The National Residency Matching Program (NRMP)

1. The National Residency Matching Program (NRMP) The Present and the Future Amy C. Day, MBA Director of Graduate Medical Education December 14, 2010

2. SECTION HEADING • What and why? • The Match at UCSF • 2011 Main Residency Match • 2012 Main Residency Match

3. What and Why? • NRMP • NRMP vs. ERAS

4. NRMP • The National Residency Matching Program • Private, not-for-profit corporation established in 1952 • Provides a uniform date of appointment to positions in graduate medical education in the U.S. • Governed by a Board of Directors • Candidates nominated by professional organizations (including, ABMS, AMA, and AAMC) • Plus one program director, three residents, and a public member • Main Residency Match (March) • Specialties Matching Service (38 subspecialties)

5. 2010 Match • 4,176 programs • 25,520 positions • 37,556 applicants • 16,427 were 2010 graduates of accredited US medical schools • 21,129 were “independent” applicants

6. Main Residency Match at UCSF • Obstetrics and Gynecology • Orthopaedic Surgery • Otolaryngology • Pathology/Lab Medicine • Pediatrics • Plastic Surgery • Psychiatry • Radiology • Radiation Oncology • Surgery • Anesthesia • Dermatology • Emergency Medicine • East Bay Surgery • Family and Community Medicine • Internal Medicine • Neurosurgery • Neurology

7. Specialties Match at UCSF • Obstetrics and Gynecology Fellowships • Gynecologic Oncology • Maternal-Fetal Medicine • Reproductive Endocrinology • Pediatric Specialties (Fall) • Pediatric Critical Care • Pediatric Rheumatology • Pediatric Specialties (Spring) • Pediatric Cardiology • Pediatric Gastroenterology • Pediatric Nephrology • Pediatric Pulmonary • Radiology Fellowships • Vascular/Interventional Radiology • Neuroradiology • Surgical Critical Care • Vascular Surgery • Child and Adolescent Psychiatry • Combined Musculoskeletal (Hand Surgery) • Laryngology • Medical Genetics • Medical Specialties • Cardiovascular Disease • Endocrinology • Gastroenterology • Hematology/Oncology • Infectious Disease • Nephrology • Pulmonary and Critical Care • Rheumatology • Neonatology • Pediatric Hematology/Oncology

8. The Process (all Matches) • Match opens and program activated by OGME • Statement on Professionalism emailed (link to Match Participation Agreement) • Calendar on www.nrmp.org

9. Match Participation Agreement • All applicants, program directors, institutional officials, and medical school officials are required to comply with the terms and conditions • Specific rights and responsibilities of Match participants (each participant signs electronically) • www.nrmp.org

10. Match Violations • Avoid participating in unwarranted pressure • Use the Applicant Match History tool to determine whether an applicant: • Has a binding concurrent-year match commitment to another program; • A pending waiver of a match commitment; or • A prior Match violation. • US medical school seniors may only accept a position through the Match • Waiver requests • Programs and applicants may express interest, but cannot solicit statements implying a commitment from the other party

11. The Future: 2012 Main Residency Match • Scramble Issues: • Number of unmatched applicants each year is increasing • 2010 first year unfilled US seniors greater than number of unfilled positions • Majority of positions available in Scramble do not match applicant preferences • No organization “owns” the Scramble • Lacks trust, transparency, and integrity • Task force formed in 2008

12. SOAP • Supplemental Offer and Acceptance Program • Main Residency Match 2012 • Not a second match • Process during Match week: • Applicants express interest through ERAS only • Interviews are allowed, but other communication is limited • Programs create preference lists of applicants based on who applied • NRMP (R3 system) offers positions to applicants in order of program preference • Multiple rounds of offers (every three hours for three days) and applicants may receive more than one offer each round • Offers are made and accepted through SOAP only during Match week • Changes the Match week schedule • Monday: Schools/applicants find out if they match and programs find out if they fill (instead of throughout the week) • SOAP occurs beginning Monday and ends Friday at 5:00pm • Match Day is Friday (instead of Thursday)

13. www.nrmp.org