Mona M. Signer Executive Director November 1, 2013

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NRMP Update

Mona M. SignerExecutive DirectorNovember 1, 2013


Today’s Topics Main Residency Match Trends US Seniors’ Strategies in the Match New at NRMP


Main Residency MatchPGY-1 Positions Offered and FilledAll In Policy Created a Rising Tide

2004 2005 2006 2007 2008 2009 2010 2011 2012 20130

5,000

10,000

15,000

20,000

25,000

30,000

Offered Filled Filled US Seniors


Main Residency MatchActive Applicants

960 More Seniors, 3,000 More Active Applicants

2004 2005 2006 2007 2008 2009 2010 2011 2012 20130

5,00010,00015,00020,00025,00030,00035,000

Others Osteopaths IMGs US IMGs US Physicians US Seniors


Main Residency MatchMatch Rates by Applicant Type

Increased for All Applicants Except US Seniors

2004 2005 2006 2007 2008 2009 2010 2011 2012 20130

102030405060708090

100US Seniors

Osteopathic

US IMGsPrior US GradsIMGs


Unmatched US Seniors by School2009-2013

0% 5% 10% 15% 20% 25% 30%0

5

10

15

20

Percent Unmatched

Num

ber U

nmat

ched Average = 6.9 graduates/school

Average = 5.9% of class


Unmatched Seniors, Unfilled PGY-1 Positions in SOAP

Not Enough Unfilled Positions for Unmatched Seniors

2004 2005 2006 2007 2008 2009 2010 2011 2012 20130

500

1,000

1,500

2,000

2,500

1,800

1,097

1,037 850

Unfilled PGY-1 Positions in SOAP

U.S. Seniors Unmatched to PGY-1 Positions


1,041 Unfilled PositionsMore Than Half Preliminary

2004 2005 2006 2007 2008 2009 2010 2011 2012 20130

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

375 466 486 481 455 473 461 444 484 459

202184 194 136 127 89 105 129 123 74

1148 994 862663 696

487 459 425 460367

9297

71

101 92

59 82 103146

112

Surg-Prelim Med-Prelim T-Year & Peds-Prelim Categorical Advanced


Preferences of Unmatched Seniors and Available SOAP Positions

Child NeurologyNeurology

Radiation OncologyTransitional Year

PathologyRadiology-Diagnostic

Internal Medicine (preliminary)Internal Medicine-Pediatrics

Surgery-Preliminary (PGY-1 Only)Dermatology

Plastic SurgeryPhysical Medicine & Rehab

PsychiatryAnesthesiology

Neurological SurgeryPediatrics

Family MedicineOtolaryngology

Obstetrics-GynecologyInternal Medicine

Emergency MedicineGeneral Surgery

Orthopaedic Surgery

0 50 100 150 200 250 300

25

6791013131414192225

3440

4651

7783

93104

112153

Available PositionsPreferred Specialty

455


SOAP PositionsOffered & Accepted by Round

1 2 3 4 5 6 7 80

200

400

600

800

1,000

559

20382

23

297

78

21

15

Accepted Rejected Expired

877

296

105

319 7 1 1

1,041 Unfilled Positions 939 Positions in Soap

End of Day 1:177 positions

remained

End of Day 2:66 positions

remained

End of SOAP:61 positions

remained


SOAP PositionsAccepted by Applicant & Position Type

US Senior US Grad USIMG Osteo IMG0

100

200

300

400

500

600

700

31 6 1 14 0

393

21 39 33 23

13

15 10 96

141

29 2544

23

24

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

2,076

3,745 923 5,9761,045

851 applicants accepted 878 positions




Percent US Seniors Citing Each Factor for Applications

Career paths of recent program graduatesProgram flexibility to pursue electives

Future fellowship opportunities in the institu-tion

Program sizeCost of living

Housetaff moraleSocial & recreational opportunities in area

Balance between supervision & patient care responsibility

Quality of program directorDiversity of patient problems

Work/life balanceQuality of faculty

Academic medical center programQuality of residents in programQuality of curriculum & training

Reputation of programGeographic location of the residency

0% 25% 50% 75% 100%

56%

56%

57%

58%

60%

60%

61%

62%

67%

68%

68%

73%

74%

79%

86%

90%

95%

Source: NRMP 2013 Applicant Survey


Percent US Seniors Citing Each Factor for Applications (cont’d)

Previous Match violationOpportunity for systems-based practice

Supplemental income (moonlighting) oppor-tunities

Other benefitsCommunity-based program

Cultural/ethnic diversity at institutionABMS board pass rates

Opportunity for international experienceSalary

Quality of ancillary staffVacation/parental/sick leave

Cultural/ethnic diversity of geographic locationCall schedule

Opportunities to perform specific proceduresAvailability of electronic medical record

Research opportunitiesQuality of hospital facility

Size of patient caseloadPreparation for fellowship training

0% 25% 50% 75%

6%19%

21%21%21%21%

25%29%

31%33%33%34%

38%39%

41%46%

54%55%56%



Percent US Seniors Citing Each Factor for Ranking

Career paths of recent program graduatesPreparation for fellowship training

Future fellowship opportunities in the institu-tion

Quality of hospital facility

Balance between supervision & patient care responsibility

Diversity of patient problemsSocial/recreational opportunities in area

Program sizeHousestaff morale

Academic medical center programWork/life balance

Quality of curriculum & trainingQuality of program director

Quality of facultyQuality of residents in program

Reputation of programGeographic location

0% 25% 50% 75% 100%

46%

48%

48%

49%

51%

51%

52%

55%

61%

63%

67%

67%

70%

76%

80%

84%

86%



Percent US Seniors Citing Each Factor for Ranking (cont’d)

Previous Match violationOpportunity for systems-based practice

Supplemental income (moonlighting) oppor-tunities

Other benefitsCommunity-based programVacation/parental/sick leave

Cultural/ethnic diversity at institutionOpportunity for international experience

ABMS board pass ratesSalary

Cultural/ethnic diversity of geographic locationQuality of ancillary staff

Opportunities to perform specific proceduresCall schedule

Availability of electronic medical recordResearch opportunitiesSize of patient caseload

Cost of livingProgram's flexibility to pursue electives

0% 25% 50%

5%12%

14%14%

17%21%

22%23%23%23%

25%29%

30%33%33%

41%41%

43%45%



Dermatology

Plastic Surgery

Radiation Oncology

Physical Medicine and Rehabilita-tion

Radiology-Diagnostic

Child Neurology (Neurology)

Internal Medicine/Pediatrics

Surgery-General

Anesthesiology

Neurology

Otolaryngology

Orthopaedic Surgery

Emergency Medicine

Obstetrics and Gynecology

Neurological Surgery

Psychiatry

Family Medicine

Internal Medicine

Pathology

Pediatrics

0% 20% 40% 60% 80% 100%

23

46

48

67

73

73

74

77

79

80

83

88

89

91

92

92

93

93

96

97

Percent US Seniors Ranking One Specialty By Preferred Specialty

Source: NRMP Data Warehouse


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

64

7376 77 77 80

8488 90 91 91 91 92

96 96 96 96 97 97

Percent US Seniors MatchedBy Preferred Specialty

Source: NRMP Data Warehouse


Unmatched Applicants: Applications, Interviews, Programs Ranked in Preferred Specialty

Other

Foreign

US Foreign

Osteopathic

US Graduate

US Senior

0 10 20 30 40 50 60 70 80 90

54.8

85.9

81.4

34.3

44.9

50.9

1.2

2.5

2.9

5.3

3.5

7.1

1.5

3.4

3.9

5.4

4

6.9Programs RankedInterviews AttendedApplications

Match outcome based on preferred specialtySource: NRMP 2013 Applicant Survey


Unmatched Applicants: Applications, Interviews, Programs Ranked in Alternate Specialty

Foreign

US Foreign

Osteopathic

US Graduate

US Senior

0 10 20 30 40 50

41.9

42.1

13.3

19.4

19.4

1.6

2.5

2.9

3.6

5.6

1.6

2.8

2.4

2.6

5.1Programs RankedInterviews AttendedApplications



Programs Ranked

Interviews Attended

Interviews Granted

Applications Submitted

0 10 20 30 40 50 60

6.9

7.1

8.9

50.9

10.9

11.7

16.3

32.8Average Number of

Matched Unmatched

Applications, Interviews, & Programs Ranked: 2013 US Allopathic Seniors

18.1 more applications

7.4 fewer interview offers

4.6 fewer interviews

4.0 fewer ranked programs



Ranked one or more program) where I applied but did not in-terview

Ranked programs based on the likelihood of matching

Ranked one or more programs in an alternative specialty as a "fall-back" plan

Ranked one or more less competitive programs in first-choice specialty as a "safety net"

Ranked a mix of competitive and less competitive programs

Ranked all programs I was willing to attend

Ranked all programs at which I interviewed

Ranked the programs in order of my preferences

0% 20% 40% 60% 80% 100%

4%

16%

20%

21%

41%

62%

65%

97%

3%

5%

6%

34%

54%

72%

60%

98%

Matched Unmatched

Ranking Strategies:2013 US Allopathic Seniors


Less likely to rank “safety-net” programs

More likely to rank all programs where they interviewed

Less likely to rank a mix of programs

More likely to rank based on likelihood of matching

More likely to rank alternate specialty

Less likely to rank all programs willing to attend




PRISMThe Program Rating and Interview Scheduling

Manager


MatchEvents


Program Search


Program Information


My Programs


Manage My Programs


Manage Program Interview


Interview Schedule


Custom Program Notes


Rating Programs


Ratings Summary


Ratings Export


The New R3 System



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Mona M. Signer Executive Director November 1, 2013

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