Guide to the Match 2011

Junior Class Meeting

January 21, 2010

Residency Positions

• Categorical - programs that begin in the PGY-1 year and provide the training required for board certification in medical specialties.

• Preliminary - one-year programs beginning in the PGY-1 year that provide prerequisite training for advanced programs.

• Advanced - programs that begin in the PGY-2 year after one year of prerequisite training.

1 2 3 4 5 6-7

Emergency Medicine

Family Medicine

Internal Medicine Subspecialties

Pediatrics Subspecialties

Obstetrics / Gynecology

Otolaryngology

Pathology

General Surgery

Subspecialties

Neurological Surgery

Orthopedic Surgery

Urology

Transitional

or

Preliminary Medicine

or

Preliminary Surgery

Anesthesiology

Dermatology

Neurology

Nuclear Medicine

Ophthalmology

Physical Medicine & Rehabilitation

Psychiatry

Radiology - Diagnostic

Radiation Oncology

The “Match”

• Process by which students apply for and are “matched” to residency training programs.

• There are several kinds of “Match”

• Not all residency programs participate in a Match.

• Some Match participants offer positions outside the Match.

Organizations

• National Residency Match Program (NRMP)

• Electronic Residency Application Service (ERAS)

• San Francisco Match

• American Urological Association

• U.S. Armed Services

Residency Programs

“Main” Match

Early Match Programs

• Ophtho• PediNeuro

GU

Military

Army•Navy •AF

Application Service*

ERAS CAS ERAS ERASNavy /

AF

Match NRMP SF Match AUA JSGMESB

* Check with individual programs!

Main Match

• Main Match: Sponsored by the NRMP. The main match offers PGY-1 and PGY-2 level residency training positions in most specialties.

• Couples Match: Part of the Main Match. Couples can link their program choices together so that they can be matched into a combination of programs suited to their needs.

Residency Programs Participating in ERAS

*Anesthesiology   Child Neurology (Neurology) *Dermatology *Emergency Medicine *Emergency Medicine/Family Medicine *Family Medicine *Internal Medicine *Internal Medicine/Dermatology *Internal Medicine/Emergency Medicine *Internal Medicine/Family Practice *Internal Medicine/Pediatrics *

Internal Medicine/Physical Medicine & Rehabilitation

*Internal Medicine/Preventive Medicine*Internal Medicine/Psychiatry *Neurology *Neurological Surgery *Nuclear Medicine *Obstetrics and Gynecology *Orthopaedic Surgery

• *Otolaryngology *Pathology-Anatomic & Clinical

• *Pediatrics • *Pediatrics Dermatology • *Pediatrics/Emergency Medicine • *

Pediatrics/Physical Medicine & Rehabilitation

• *Pediatrics/Psychiatry/Child & Adolescent Psychiatry

• *Physical Medicine & Rehabilitation • *Plastic Surgery • *Psychiatry • *Psychiatry/Family Practice •   Psychiatry/Neurology • *Radiation Oncology • *Radiology-Diagnostic • *Surgery-General • *Transitional Year •   Urology • *Vascular Surgery (Integrated) !* Indicates specialties that participate with the National Resident Matching Program (NRMP)

Main Match Resources

• National Residency Match Program (NRMP) – A private, not-for-profit corp.

established in 1952 to provide a uniform process for applicants seeking residency positions

http://www.nrmp.org/

Main Match Resources

• Electronic Residency Application Service (ERAS)– a service that transmits residency

applications, letters of recommendation, Dean's Letters, transcripts, and other supporting credentials to residency program directors using the Internet.

http://www.aamc.org/audienceeras.htm

Main Match Resources

• Rank Order List Input Confirmation System (ROLIC)– Applicants and programs enter their

Rank Order Lists via the Web using NRMP code and password.

IMPORTANT

• The NRMP is not an application service or a job placement service.

• Applicants must apply directly to residency programs in addition to registering for the Match.

• Most programs participate in the Electronic Residency Application Service (ERAS), which transmits residency applications to program directors via the Internet.

• Applicants must register with both NRMP and ERAS to participate in the services of each.

Early Match Programs

• Early Match: collection of specialties that operate outside the Main Match. An earlier match process.– San Francisco Match– American Urological Association

(AUA)– Military Match, U.S. Armed Services

Early Match Programs

• The San Francisco Match provides matching services for: – Child Neurology/NDD– Ophthalmology

http://www.sfmatch.org/

Early Match Programs

• The American Urological Assn. (AUA)– Provides a matching service for

Urology Residency Programs– An Early Match

http://www.auanet.org/residents/

Military Match Programs

• U.S. Armyhttp://www.mods.army.mil/MedicalEducation/

• U.S. Navy

• U.S. Air Force

http://www.militarygme.org/

IMPORTANT

• Participants in the Early Match should also register for the Main Match.– Some early match specialties require

a PGY-1 preliminary year– Main Match can serve as an effective

backup strategy

Eligibility to Participate in Match 2011

• The applicant has been determined by the dean of student affairs to be on schedule for graduation in the year of the Match (2011)

• The applicant must be eligible to begin graduate medical training by July 1, 2011

Resources

• Fellowship and Residency Electronic Interactive Database (FREIDA)– a database containing information on

approximately 7,500 graduate medical education programs that are accredited by the Accreditation Council for Graduate Medical Education (ACGME), as well as on 200 combined specialty programs.

http://www.ama-assn.org/ama/pub/category/2997.html

Additional Resources

• Careers in Medicine– http://www.aamc.org/students/cim/

• Strolling Through the Match– http://www.aafp.org/x20259.xml

• Financing your Medical Education – http://www.aamc.org/students/financing/start.htm

Timeline

• January – April 2010– Decide on specialty– Determine what type of Match is

involved– Externships: investigate & request

applications

Timeline

• January – April 2010– Utilize Resources:

• Careers in Medicine• Strolling through the Match• FREIDA, ERAS, NRMP, USMLE• Office of Professional Development and

Career Guidance– http://www.mededu.miami.edu/MedEd/opdcg

Timeline

• January – April 2010– Advising Dean assignments– Senior Schedules (March)

• Line up research projects for the senior year

• Start planning externships– AAMC Extramural Electives Compendium

» http://www.aamc.org/students/medstudents/electives/start.htm

– Visiting Student Application Service (VSAS)» http://www.aamc.org/programs/vsas/

students/start.htm

Timeline

• February – April 2010 – Residency Program Directors Meeting

Tuesday, February 23, 2010

3:00 – 5:00PM

RMSB 5th FL Auditorium and Labs

– Career Advising DinnerApril 13, 2010

6:30PM-9:00PM

RSMAS “The Commons”

– CV & Personal Statement WorkshopView workshop online and samples online

Timeline

• May - June 2010– Select specialty

• Start creating list of programs• Determine which Match is involved

– Work on application materials• Biographical information sheet• Introduction to Dean’s Letter• Curriculum vitae• Personal statement

Timeline

• May - August 2010– Meet with Advising Deans– Request letters of recommendation– Schedule externships– Review Junior Clerkship evaluations!– Register with NRMP, ERAS and/or

other matching programs– Register for USMLE Step 2 CS, CK

Timeline

• September - December 2010– Complete applications and all

support materials– Confirm receipt of letters of

recommendation– Dean’s letter released to all

programs: 11/1/10– Schedule and go to interviews– Complete early match rank order lists

Timeline

• January - February 2011– Submit rank order list to NRMP (Main

Match)– Finish interviews– Early and Military Match results released

• March 2011– Match results released– Scramble– Match Day Celebration!

2010 UMMSM Early Match Results

• Ophthalmology: 5/5

• Military Match: 4/4

Special Issues

• The USMLE Step 2

• Externships

• The Dean’s Letters

• Couples Match

USMLE Step 2 (CK and CS)

• Check to see what the requirements are for each program you apply to.

• Take the exams early

Externships

• Reasons to go on an externship– Audition for a program– Audition a program / city– Take advantage of a unique

educational experience

Externships: UMMSM Requirements

• Must submit letter stating that you have been accepted to the program

• Must leave contact information with the Office of Student Affairs

• Must submit an evaluation upon your return– See handout for instructions

• Failure to comply with policies will result in no credit for the rotation!!

The Medical Student Performance Evaluation

• “The Dean’s Letter”

• A letter of evaluation, not a letter of recommendation (don’t worry, we still recommend you)

• The content of the letter is non-negotiable

The Couples Match

• Identify yourself ASAP so we can plan orientation meetings.

• Let programs know if you intend to participate in the Couples Match.

• Let programs know early if you have other special issues!!!

Approaching the Match:BE REALISTIC!

• When considering a specialty, consider the competitiveness of the specialty, the program, and your application.– Grades– Awards– Board Scores– Research– Extra-curricular activities

Where’s the Data??

www.nrmp.org

NRMP Results 2009

Selected Specialties # US Applicants # US Matched

Anesthesiology (PGY-1) 1193 612

Dermatology (PGY-2) 427 262

Emergency Med (PGY-1) 1322 1146

ENT 343 263

Family Medicine 1195 1071

General Surgery (Cat) 1079 824

Internal Medicine (Cat) 3047 2632

Neurology (PGY-1 / 2) 638 315

OB/GYN 965 879

Orthopedic Surgery 757 587

Pathology 354 321

Pediatrics 1870 1682

Psychiatry 732 656

Radiology-Dx (PGY-2) 1117 816

Percent of Matches by Choice, 2009 U.S. Seniors

First Rank56.5%%

First Rank56.5%%

Second Rank16.2%

Second Rank16.2%

Third Rank9.2%

Third Rank9.2%

Fourth RankFourth Rank5.3%5.3%

Fourth RankFourth Rank5.3%5.3%

≥ Fifth Rank12.8%

≥ Fifth Rank12.8%

Objective Structured Clinical Evaluation (OSCE)

June 5-6, 2010

PARTICIPATION IS MANDATORY!