nrmp update · nrmp update. reproduction prohibited without the written permission of the nrmp....

Reproduction prohibited without the written permission of the NRMP.

Mona M. SignerPresident and CEOContinuum ConnectionsApril 30, 2018

NRMP Update


Today’s Topics

Main Residency Match Trends

SOAP

What’s New at NRMP


First-Year GME PositionsAllopathic Medicine

18,311 US Allopathic Seniors Obtained PGY-1 Positions

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

US Allopathic SeniorsWho Obtained Positionsthrough SOAP

US Allopathic SeniorsMatched

NRMP PGY 1 Positions

US AllopathicGraduating Seniors

Active US AllopathicSeniors

Data sources: NRMP, AAMC

11,414 more PGY-1

positions than active

US seniors in the Match


Main Residency MatchPGY-1 Positions Offered and Filled

7,805 More Positions Since 2009

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Offered Filled Filled US Seniors

+ 1,383 PGY-1

positions over

2017

All In Policy


2018 Main Residency Match

• 173 AOA programs, 764 positions

3 Anesthesiology 3 Orthopaedic Surgery

9 Dermatology 1 ONMM

29 Emergency Medicine 1 Otolaryngology

27 Family Medicine 2 Pediatrics

51 Internal Medicine 9 Psychiatry

2 Neurological Surgery 4 Diagnostic Radiology

2 Neurology 12 General Surgery

11 Obstetrics/Gynecology 7 Transitional Year

• 71 dually-accredited programs, 143 positions

Main Residency MatchAOA Programs


15,638 16,070 16,559 16,527 17,487 17,374 18,025 18,187 18,539 18,818

1,222 1,356 1,364 1,3171,487 1,662 1,520 1,502 1,472 1,511

2,013 2,045 2,178 2,3602,677 2,738 2,949 2,982 3,590

4,617

3,3903,695 3,769 4,279

5,095 5,133 5,014 5,3235,069

5,0757,484

7,246 6,6596,828

7,568 7,334 7,366 7,460 7,2847,067

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

US Seniors Prior US Grads DOs US IMGs IMGs Others PGY-1 Positions

All In Policy

Main Residency MatchActive Applicants

7,215 More Active Applicants Since 2009


94.3

43.8

81.7

57.156.1

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

US Seniors

Osteopathic

Physicians

US IMGs

Prior US Grads

IMGs

All In Policy

Main Residency MatchPGY-1 Match Rate by Applicant Type

Overall Match Rate = 78.3%


0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

20,000

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Matched Unmatched

14,566

17,740

1,0781,072

Main Residency MatchU.S. Seniors Matched to PGY-1 Positions

3,174 More Seniors Matched Since 2009


3,174

2,363

1,281

850117

-85

-1,000

0

1,000

2,000

3,000

4,000

US Senior DO USIMG IMG US Grad Other

Main Residency MatchPGY-1 Matches by Applicant Type

Change Since 2009


71

75 76 77 79

85

89 89 8991 91 93

96 96 96 96 96 97 97 98 99

86

96

82 8286

8488

9193

99

8891

9699

94

84

9598

96 96

89

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2014 2018

Match Rates By Preferred SpecialtyMost Seniors Match to Preferred Specialty


Today’s Topics


SOAP



473 461 444 484 459 449 475 465 508 475

89 105 129123

74 80123 100 72 121

51 41 3941

44 5465

59 51 70

663

453 423452

352408

378 400530 511

59

82 103

146

112127

210108

71 2863

55

46

47 48

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Surg-Prelim Med-Prelim T-Year & Other Prelim Categorical Advanced Reserved Other P

SOAP

Main Residency MatchUnfilled Positions

1,268 Unfilled Positions, Half PGY-1 Only


173

117

99

65

57

48

28

17

14

12

11

10

10

6

6

5

5

5

5

5

4

2

3

1

1

0

0

0

0

0 50 100 150 200 250 300

Surgery-Preliminary

Internal Medicine (C & M)

Family Medicine

Internal Medicine-Preliminary

Transitional Year

Pediatrics (C & M)

Anesthesiology

Pathology

Neurology

Child Neurology

Psychiatry

Otolaryngology

Obstetrics-Gynecology…

Emergency Medicine

Obstetrics-Gynecology

Neurodevelopmental Disabilities

Radiology-Diagnostic

General Surgery

Internal Medicine - Pediatrics

Pediatrics- Preliminary

Radiation Oncology

Dermatology

Vascular Surgery

Other

Plastic Surgery

Orthopaedic Surgery

Physical Medicine & Rehab

Neurological Surgery

Thoracic Surgery

Interventional Radiology

2017

SOAP2018

SOAP

486

Main Residency Match1,171 Unfilled Positions in SOAP

462


1

1

1

1

2

2

2

3

3

4

4

4

5

5

5

5

6

8

13

22

0 10 20 30 40 50

Neurodevelopmental Disabilities

Otolaryngology

Radiation Oncology

Pediatrics-Child Psychiatry

Family Medicine

Neurology

Pediatrics-Medical Genetics

Emergency Medicine

Orthopaedic Surgery

Anesthesiology

Psychiatry

Pediatrics

Radiology - Diagnostic

Dermatology

Transitional Year

Pathology

Child Neurology

Internal Medicine

Surgery-Preliminary

Internal Medicine-Preliminary

484

444

Main Residency Match97 Unfilled Positions Not in SOAP

Total Unfilled: 9 Dermatology, 4 Orthopaedic Surgery, 12 Otolaryngology


Unmatched SeniorsPGY-1 Positions in SOAP

More Unfilled Positions Than Seniors in SOAP!

1,078

0

500

1,000

1,500

2,000

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

1,116

PGY-1 Positions in SOAP

U.S. Seniors With ROLs

Unmatched to PGY-1

Positions

1,087

1,072

SOAP


Unmatched ApplicantsPGY-1 Positions in SOAP

7 Unmatched Applicants for Every Unfilled Position

1,083

Unfilled PGY-1 Positions in SOAP

1,116

8,548

8,063

0

2,000

4,000

6,000

8,000

10,000

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

All Applicants With ROLs

Unmatched to PGY-1

Positions

SOAP


13,176 SOAP-Eligible Applicants620 Fewer Than 2017

2,146

967

3,661

1,142

5,240

200

1,000

2,000

3,000

4,000

5,000

6,000

US Senior US Grad USIMG DO IMG Other


Preferences of Unmatched Seniors Available SOAP Positions

0

0

0

1

5

3

5

5

5

5

7

7

8

8

9

14

15

15

17

17

24

28

53

61

62

99

101

111

113

165

0 50 100 150 200 250 300 350 400 450 500 550 600

Pediatrics PreliminaryNeurodevelopmental Disabilities

Obstetrics-Gynecology PreliminaryChild Neurology

OtherVascular Surgery

Radiation OncologyTransitional YearThoracic Surgery

Internal Medicine PreliminaryInternal Medicine-Pediatrics

Surgery PreliminaryInterventional Radiology

PathologyOtolaryngology

DermatologyNeurology

Plastic SurgeryPhysical Medicine & Rehab

Pediatrics (C & M)Neurological Surgery

AnesthesiologyRadiology-Diagnostic

Family MedicineInternal Medicine (C & M)

Emergency MedicineGeneral Surgery

Obstetrics-GynecologyOrthopaedic Surgery

Psychiatry

Available Positions

Preferred Specialty


Preferences of Unmatched Applicants Available SOAP Positions

1

1

4

13

14

19

19

19

24

29

35

39

55

68

74

104

109

110

152

188

203

204

212

305

308

329

424

816

1156

2410

0 500 1,000 1,500 2,000 2,500

Pediatrics PreliminaryNeurodevelopmental Disabilities

Obstetrics-Gynecology PreliminaryVascular Surgery

Radiation OncologyChild Neurology

Thoracic SurgeryOtolaryngology

Interventional RadiologyOther

Plastic SurgeryInternal Medicine-Pediatrics

Transitional YearNeurological Surgery

Internal Medicine PreliminaryDermatology

Surgery PreliminaryPhysical Medicine & Rehab

PathologyOrthopaedic Surgery

NeurologyAnesthesiology

Radiology-DiagnosticObstetrics-Gynecology

Emergency MedicinePediatrics (C & M)

General SurgeryPsychiatry

Family MedicineInternal Medicine (C & M)

Available Positions

Preferred Specialty


SOAP Offers2012 - 2018

1,033878

9981,129

1,022 1,076 1,055

613

399

470

481

477533 542

92

50

63

56

53

46 47

0

500

1,000

1,500

2,000

2,500

2012 2013 2014 2015 2016 2017 2018

Accepted Rejected Expired


2018 SOAP PositionsOffered & Accepted by Round

695

258

102

381

129

32

29

13

5

0

200

400

600

800

1,000

1,200

1 2 3

Accepted Rejected Expired

1,268 Unfilled Positions

1,171 Positions in Soap

End of Day 1:

218 positions

remained

End of SOAP:

116 positions

remained

SOAP Round


SOAP PositionsAccepted by Applicant & Position Type

29 2 0 6 1

358

1561

8655

212

22

53

122

37

1

0

0

0

1

0

100

200

300

400

500

600

700

US Seniors US Grads USIMGs DOs IMGs

None Accepted PGY-1 Only PGY-2 Only Categorical PGY-1 & PGY-2

2,146

3,661

1,142

5,240967

1,053 applicants accepted 1,055 positions


U.S. Allopathic Seniors in SOAP2013 - 2018

1,816

595 602 591

2,076

609 623

506

2,050

653 645606

2,142

665 666615

2,140

610 633570

2,146

581 609 620

0

500

1,000

1,500

2,000

2,500

SOAP Eligible Offers Accepted Unique Applicants With AnyOffers

No Position Post-SOAP*

SOAP 2013 SOAP 2014 SOAP 2015 SOAP 2016 SOAP 2017 SOAP 2018

*Presentations before 2015 included only seniors with a certified ROL who did not have any position at the conclusion of SOAP, regardless of whether they

participated in SOAP. This presentation includes all SOAP-participating seniors who did not have any position at the conclusion of SOAP.


Today’s Topics


SOAP



Data Reports Results and Data Books posted to website 2018 Program Director Survey, July 1 Charting Outcomes in the Match, July 1

Research Collaborations NRMP-AMA Study: Career trajectory of U.S. seniors matched

only to PGY-1 preliminary positions NRMP-NBME Study: Impact of communication skills on Match

outcome

New Data Tools Specialty-specific “at-a-glance” Program Director Survey Interactive Charting Outcomes in the Match Using applicant characteristics to identify “good fit” programs

New at NRMP


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