guidelines for creating a rank order list...rank fees • applicants may rank up to 20 unique...
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Copyright © 2019 by the Educational Commission for Foreign Medical Graduates. All rights reserved.
January 22, 2020
Guidelines for Creating
a Rank Order List
Presented by
the National Resident Matching Program (NRMP)
Hosted by ERAS Support Services at ECFMG
Copyright © 2019 by ECFMG. All rights reserved.
TODAY’S EXPERT
Jeanette Calli, M.S.Chief of Match Operations
National Resident Matching Program (NRMP)
Ranking Programs in the Main Residency Match
Jeanette Calli, Chief of Match OperationsJanuary 22, 2020
• Main Residency Match® eligibility requirements
• How to create and certify a rank order list (ROL)
• Ranking tips
• Communicating with programs
• Main Residency Match data for IMGs
• NRMP resources
Participating in the Match and SOAP
• The Rank Order List Deadline and the deadline to register for
the Match and SOAP®:
February 26, 2020 at 9:00 p.m. Eastern Time.
• Applicants must:• complete the NRMP registration process
• electronically sign the Match Participation Agreement
• pay all Match fees
• Applicants apply directly to residency programs in addition to
registering for the Match.
• Most programs use ERAS® for applications.
Match Eligibility Requirements
• To participate in the Match and SOAP, applicants must be able to enter GME on July 1, 2020.
• The ECFMG® verifies the credentials of IMGs for participation in the Match.
• To participate in the Match, IMGs must have passed all examinations required for ECFMG certification by the February 26th ROL Deadline.
• The NRMP withdraws all IMGs whose credentials are not verified by ECFMG prior to running the Match.
• An additional exchange with ECFMG occurs after the ROL Deadline to verify applicants’ credentials for SOAP.
Creating a Rank Order List (ROL)
• The rank order list is entered in the NRMP’s Registration, Ranking, and Results® (R3®) system.
• The final preferences of applicants and program directors, as expressed on their rank order lists, determines the Match outcome.
• A match between an applicant and a program creates a binding commitment to offer and accept a position.
Primary vs. Supplemental ROL
What is a Primary ROL?
• List for categorical, advanced, physician-reserved programs, and
sometimes preliminary programs
• Mix geographic location and specialties
What is a Supplemental ROL?
• List for preliminary programs that are attached to any advanced
programs on primary ROL
• Intended to provide full course of training
• Mix geographic location and specialties
NRMP Program Codes
Every program participating in an NRMP Match has a unique 9-character code:
Characters 1-4 = the institution code
Characters 5-7 = the ACGME® specialty code
Character 8 = program type letter
Character 9 = track number
(track number will be “0” unless an institution has more than one training option in a specialty of the same program type. Additional track designations are automatically numbered sequentially)
Example: 1000140C0
1000 (Institution) National Medical Center
140 (ACGME specialty code) Internal Medicine
C (Program type letter) Categorical
0 (Track number) Main track
No Interviews?
• If you do not receive any interviews and do not have any programs to rank, you do not need to certify a rank order list.
• If your credentials have been verified, you will be able to view the unfilled positions when the Match results are released.
• You will receive reminders about certifying your list since the NRMP does not know whether you had interviews. Ignore them if you are not certifying a rank order list.
Rank Fees
• Applicants may rank up to 20 unique program codes on a primary rank order list and up to 20 unique program codes on all supplemental lists combined for the registration fee.
• An additional $30 fee is incurred for each additional program ranked.
• Length of Rank Order List fee for ranking programs over 99
• NRMP accepts payments only in U.S. funds and only by U.S. credit card.
• All Match fees are non-refundable.
Creating a Rank Order List (ROL)
Creating a ROL (cont.)
Certifying a ROL
Certified Status
ROL Guidelines
• Rank programs in order of your true preference and not where you think you will match.
• Rank only those programs where you are able and would be happy to train.
• Do not rank programs where you did not interview.
• Do not wait until the last minute to enter your ROL in the R3 system.
• Do not make last minute changes to your ROL.
Couples in the Match
• Two applicants can link their ROLs to attempt to be matched into a pair of programs suited to their needs.
• Must be registered for the same Match and both pay the current couple fee, $35.00 each.
• Partners are treated by the matching algorithm solely as a couple. If applicants do not obtain a match as a couple, the algorithm does NOT process their rank order lists separately to find a possible match for each individual.
• See the Couples videos and support guides on www.nrmp.org for more detailed information on participating in the Match as a couple.
Communicating with programs
• You must provide complete, timely, and accurate information to programs.
• You can communicate your interest to programs, but you cannot ask programs about their interest or ranking intentions.
• Programs cannot ask you where else you applied or how you intend to rank programs.
• You cannot apply for, discuss, interview for, or accept a position outside of the Match or SOAP between the ROL Deadline and when SOAP concludes.
2019 Match Outcomes
Top five specialties/specialty tracks to which U.S. IMGs matched:
• Internal Medicine (categorical) (1,107 matches)
• Family Medicine (744)
• Pediatrics (categorical) (222)
• Psychiatry (categorical) (147)
• Emergency Medicine (112)
Top five specialties/specialty tracks to which non-U.S. IMGs matched:
• Internal Medicine (categorical) (2,096 matches)
• Family Medicine (369)
• Pediatrics (categorical) (305)
• Pathology (210)
• Neurology (categorical, advanced, and physician positions) (205)
Results and Data 2019 Main Residency Match
Main Residency MatchPGY-1 Positions Offered and Filled
9,385 More Positions Since 2010
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Offered Filled Filled US Seniors
All In Policy
+ 1,962 PGY-1
positions over
2018
Main Residency MatchActive Applicants and PGY-1 Positions
16,070 16,559 16,52717,487 17,374 18,025 18,187 18,539 18,818 18,925
1,3561,364 1,317
1,487 1,6621,520 1,502 1,472 1,511 1,485
2,0452,178 2,360
2,677 2,7382,949 2,982
3,5904,617
6,001
3,6953,769 4,279
5,095 5,1335,014 5,323
5,069
5,075
5,080
7,246 6,6596,828
7,568 7,3347,366
7,4607,284
7,067
6,869
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
US MD Seniors Prior US Grads DOs US IMGs IMGs Others PGY-1 Positions
Main Residency MatchPGY-1 Match Rate by Applicant Type
Overall Match Rate 79.6%
93.9
45.4
84.6
5958.6
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
US MD Seniors
DO Physicians
US IMGs
IMGs
Prior US MD Grads
1st Rank, 28.2%
2nd Rank, 11.5%
3rd Rank, 7.2%
4th Rank, 4.5%
>4th Rank, 8.3%
Unmatched, 40.3%
U.S. IMG
1st Rank, 29.6%
2nd Rank, 12.2%
3rd Rank, 7.1%
4th Rank, 4.0%
>4th Rank, 6.8%
Unmatched, 40.3%
Non-U.S. IMG
Matches by Rank
Main Residency MatchUnfilled Positions
461 444 484 459 449 475 465 508 475577
105 129123
74 80123 100 72 121
14835 33 26
29 3552
42 3570
151453 423434
297408
378400
530511
754
82 103146
112
127
210108
71 28
78
63
55
46
47 48
46
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Surg-Prelim Med-Prelim T-Year & Other Prelim Categorical Advanced Reserved Other P
1,768 Unfilled Positions
+500 unfilled positions in 2019
331 in formerly AOA
programs
NRMP on YouTube
• Applicant Playlist:
• NRMP Match Process for IMGs
• How the Matching Algorithm Works
• Guidelines for Creating a Rank Order List
• Creating Supplemental Rank Order Lists
• Policy Highlights for Applicants
• Couples in the Match
• Couples and the Matching Algorithm
• Program Types in the Main Residency Match
• SOAP for Applicants
• Applicant Policy Pitfalls videos
Support Guides
• Registering for the Match
• Navigating the R3 System
• Forgot Username or Password
• Applicant Coupling
• Withdrawing from the Match
• Entering & Certifying a ROL
• Creating a Supplemental ROL
• Couples: Viewing & Certifying ROLs
• SOAP: Viewing Eligibility Status
• SOAP: Viewing Unfilled Programs
• SOAP: Viewing & Responding to Offers
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