Combined Internal Medicine-Pediatrics Match 2013 and other Data

Allen Friedland, MD, FACP, FAAP

How many intern positions and med-peds programs are

there in the country?

National Resident Matching Program 2013

Programs and Number of Positions of Med-Peds Programs

5477

161

366

106 94 78

456

400

359

0

50

100

150

200

250

300

350

400

450

500

19801985199019951998199920002001200220032004200520062007200820092010201120122013

Programs

Positions

Pos

ition

s

Does med-peds fill in the match (NRMP) well?

OR

UT

MT

NM

CO

SD

ND

NE

KS

OK

TXLA

AZ

AR

MI

IN

IA

IL

ID

ME

NV

NH

OH

NC

NY

PA

SC

TN

VT

VA

WA

WV

WI

WY

MN

MO KY

NJ

DE

MD

CT

MA

MS

ALGA

HI

Med-Peds Match 2013 (77 programs with 366 positions)

FL

RI

CADC

CA (4): 18 spotsCA (4): 18 spotsUT: 3 spotsUT: 3 spotsAZ: 6 spotsAZ: 6 spots

VA:6 spots WV(3): 6 spots TN(2):14 spots VA:6 spots WV(3): 6 spots TN(2):14 spots NC(3):18 spots MS: 4 spots SC(2):8 spots NC(3):18 spots MS: 4 spots SC(2):8 spots AL: 7 spots AL: 7 spots FL(2): 8 spots FL(2): 8 spots

NE: 2 spots IN: 14 spots NE: 2 spots IN: 14 spots MI(6): 26 spots OH(4): 25 spotsMI(6): 26 spots OH(4): 25 spotsMN: 12 spots WI (2): 8 spotsMN: 12 spots WI (2): 8 spotsKY(2): 10 spots IL(5): 24 spots KY(2): 10 spots IL(5): 24 spots

ME: 3 spotsME: 3 spotsNY(4): 18 spotsNY(4): 18 spotsMA(4): 19 spotsMA(4): 19 spotsCT: 4 spotsCT: 4 spotsRI: 4 spotsRI: 4 spots

PA(4): 16 spotsPA(4): 16 spotsNJ(2): 5 spotsNJ(2): 5 spotsDE: 4 spotsDE: 4 spotsDC: 4 spotsDC: 4 spotsMD: 8 spotsMD: 8 spots

OK(2): 6 spots AR: 6 spotsOK(2): 6 spots AR: 6 spotsTX(2): 14 spots LA(3):14 spotsTX(2): 14 spots LA(3):14 spotsMO (3): 13 spots KS: 2 spotsMO (3): 13 spots KS: 2 spots

National Resident Matching Program 2013

Med-Peds Overall Fill Rate thru the Match

5

77

829481

93106

365378400

161

273

405456

363345352

420

351

163

121

0

100

200

300

400

500

19

80

19

85

19

90

19

95

19

98

19

99

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

Programs

Positions

Filled

99%

Pos

ition

s

National Resident Matching Program 2013

Overall Fill Rates By Residency In NRMP Match (US and IMG)

60%

65%

70%

75%

80%

85%

90%

95%

100%

1985

1990

1995

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

Int. Med.

Med-Peds

Peds

FamilyMed

PrimaryCare

Per

cent

Fill

What percent of intern positions are matched with US

allopathic graduates?

National Resident Matching Program 2013

Fill Rates By Residency In Match (US Graduates only)

40%

45%

50%

55%

60%

65%

70%

75%

80%

85%

90%

19

98

19

99

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

Int. Med.

Med-PedsPeds

FamilyMed.PrimaryCare

85%312 interns

Per

cent

Fill

What are the absolute numbers of matched interns

from allopathic and osteopathic medical schools?

US Graduates (allopathic) Matching into Med-Peds

387

137100

150

200

250

300

350

400

19

89

19

90

19

91

19

92

19

93

19

94

19

95

19

96

19

97

19

98

19

99

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

National Resident Matching Program 1989-2013

App

lican

ts

312

241

US Graduates (Osteopathic) Matching into Med-Peds

13

20 21

24 24

27

21 21

27

0

5

10

15

20

25

30

2004 2005 2006 2007 2008 2009 2010 2011 2012

National Resident Matching Program 2004-2013

App

lican

ts

Total Allopathic Applicants to ERAS Compared to Those That Rank and

Match into Med-Peds (NRMP)

420

391

312

434

350

482

409 405

338258

294

200

250

300

350

400

450

500

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

Allopathicapplicants tomed-peds

Allopathicgraduatesranked med-peds

Allopathicgraduatesmatched tomed-peds

ERAS data (unpublished) with permission 2013

National Resident Matching Program 2000-2013

App

lican

ts

Are there regional differences in the number of applicants

that apply to med-peds programs?

ERAS Applicants to Med-PedsU.S. Graduates (Allopathic and

Osteopathic) by Region

164148 148

53

186

160

10367

128

97

26

51

0

20

40

60

80

100

120

140

160

180

200

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

South

Central

Northeast

West

ERAS data (unpublished) with permission 2013

App

lican

ts

Osteopathic Applicants To Med-Peds Through ERAS

48

0

10

20

30

40

50

60

70

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

South

Central

Northeast

West

Total

ERAS data (unpublished) with permission 2013

App

lican

ts

When there are unfilled positions how many are there and what part of the country

are they in?

Med-PedsUnmatched Positions to Total Intern

Positions by Region (2006-2013)2006 2007 2008 2009 2010 2011 2012 2013

Northeast 693

495

285

386

090

088

685

086

Central 7135

7103

11130

4127

2125

0127

6127

1130

South 19123

22126

23119

8115

2118

3123

6122

2124

West 025

027

028

226

026

027

028

026

Total 32376

33378

36362

17354

4359

3365

18362

3366

National Resident Matching Program Regional Stats 2006-2013

What are average USMLE and COMLEX scores and

other important data?

2011 Charting the Outcome: NRMP and AAMC

Summary Statistics 2011U.S. Seniors

Matched Unmatched (n=302) (n=43)

Independent Applicants

Matched Unmatched (n=44) (n=45)

Mean USMLE 1 230 219 217 218Mean USMLE 2 242 224 221 217Mean # contiguous ranks

8.6 3.7 5.6 1.6

Mean number of distinct specialties ranked

1.2 2 1.8 2.2

Osteopathic Boards Data (n=136) 2004-2013

532548

572

400420440460480500520540560580600620640

COMLEX1

COMLEX2

COMLEX3

211

227

180

190

200

210

220

230

240

250

USMLE 1 USMLE 2

Med-Peds Directors Survey 2013 (unpublished)

Ave

rage

CO

MLE

X a

nd U

SM

LE

Summary of Med-Peds• Depth and breadth of two disciplines that allows

flexible career goals without Surgery and OB training. The perfect “double major”

• Four years of training that is rigorous but humane; gives added maturity to your career

• Wide variety of practice styles and settings; effective with variety of patient problems

• Dual board certification in Internal Medicine and Pediatrics that is unique

• Niches of special populations; cross fertilization of knowledge

• More than 40 years of rich history in Med-Peds

Combined Internal Medicine-Pediatrics

A specialty worth consideration !!