 or PGY-2 year. • Programs can create “Physician Reserved” (“R”) tracks in the Registration, Ranking, and Results®(R3®) system for applicants who are eligible to begin advanced training in the year of the Main Residency Match. • PGY-2 or higher positions in specialties accredited to begin only at the PGY-1 level and PGY-3 or higher positions in specialties accredited to begin at either the PGY-1 or PGY-2 level are not subject to the Policy. • This policy does not apply to the Specialties Matching Service®.

3. EXCEPTIONS • Rural Scholars Programs: Students graduate medical school in three years and commit during medical school to a primary care program at that school. • Family Medicine Accelerated Programs: Students make an early commitment to Family Medicine and are channeled in to that track. • Post-SOAP® positions: Preliminary positions can be created by programs at the conclusion of the Supplemental Offer and Acceptance Program® for partially matched applicants who failed to obtain the PGY-1 position required to fulfill their binding PGY-2 Match commitment. • Off-cycle appointments: Positions that begin prior to February 1 in the year of the Main Residency Match can be offered outside the Match.  Training positions beginning after February 1 must be filled through the Main Residency Match.

4. IMPORTANT REMINDERS • If a waiver of a binding commitment has been approved by the NRMP, the program may fill the position outside the Main Residency Match provided training begins prior to February 1. • Programs accredited by both the ACGME and the AOA® will register some positions in the American Osteopathic Association Match and some in the Main Residency Match.  Dually-accredited programs are not required to place unfilled AOA positions in the Main Residency Match. • The R3 system allows program directors to create special tracks that have a non-clinical first year of training, so those positions must be offered through the Main Residency Match. • Program directors can register for the Main Residency Match until the Rank Order List Deadline, but the program must be activated for Match participation no later than the January 31 Quota Change Deadline. • Programs planning to participate in the Match cannot offer positions outside the Main Residency Matchprior to program director registration and program activation.  Once a position has been offered outside the Main Residency Match, the program no longer is eligible to enroll in the Match unless the offered position falls into one of the exception categories.

5. FREQUENTLY ASKED QUESTION What conditions qualify for an exception to the All In Policy? • Rural Scholars Programs: students graduate medical school in three years and commit during medical school to a primary care specialty at that school • Family Medicine Accelerated Programs: students make an early commitment to Family Medicine and are channeled in to that track • Post-SOAP® positions: preliminary positions created by programs at the conclusion of the Supplemental Offer and Acceptance Program® for partially matched applicants who failed to obtain the PGY-1 position required to fulfill their binding PGY-2 Match commitment • Off-cycle appointments:  if training would begin prior to February 1 in the year of the Main Residency Match®, the position can be offered outside the Match; if training would begin after February 1, the position must be filled through the Main Residency Match