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inform the other that placement on a rank order list is contingent upon submission of a verbal or writtenstatement indicating ranking intentions. Statements implying a commitment should be avoided. Rankorder lists take precedence over verbal commitments.

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If you can surf the Web and print from your browser, you should be able to useNRMPs interactive Web site. Users must have Internet Explorer version 6.0 orhigher, FireFox version 2.0, or other Mozilla compatible browsers. Either a PC orMacintosh computer can be used provided the computer has Internet access;however, the R3 System does not support the use of Safari by Mac users. TheNRMP Registration, Ranking, and Results (R3) System and the release of MatchWeek results use such features as Java Script, Java applets, and cookies that mustremain enabled for the systems to work.

F!0>

System Requirements:

Access to a computer that is able to connect to the World Wide Web

Modem 28.8 bps or faster (or network connection)

16 MB of RAM (or the requirements of the browser you use)

An e-mail address is required.

Browser Requirements: To use the Registration, Ranking, and Results (R3)System, Internet Explorer version 6.0 (or greater), FireFox version 2.0, or otherMozilla compatible browsers are required.

The System functions best on Internet Explorer version 6.0. The R3 System usesfeatures such as JavaScript, Java applets, and cookies, all of which must remainenabled for the system to work. Either a PC or Macintosh computer can be usedprovided the computer has Internet access; however, the R3 System does notsupport the use of Safari by Mac users. If you wish to use a Mac, please downloada free version of Firefox for Mac using this link, http://www.mozilla.com/en-US/firefox/all.html.

JavaScript:

You must have JavaScript enabled.

Important usage information for using R3:

Please do not use your browser's Back and Forward buttons. Use the navigationalbuttons made available to you on the Web page.

It is recommended that you close the web browser after you have logged out ofR3. R3 will "time out" after a short period of time, but if you work in R3 in a publiclocation, someone else may be able to use the Back button to view pages youhave worked on. They will not be able to do any work in R3, as soon as they


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click any button, there will be a Security Violation error message. However, theymay be able to view parts of your work. This is a feature of browsers that we cannot control. Closing your browser when you are done will combat this.

&10#)-4&&

E-mail is the primary mode of communication used by NRMP, so change your e-mail address as often as necessary to keep an updated e-mail address on yourpersonal profile in R3.

To change it, simply log into the R3 System with your AAMC ID and Password,go to Update My Profile, click Edit, enter the corrected e-mail address, and clickSubmit.

.$.&410#)

Many e-mail messages from NRMP are sent simultaneously to multiple

applicants. Some e-mail providers use filters to ensure that users do not receivespam (junk e-mail). In some cases those filters can prevent NRMP e-mails fromgetting through to participants.

The good news: the majority of providers that offer such filters generally providethe user with the option to turn the filter on or off. Other providers make a "junkmail file" or a "bulk mail folder" that includes all messages, sent to the user butidentifies multiple-addressee e-mails. Our e-mail address, [email protected],should be added to your personal contact, address book, "Safe", or "People IKnow" (for AOL users) list. For instance, if Hotmail sends an NRMP e-mailmessage to your Junk Mail box, you can tell Hotmail to add [email protected] to

your Safe List or to send it to your inbox.

If you are not receiving e-mail from NRMP and your provider does not offer suchoptions, we recommend that you either contact your provider to determine thebest way to access such messages or consider using an additional or replacementprovider during your matching process for your primary e-mail address.

For additional information on spam filtering, please visit the sites below.

Yahoo - Someone sent me a message and I haven't received it. What happened?

Hotmail - Safe Sender

After login, go to page Options > Safe and blocked senders > Safe senders. Toallow [email protected] , type it in the box, and then click Add to list.

&&!15G/0$$/

The applicant has not been determined to be eligible to enter graduate medicaleducation programs by their medical school official. Verification of eligibilitywill begin after the initial registration deadline of December 1st. To be able to


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+

participate in the NRMP match, Credential Status must be VERIFIED by the rankorder list deadline.

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Each partner of a couple enrolls individually in the Match and indicates in theNRMP R3 System that they want to be in the Match as part of a couple. TheNRMP allows couples to form pairs of choices on their primary rank order lists,which are then considered in rank order in the Match. The couple will match tothe most preferred pair of programs on the rank order lists where each partner hasbeen offered a position. More information about Couples

#!!8.&-B!&&

Section 4.3 of the Match Participation Agreement signed by NRMP institutional

officials requires each of the institution's programs to provide complete andaccurate information to interviewees, including a copy of the contract theapplicant will be expected to sign if matched to the program and the institution'spolicies on visa status and eligibility for appointment. The information must becommunicated to interviewees prior to the rank order list deadline, and a signedacknowledgment should be obtained from each interviewee. Recognizing thatmany appointment contracts are lengthy and that others may not contain all of theinstitution's relevant policies, an acceptable alternative is to post the contract andpolicies on the institution's Web site and notify interviewees where theinformation may be found. The signed acknowledgment should include astatement that the interviewee was notified that the information is posted on theWeb site.

I'm a US senior in an allopathic medical school and I've been offered a

position outside the Match. What should I do?

If any of a teaching hospital's graduate medical education programs participates inthe NRMPs Main Match, all of the hospital's programs may accept US seniors inallopathic medical schools only through the NRMP or another national matchingplan. Offering a contract outside the Match is a violation of the MatchParticipation Agreement. US allopathic seniors who obtain PGY-2 positionsthrough another national matching plan must obtain their PGY-1 preliminarypositions through the NRMPs Main Match.

$X#!-10#)"!"&

The NRMP accommodates applicants who wish to be matched as a couple byallowing two individuals to form pairs of choices on their primary rank order lists,which are then considered in order of preference when the matching algorithm is


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2

run. However, the algorithm considers only a couple's primary rank order listswhen attempting to find a match and does NOT treat a couple's supplemental rankorder lists as a unit in the Match. Once a couple has obtained a match from theirprimary rank order lists, the algorithm searches each supplemental rank order listindependently and attempts to place applicants in their most preferred program.

Consequently, couples' supplemental rank order lists should be assigned toprograms on their primary lists based upon the geographic locations of theprograms. For more information about couples, visit the Couples page.

How can I learn whether an institution or program I am in interested in

ranking has been the subject of a violation investigation conducted by the

NRMP?

The NRMP maintains an Institution and Program Violations Report in theRegistration, Ranking, and Results (R3) System that is available to applicantswho register for any NRMP match. The report displays information about

graduate medical education programs and sponsoring institutions that haveviolated the Match Participation Agreement. Term limits of any sanction(s)imposed for the violation are included to identify the length of time the sanction isin effect

Can I make changes or additions to my rank order list?

The rank order list (ROL) can be entered in one or more sessions. It can bemodified or re-ordered any number of times up until 9:00 p.m. on the deadlineday for rank order list entry. Applicants in the middle of a session at 9:00 p.m.will not be able to complete their session and will be forced off the server.

Participants are advised not to wait until the last minute to enter their rank orderlists so as to avoid any problems at the deadline.

If you change your rank order list by adding, moving, or deleting a program, thechange is saved and the previous rank order list is deleted from the R3 System.You must certify your ROL again for it to be used in the Match.

No changes can be made to your rank order list after the rank order list deadline.The NRMP will not add, delete, or in any way modify your rank order list.

.!."&&0>

Once the currently displayed ROL has been modified online, the previousversions of the list are not retained in the R3 System, regardless of whether theywere certified. The ROL that is displayed when the participant logs in is the onlyversion on file with the NRMP. Once the last updates have been made, theparticipant must certify the final version by the rank order list deadline in orderfor it to be used in the Match.


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How often are the applicant and program lists in the R3 System updated?

Applicant and program information is displayed in real time, so users always havecurrent information.

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Yes. Applicants and programs can print a copy of their rank order lists at any stepduring the process by using the Web browser print button or the View/Print ROLlink on the My Rank Order Listpage, which opens a printer-friendly version.

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Yes. When you certify your rank order list, NRMP will send to your primary e-mail address a confirmation that includes the number of programs on your list.

A-&10#)"--$X.&"&

When you have entered all of your ranks, you must certify your rank order list(ROL). Click the red Certify List button. You will then be asked to enter yourPassword. If you make changes to your rank order list, you must recertify it. AMatch Status of CERTIFIED ROL in the header (where your name and AAMCID are displayed) is the indication that you have finished your rank order list.

$!B"$!B.B

Technically, there is no limit. Remember, however, there is a $30 charge per

program ranked for each program over the first 20. For example, a list of 50would cost an additional $900.

For each partner of a couple, there is $30 charge for each additional programranked over the first 30.

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You are the only one, other than the NRMP staff, who can access your rank orderlist unless you give your AAMC ID and password to someone else. Your rankorder list is limited to need-to-know NRMP Staff.

&"-""&&

During that time, NRMP takes a number of major steps to assure the accuracy ofboth the Match and the subsequent release of Match information. Those stepsinclude:

Checking the integrity and completeness of the data.


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Transferring the data to the algorithm module, checking it again, and running theMatch.

Verifying the results of the Match and transferring the data into the NRMPdatabases.

Creating more than 60,000 individual reports for applicants, programs, andschools, and assuring confidentiality of the information. The reports are then

posted to the Web in accordance with the Match Results schedule. In addition, time is allotted for unmatched applicants and unfilled programs to

make decisions before Match Day.

A--$"-$.&

At 12:00 noon on Monday of Match Week, applicants can learn IF they matchedto a program on their rank order list by logging in to the NRMP's Registration,Ranking, and Results (R3) System using their AAMC ID and password.Applicants will be presented with one of the following messages on the ApplicantOptions page:

1. Congratulations, you have matched!

This message will be displayed for any applicant who is "fully" matched,including

Applicants who listed and matched to a categorical program.

Applicants who listed and matched to preliminary and advanced programs.

Other conditions also apply. Applicants who listed only advanced programs ontheir certified rank order lists and did not list any preliminary positions on asupplemental rank order list will receive this message. Similarly, applicants who

included only preliminary programs on their certified rank order lists will receivethis statement. The matching algorithm considers an applicant "matched" if he/shelists only one program type on his/her certified rank order list. Applicants whoreceive this message will not have access to the Dynamic List of UnfilledPrograms that is posted on Tuesday of Match Week.

2. Congratulations, you have matched to an advanced position but not a first yearposition!

This message will be displayed for any applicant who matched to an advancedposition but did not match to a preliminary position listed on a supplemental rank

order list. Applicants who receive this message will have access to the DynamicList of Unfilled Programs and are eligible to participate in the post-MatchScramble for unfilled positions to obtain a preliminary position; however,applicants may not use the Scramble to obtain a categorical position or a differentadvanced position.

3. Congratulations, you have matched to a one year position!


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This message will be displayed for any applicant who matched to a preliminaryposition but did not match to an advanced position listed on the primary rankorder list. Applicants who receive this message will have access to the DynamicList of Unfilled Programs and are eligible to participate in the post-matchScramble for unfilled positions to obtain an advanced position; however,

applicants may not use the Scramble to obtain a categorical position or a differentpreliminary position.

4. We are sorry; you did not match to any position!

This message will be displayed for any applicant who did not match to a programlisted on either a primary or supplemental rank order list. For applicantsparticipating as a partner of a couple, this statement also may be displayed if theapplicant listed the 999999999 program code on the primary rank order list toindicate '"No Match". Applicants who receive this message will have access to theList of Unfilled Programs and are eligible to participate in the post-Match SOAP

for any category of unfilled positions.

5. You are NOT matched because you did not submit a certified rank order list!

This message will be displayed for any applicant who registered to participate inthe Match but did not certify a rank order list prior to the rank order listcertification deadline. Applicants who receive this message will have access tothe List of Unfilled Programs and are eligible to participate in the post-MatchScramble for any category of unfilled positions.

6. You are NOT matched because you are withdrawn!

This message will be displayed for any applicant who registered to participate inthe Match but was withdrawn either by the medical school or by the NRMP.Applicants who were withdrawn by the NRMP because they obtained positionsthrough another matching service will not have access to the List of UnfilledPrograms.

$&

Unmatched applicants who submitted a certified rank order list will be able toparticipate in the Supplemental Offer and Acceptance Program (SOAP).

$&!-&

All applicant results are confidential and are available only to the applicant,programs that ranked the applicant, and the applicant's medical school.


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+9

$&&&

The Match Participation Agreement to which you affixed your password whenyou registered for the Match states that a match between an applicant and aprogram creates a binding commitment to accept or offer a position. A decision

not to honor that commitment is a breach of the Agreement and will beinvestigated by the NRMP in accordance with the Policies and Procedures for theReporting, Investigation, and Disposition of Violations of NRMP Agreements.Penalties may be levied if a violation is confirmed.

Under certain limited circumstances, the NRMP may grant an applicant orprogram a waiver of the match commitment if honoring the Match outcomewould result in undue hardship. Waivers must be requested from, and can begranted only by, the NRMP. Additional information on the waiver reviewprocess.

$"-.#

The program cannot grant you a waiver from your Match commitment. Programdirectors must report all waiver requests to the NRMP, which will investigate todetermine whether the waiver should be granted. If a waiver is not granted by theNRMP, you will be expected to accept the matched position. If your waiver isdenied and you do not accept the position to which you matched, you may beprohibited from accepting a position in another NRMP match-participatingprogram if training would being within one year from the date of the NRMP'sdecision; in addition, the NRMP will initiate a violation investigation inaccordance with the Policies and Procedures for the Reporting, Investigation, andDisposition of Violations of NRMP Agreements. If an NRMP match-participatingprogram offers you a position to begin training during the one-year prohibition,that program also will be investigated to determine whether it violated the MatchParticipation Agreement.

$&B%B!&&$-.&8

The commitment a participant undertakes in the Match Participation Agreement isto accept the results of the Match. To meet that obligation, you must sign aresidency contract and begin training at the program to which you matched. Yoursubsequent obligations are determined by the terms of that residency contract, notthe Match Participation Agreement. However, if the NRMP receives what itconsiders to be credible evidence that you did not enter your contract in goodfaith and that you began training in the program as a way to circumvent NRMPpolicy, the NRMP can initiate a violation investigation of your actions eventhough your training already has begun.


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What is the process if I'm investigated for a Match violation?

Subsequent to receiving a report of an alleged violation, the NRMP will contactthe applicant and any other individuals with knowledge of the situation andprepare a Preliminary Report that documents the nature of the allegation.

If the results of the investigation indicate that a material violation has notoccurred, the case will be closed and all parties will be so notified.

If the results of the investigation indicate a material violation occurred, thePreliminary Report will be distributed to the subject of the investigation, theindividual who reported the violation, and any other parties who providedinformation material to the investigation for their review and to correct theadditional information provided to the NRMP.

The Preliminary Report will be reviewed by a Review Panel of the NRMP's

Violations Review Committee, which will make the final determination ofwhether a violation occurred and, if so, the appropriate penalty. A Review PanelReport will be issued to the subject of the violation, who will have ten businessdays to notify the NRMP of the intent to initiate arbitration. If the subject of theviolation initiates arbitration, the NRMP will note in the Registration, Ranking,and Results (R3) System that the party is the subject of a "pending action". Thatdesignation will remain in place for the duration of the arbitration process. Inaddition, if the subject of the violation initiates arbitration, he/she has thirty daysfrom receipt of the Review Panel Report to file with the American HealthLawyers Association. If the subject of the violation does not request arbitrationwithin ten business days, the Review Panel Report will become the Final Report,

and it will be issued to all parties listed on the Report. All Match registrantsshould review carefully The Policies and Procedures for the Reporting,Investigation, and Disposition of Violations of NRMP Agreements.

What does it mean in the R3 System when it states that an institution or

program is the subject of "pending action"?

When a violation investigation of an institution or program results in an adversedecision, the institution or program is designated with "pending action" in the R3System. The designation remains in place until the institution or program haswaived or exhausted the opportunity to contest the action pursuant to theViolations Policy. Once the Final Report of the investigation has been issued, theprogram will be listed on the Institution and Program Violations Report if theNRMP has concluded that there was a breach of the Match ParticipationAgreement.

The above information is taken from the www.nrmp.org website.


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2

ERAS Residency ApplicantInformation Sheet (RAIS)Applicant Type Designated Deansffice

What is ERAS?

The Association of American MedicalColleges (AAMC) developed ERAStheElectronic Residency Application Service,to transmit residency applications, lettersof recommendation (LoRs), MSPE, transcripts,and other supporting credentials fromapplicants and medical schools to residencyprogram directors using the Internet.

How does ERAS work?

The ERAS service is made up of fourcomponents: MyERASthe applicant

Web site; the Deans Office Workstation(DWS), the software used by the designateddeans office; the Program DirectorsWorkstation (PDWS), the software used byprograms; and the ERAS PostOffice. Using asecure Web browser, applicants complete anapplication, select programs, and create andassign supporting documents. They then submitthese files to the ERAS PostOffice for deliveryto programs. School staff use the DWS to scanand store the transcripts, MSPE and LoRs andtransmit them to the ERAS PostOffice.Residency programs use the PDWS to connectto the ERAS PostOffice to downloadapplications and to review them using criteriathey establish.

Which specialties will useERAS this year?

Were welcoming Internal Medicine/Medical Genetics and Pediatrics/MedicalGenetics for ERAS 2011. Most PGY1specialties, including those in the Army andNavy, will use ERAS 2011 to receive theirapplications. A complete list of participatingprograms will be available online in mid-June(https://services.aamc.org/eras/erasstats/par/). Contact programs beforeapplying to confirm their participation.

How do I get started?

Contact your designated deans office.They will provide you with instructionsfor processing applications via ERAS.

Applicant Type Designated Deans

ApplicantType

DesignatedDeans Office

Canadian CaRMS*IMG ECFMG+Military#US Prior Yr GradUS Seniors

Your Medical School

* E-mail [email protected]+ Go to www.ecfmg.org/eras for moreinformation# Military applicants should also consultwith their military counselor for specialinstructions

When can I get started?

ERAS instructions and your token toaccess MyERAS will be distributed fromyour designated deans office in late June.ERAS Support Services at ECFMG willdistribute tokens beginning on July 1st.MyERAS will be available for you to beginworking on your application on July 1st.You may begin applying to allopathicresidency programs September 1st.Give yourself enough time to completeyour application to ensure programdeadlines are met. Contact programsbefore applying to ensure you meet allprogram requirements.

What will my school do?

Your school (or designated deans office)will establish processing procedures forERAS and the schedule for distributingMyERAS information. They will alsoprocess supporting application documentswhich include scanning transcripts,attaching documents, processing LoRsand sending files to the ERAS PostOffice.Student affairs staff can also help you withcareer planning and targeting appropriateprograms to apply to via ERAS.

When is the deadline to apply

to programs?ERAS does not establish deadlines forprograms. Individual programs set deadlines.Contact the programs directly for moreinformation about their requirementsand deadlines.

I dont have a computer athome. How can I apply?

You can use any computer with anInternet connection. The computer musthave Internet Explorer version 6.0 (orgreater) or Firefox version 3.0 (or greater). ERASdoes not provide technical support for Safari. Avalid e-mail address is also required so programscan contact you.

How do I apply to programs notparticipating in ERAS?

Contact the program directly for theirapplication requirements. You cannot use ERAS toapply to a program that is not available on theMyERAS Web site.

How much does ERAS cost?

ERAS processing fees are based on thenumber of programs to which you applywithin a specialty.

ERAS fees are: $75 initial application fee (includesup to 10 programs); $8 each for 11-20 programs;$15 each for 21-30 programs; and $25 each forprogram(s) over 30.

Prior to receiving a token, International

Medical Graduates (IMGs) are chargeda fee of $90 payable to ECFMG. ThisECFMG application fee includes preparation andtransmission of the ECFMG Status Report to allprograms, and confirmation of documents receivedvia OASIS, ECFMGs Web-based informationservice for ECFMG applicants and applicantconsultationon all non-technical matters.

Applicants who request USMLE and/orCOMLEX transcripts via ERAS pay a $70 fee eachto the NBME and/or NBOME for an unlimitednumber of electronic transcripts.

What is the ERAS IntegrityPromotion Program?

ERAS Integrity Promotion program wascreated to encourage integrity in theapplication process. Examples of possibleinfractions and the consequences of apositive finding are outlined in the ERASResidency Applicant section of the ERASWeb site at www.aamc.org/eras under

ERAS Policies.

ERASis a program of theAssociation of American Medical Colleges


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2+

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*According to their schedule, your designated dean's office will upload the MSPE to the ERASPostOffice. The MSPE (along with other ERAS documents) are transmitted from the Dean's OfficeWorkstation (DWS) to the ERAS PostOffice, and are placed in the programs' mailboxes. Mostuploaded files become available immediately; the MSPEs, however, are held until October 15th forosteopathic residency programs and November 1st for allopathic residency programs.

**Due to the Memorial Day holiday, the ERAS PostOffice will close at 5:00 PM ET on

Tuesday, June 1, 2010.

Program Application Deadlines

ERAS does not set program application deadlines as the individual programs set the deadlines. Youshould contact programs directly for their deadlines. The ERAS PostOffice, however, closes on May31st (unless otherwise indicated) every year to prepare for the next ERAS application season. Atthat time all of our servers are purged of all applications and supporting documents. ERAS does notmaintain records from year to year.


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