s trolling t hrough the m atch the beginning of the end … or the end of the beginning presented by...
TRANSCRIPT
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STROLLING THROUGH THE MATCHSTROLLING THROUGH THE MATCH
The Beginning of the End…or the end of the beginning
Presented by Owen P. Phillips, M.D. and Debbey Hester
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Career Connections:● Part 1: AAMC Careers in Medicine (CiM)
Appraising The Challenge Self Assessment Surveying Alternatives Evaluating Alternatives Achieving Commitment
● Part 2: Residency Exploration Day (January)● Part 3: Post Match 2013 w/M4 Panel● Part 4: Strolling Through the Match (STTM)
PREPARING FOR YOUR FUTURE
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● Medical Student Performance Evaluation (MSPE)● Letters of Recommendation● RECAP: Preparing Your Credentials
● Curriculum Vitae● Personal Statement
● Applying for Residency Nat’l Resident Matching Program (NRMP) Electronic Residency Application Service (ERAS) Military, Urological, & San Francisco Match
STTM OVERVIEW
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THE APPLICATION TEAMTHE APPLICATION TEAMLetter Writers
● Owen Phillips, M.D. ● Gerald Presbury, M.D.● Renate Rosenthal, Ph.D.● David Stockton, M.D. (Knoxville)● Robert C. Fore, M.D. (Chattanooga)● The Faculty (excluding the MSPE)
Application Coordinator● Debbey Hester
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910 Madison Avenue, Suite 1043Memphis, TN 38163
Tel: 448-5684 | Fax: 448-7085
http://www.uthsc.edu/medicine/students
OUR CONTACT INFORMATION
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Preparation for Success●Be certain about career choice
Narrow it down - or come see me●Talk with Clerkship Director (and others) to answer
nagging worries about career choice(s)●Once certain about career choice, talk with department
chair competitiveness of specialty, where to apply,
outside rotations, etc.●Get CV together
Getting Ready for the MatchGetting Ready for the Match
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Preparation for Success●Write your personal statement●Consider who should write you letters of
recommendation contacting his/her secretary to schedule an
appointment provide copy of cv, personal statement & ERAS
cover letter (download from SA web page)●Debbey Hester schedules ALL MSPE appointments
Scheduling begins July 8th; Appointments begin July 15th
Instructions for scheduling MSPE appointments will be sent via UTHSC email late June
Getting Ready for the MatchGetting Ready for the Match
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Strolling Through the Match April 29, 2013
Curriculum Vitae
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●One page ●Good quality paper●White or near white●Ordered and structured
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Strolling Through the Match April 29, 2013
Personal Statement
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A Personal Statement tells…● Why I chose medicine● How I chose my specialty● Where I see myself● Insight into family and very special interests
PERSONAL STATEMENTPERSONAL STATEMENT
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Summary● CV & PS quality will not make or break you● May induce a great deal of interest and augment ‘the
numbers and grades’● Poor grammar or sloppiness may hurt● Bring a good copy of CV and personal statement with
you when you meet with faculty about writing a reference letter
CV & PERSONAL STATEMENTCV & PERSONAL STATEMENT
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Medical Student Performance Evaluation (MSPE)Medical Student Performance Evaluation (MSPE)
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The MSPE is a comprehensive assessment regarding comparative performance.
● It should describe, in sequential manner, the student’s performance, as compared to peers, through 4 full years of school.
● It should be an assessment of both academic performance and professional attributes.
● It should be 2-3 pages in length and appropriately formatted with appendices.
THE MSPE…
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Is neither a letter of recommendation nor a prediction of future performance
in residency
THE MSPE…
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Format● Identifying Information
Identifies you as a fourth year medical student at the University of Tennessee Health Science Center AOA distinction with Class Rank
automatically included if applicable● Personal Comments / Noteworthy Achievements
demonstrated leadership research abilities community service significant challenges/hardships
THE MSPE…
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Format● Academic History
graduation and matriculation dates breaks, gaps, LOA transfer school and dual degreed program
information, if applicable explanation of remediated coursework explanation of adverse actions
THE MSPE…
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Format● Academic Progress
basic sciences & introduction to clinical medicine (PCC/DRS)
required clinical core clerkships and electives reported thru mid-October
THE MSPE…
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Format● Summary
summative assessment of comparative performance relative to peers
reference to unique characteristics / accomplishments
overall performance in basic medical sciences & clinical clerkships with emphasis on professional attributes
THE MSPE…
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Format● Overall Medical Student Performance
Rating GPAs taken from GPA/Class Rank
report (available early September)
THE MSPE…
Indicates percentage of class in each category; not an indication of class rank.
OVERALL MEDICAL SCHOOL PERFORMANCE
Outstanding(0.00-0.00)
Excellent(0.00-0.00)
Very Good(0.00-0.00)
Satisfactory(0.00-0.00)
15% 25% 50% 10%
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Format● Appendices
A – bar graph of performance relative to peers in each preclinical course
B – bar graph of performance relative to peers in each core clinical clerkship
C – assessment of professional attributes relative to peers **
D – bar graph showing overall performances relative to peers
E – medical school information page
THE MSPE…
** Not currently included in the MSPE
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Letters of RecommendationsLetters of Recommendations
For instructions visit https://www.aamc.org/students/medstudents/eras/
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Generally 3 - 4 are required; recommend 4● department chair of your chosen specialty● senior faculty member usually in specialty of choice (i.e.,
faculty with whom you did JI)● other faculty member(s), not necessarily in specialty, who
knows you well● schedule appointment EARLY to review your professional
goals and answer questions● LOR appointments schedule through faculty member’s
office, not Student Affairs● provide a CV, personal statement, transcript, and list of
programs; download and attach Cover Sheet from MyERAS!● don’t be shy about discussing your strengths or extenuating
circumstances
LETTERS OF RECOMMENDATION
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Chair’s letterChair’s letter• Call the department to set up an appointment - do
not email• The chair is expecting you - even if you have never
met• The interview as well as your performance on the
rotation will be enough for him to write you a letter• Bring a list of programs you are applying to • Ask about your competitiveness for specialty
and/or programs and listen to the feedback
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Questions so far?Questions so far?• Knowing career choice- now or very soon• Uncertain? Talk to folks now!• Look at evaluations from clerkships- now• Are you in an early Match? Know the deadlines• Personal statement and CV– now• LORs- should have an idea on who should write• Chair’s letter- probably beginning July or August• MSPE- we will send out a notice about scheduling• More questions– call me!• Worried- call me!
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The Electronic Residency Application Service (ERAS)The Electronic Residency Application Service (ERAS)~ an electronic application delivery service
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ERASERASWhat is ERAS ?Electronic “application delivery service ” used to transmit applications, letters of recommendation, MSPEs, transcripts, and other supporting credentials from applicants and medical schools to residency program directors using the Internet.• Tokens will be distributed via UT email to applicants in
late June• MyERAS available (but not live) for applicants mid July• ERAS Post Office opens September 1st; available for
transmission of documents to programs• Required for NRMP, Urology and Military matches. Visit
http://www.sfmatch.org for application requirements for San Francisco Match.
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ERASERAS· ERAS is comprised of four main components:
· MyERAS is the Web site where applicants (YOU) complete the MyERAS Application· select programs, assign documents to be received by programs (i.e.,
personal statement, request USMLE, etc.)
· DWS is the software used by the designated dean's office. · scan and attach supporting documents to the application (i.e., photo,
medical school transcript, MSPE, and LoRs.)
· PDWS is the ERAS software used by program staff to receive, sort, review, evaluate, and rank applications.
· ERAS Post Office is the central bank of computers that transfer the application materials from USMLE, applicants and their designated dean's office to residency programs.
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· Students should NOT for a completed application before submitting application; evolving process.
· No supporting documents can be transmitted through ERAS UNTIL THE STUDENT SUBMITS HIS/HER APPLICATION!
· Set target date to have as much of your application ready to transmit by September 15th; including photo
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ERASERASHow Does ERAS work? • Applicants receive electronic token in late June to register with MyERAS;
begin completing online ERAS application. – Worksheet from ERAS applicant resource page– Copy of AMCAS application from Registrar’s Office; allow 2 days
• Applicants certify/submit ERAS applications to programs beginning September 1st– USMLE receives requests to upload USMLE scores to ERAS Post Office
• Transcript includes scores posted at time applicant submits ERAS application
• School begins uploading support documents July 1st• School begins transmitting support documents September 1st• Programs begin downloading applications September 1st; make interview
offers early September• Applicants should set a target date of September 1st for completing entire
application and should track applications using ERAS ADTS!!!
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ERASERAS
ERAS is NOT the same as NRMP…• You must register for ERAS separately from
NRMP• ERAS – Late June/Early July• NRMP – September 1st
• ERAS is required to transmit supporting documents for applicants enrolled in the NRMP, the Urology match and for some branches within the military match.
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ERASERASHow much does ERAS cost?
● ERAS processing fees are based on the number of programs to which you apply per specialty
● Check ERAS website for pricing
Is there a deadline for submitting ERAS applications to Student Affairs?
● No. However, SA recommends your ERAS application be completed and ready to transmit by September 1st
Programs set their own deadlines; check web sites
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APPLYING FOR RESIDENCYAPPLYING FOR RESIDENCY~ the mechanics of the application process
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APPLYING FOR RESIDENCYAPPLYING FOR RESIDENCYPATHS of Residency Application
•Advanced specialties with own Match•US Armed Forces•National Resident Matching Program (NRMP)
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APPLYING FOR RESIDENCYAPPLYING FOR RESIDENCYAdvanced specialties with own Match
Early Match | Results faxed to our officeo San Francisco Matching Program
http://www.sfmatch.org Neurology, ophthalmology, and plastic surgery Must register for the NRMP for preliminary year Uses ERAS for prelim year only
o American Urological Association Residency Matching Program
www.auanet.org/content/residency/residency-match.cfm Register for NRMP as a backup Uses ERAS Registration early June
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APPLYING FOR RESIDENCYAPPLYING FOR RESIDENCYUS Armed Forces (Military Match)
Should also enroll in the NRMP Automatically withdrawn by NRMP if matched
by military Results faxed to our office in January
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The National Resident Matching Program (NRMP)The National Resident Matching Program (NRMP)~ a coordinated matching service
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APPLYING FOR RESIDENCYAPPLYING FOR RESIDENCYNational Resident Matching Program (NRMP)
http://www.nrmp.org The Match - service for matching applicants to
programs Provides uniform date of MSPE
o Absolutely NO MSPE will be released prior to 1 October Registration for NRMP begins September 1st
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THE NRMPTHE NRMPCategories/Tracks of Internships
● Preliminary (P) Serves as prerequisite for additional post graduate
medical education in other disciplineso Ex. Prelim medicine, Prelim Surgery
● Transitional Year (P) May/ may not serve as preliminary year Undecided about specialty
● Advanced (A) Begins PGY 2 and requires 1-2 years of preliminary training
o Ex. Radiology (A), Anesthesiology (A), Dermatology (A)
● Categorical (C) Offer positions for PGY1 with no preliminary training required
o Ex. Family Medicine, Surgery, Internal Medicine, Medicine-
Pediatrics, Ob/Gyn, Pediatrics , Psychiatry
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THE NRMP - MATCHING AS A COUPLETHE NRMP - MATCHING AS A COUPLEParticipating as a Couple
When two individuals are registered for the same specialties matching service (e.g., NRMP), they may participate in that Match as a couple
• Couple’s match is not a separate match from the NRMP!• Each partner of a couple enrolls individually in the match• The NRMP allows couples to form pairs of choices on their rank order
lists, which then are considered in rank order in the Match• Partners can be matched into positions in the same institution or in
different institutions• Couples are encouraged to talk to us for assistance with preparing their
rank order lists for the Match or for questions
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MATCHING AS A COUPLEMATCHING AS A COUPLE
IMPORTANT TO REMEMBER!
Partners listed as a couple are treated by the Match solely as a couple. If one partner does not match, neither partner will match.
If one partner wishes to withdraw, both partners must uncouple before either can withdraw.
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QUESTIONS ABOUT THE APPLICATION PROCESS?QUESTIONS ABOUT THE APPLICATION PROCESS?
● Know whether your specialty needs you to apply to a preliminary year
● Couples matching? Come see Deb Hester● Should you have a parallel plan or backup
specialty choice? We will talk about that next – but the answer for almost everyone should be YES
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MATCH TRENDS~ Total positions vs. Total Applicants (including IMGs, previous grads, etc.)
MATCH TRENDS~ Total positions vs. Total Applicants (including IMGs, previous grads, etc.)
Over the past several years, the competition for residency positions has heightened.
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Percent of Matches by Choice in 2012For 2013- Unmatched rate nation-wide was 6.7%Percent of Matches by Choice in 2012For 2013- Unmatched rate nation-wide was 6.7%
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Ratio: Applicants Ranking Specialty First/Available positionsby Preferred Specialty-- 2011 last year we have dataRatio: Applicants Ranking Specialty First/Available positionsby Preferred Specialty-- 2011 last year we have data
NRMP: Charting the Outcome of the Match 2011
Chart 2 shows the ratios of U.S. seniors and independent applicants to available positions in each specialty. All specialties except Dermatology, Neurological Surgery, Orthopaedic Surgery, Otolaryngology, Plastic Surgery, and Radiation Oncology have enough positions to accommodate all U.S. seniors who prefer that specialty. As the number of applicants has increased in recent years, fewer specialties have offered enough positions for all applicants who prefer that specialty.
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USMLE Step Scores of Matched Applicantsby preferred Specialty and Applicant Type (2011)USMLE Step Scores of Matched Applicantsby preferred Specialty and Applicant Type (2011)
NRMP: http://www.nrmp.org/data/index.html
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WHAT TO DO!!WHAT TO DO!!
● Right- size● Consider parallel plan- a preliminary year
or alternate career choice
● Meet with the experts● Me or specialty advisors
● We had 17 students who did not match into either a PGY1 or PGY2 or both in 2013
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NRMP IMPLEMENTED IN 2012NRMP IMPLEMENTED IN 2012
S.O.A.P.The NRMP Board of Directors implemented changes to Match Week 2012 with a new Supplemental Offer and Acceptance Program for unmatched applicants and unfilled programs.
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S.O.A.P.S.O.A.P.• Designed to help streamline, equalize, and automate the process for
students who are not matched initially;
Under SOAP, the NRMP makes available the locations of unfilled positions so that unmatched students can submit applications for these positions through the AAMC’s Electronic Residency Application Service® (ERAS®).
After receiving applications through ERAS, residency program directors create a list of candidates in order of preference and the NRMP offers positions in that order in a series of up to eight rounds.
Applicants are able to receive multiple offers in a single round; if an offer is accepted, it is binding.
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S.O.A.P. - Applicant EligibilityS.O.A.P. - Applicant Eligibility
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S.O.A.P. - Program ParticipationS.O.A.P. - Program Participation
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Match Week ScheduleMatch Week Schedule
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At the End of the Match (before S.O.A.P. week)
At the End of the Match (before S.O.A.P. week)
• There were 0-1 U.S. positions available for S.O.A.P.
–Dermatology - Radiation Oncology
–Thoracic Surgery - Plastic Surgery–Orthopedic Surgery - Neurosurgery
–Physical Medicine and Rehabilitation
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Begin working on CV/personal statement NOW!
Review your student evaluations (910 Plaza #1043) NOW!
Begin familiarizing yourself with NRMP and ERAS via their websites:
http://www.nrmp.org/
http://www.aamc.org/audienceeras.htm
NOW!
Register and begin entering ERAS application online July 1
Begin scheduling appointment for MSPE with Debbey HesterAppointments begin July 16th; end October 24th*
July 7
Begin registering online for the NRMP 12:00 Noon EST September 15
Begin transmitting ERAS applications to programs (Target Date) September 1
MSPE released to all programs November 1
SOAP eligibility confirmed by Student Affairs March 14
NRMP Online notification of “matched” or “unmatched” March 17
Match Day Class of 2014 March 21
REMINDER OF TIMELINE 2012-13
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EMAIL EMAIL How important is EMAIL?
● EXTREMELY IMPORTANT! Pay attention to ANY email coming to you from Student Affairs! Check daily!
● Programs accepting applications via Email communicate using Email, including announcements, questions about one’s application and interview offers
● Student Affairs uses Email to notify you of important developments and/or alerts as it relates to ERAS or other issues involving the application process or Student Affairs Student Affairs uses UT accounts only! Avoid using HOTMAIL with ERAS due to
incompatibility issues with the ERAS software
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Stay on top of your application: set target dates and pay attention to deadlines!
SUMMARY
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Avoid waiting until the last minute to apply or ask for letters of support.
SUMMARY
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SUMMARY
Rumors cause problems…
Contact our office when you have questions or have concerns about your application!
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Office of Student Affairs
http://www.utmem.edu/medicine/students
Tel: 901.448.5684
910 Plaza, Suite 1043
CLICK, CALL OR COME BY!
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Wrapping it up…
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• Everyone should match• You should take our advice• If you hear a rumor, confirm with us• There are some realities to this process
The Heartburn: Will I match?The Heartburn: Will I match?
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• Number of medical school graduates going up
• Number of graduates of osteopathy schools entering match going up
• Number of residency spots are NOT going up
AAMC reported trendsAAMC reported trends
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Worse newsWorse news• Unmatched students had a hard time matching into
any residency slot during S.O.A.P. week even in Preliminary slots
• At the end of the Match in the U.S., 1200 unmatched students
• At last count, 600 students in the U.S. have no residency position for July, 2013
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• From 2008-2013• 50 students went unmatched to a PGY1 position
• 2008 9/149 6.0%• 2009 5/136 3.7%• 2010 8/143 5.6%• 2011 8/146 5.4%• 2012 8/149 5.3%• 2013 12/156 7.6%
THEN UT HEARTBURN EXPERIENCE
THEN UT HEARTBURN EXPERIENCE
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Family MedicineGeneral Surgery
Medicine/PediatricsObstetrics & Gynecology
Orthopaedic SurgeryOtolaryngology
Physical Medicine & Rehabilitation PediatricsUrology
THE UT HEARTBURN: UNMATCHED SPECIALTIES FOR 2012-2013 MATCHES
THE UT HEARTBURN: UNMATCHED SPECIALTIES FOR 2012-2013 MATCHES
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• We don’t want any SOAP participants• Come in early to see me; Let’s talk about your
application and goals• I believe in a back-up plan or a decision about
‘what’s the worst thing that could happen to you’
• Everyone is here to help you get into the specialty you want; So please…..Let us!
Let us helpLet us help
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QUESTIONS?
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2013
NRM
P SU
MM
ARY
2013
NRM
P SU
MM
ARY