THE 2015 MATCHDATA PRESENTATION

MAY 2015

Background on Participating in the Match

In 2014, ADGAP releases Geriatrics Fellowship Match Code of Ethics asking programs to be “all in.”

ADGAP membership endorses full transparency of match processes/data. Steps taken include: Creation of Match Participation Agreement Publishing of Institution Participation on ADGAP website (see next slide) Fellowship Assessment Toolkit as Level 1 Member benefit

ADGAP continues to employ rigorous evaluation methods. ADGAP moves up Match timeline for 2015. Geriatrics will be included in

MSMP (Medical Specialties Matching Program) next cycle. Hospice and Palliative Medicine announces it is joining the Match. The 2015 Match Cycle ends with Geriatric Medicine at 85% of program

participation and 78% of positions.

Institution Participation – ADGAP Website

Where does the Data Come From?

ADGAP Surveys 2011 Survey to Gather Interest in Match

(145 programs, 132 responses) 2012/2013 Match Registration Survey 2014 Post-Match Survey

(145 programs, 122 responses) 2014 Match Participation Agreement

(145 programs, 139 responses - July 2014) 2015 Post-Match Survey

(145 programs, 120 responses) Survey is still open

National Resident Matching Program (NRMP) Results Statistics 2013 Match Results (Published on January 8, 2014) 2014 Match Results (Published on January 7, 2015)

Slots Filled 2011-2015

  Academic Year (July 1 –        June 30)

ACGME Accredited 

Slots

  

Available Slots*

 # of SlotsFilled

 % of AvailableSlots Filled

2011** 478 n/a 294 n/a**

2012 491 430 300 70%

2013 509 439 288 63%

2014 509 455 302 66%

*Available slots are positions programs are actively seeking to fill.**We did not collect data on available slots for academic year 2011; % of total slots filled is 62%.

Available Slots & Our Fill Rate

Based on the data, geriatric medicine has filled an average of 296 slots per year since 2011.

This is consistent with data from the surveys conducted by Gregg Warshaw and Libbie Bragg.

Program & Position Results in the Match by Year

National Resident Matching Program. Match Results Statistics, Geriatric Medicine. National Resident Matching Program Registration, Ranking, and Results (R3) system. https://r3.nrmp.org/listReports. Published January 8, 2014, January 7, 2015.

2014 Match Day – 

January 8, 2014

2015Match Day – 

January 7, 2015

Matched Applicants/Filled Positions 125 155

Programs 109 126

Positions 297 353

Programs that Filled All Positions 28 27

Programs that Filled Some Positions 35 53

Programs that Filled No Positions 46 46

Filled and Unfilled Slots by Size of Program  - 2014 Data

Number of Available Slots

NRMP Data on Slots Filled in Match

Responding Program Slots Filled Outside Match

Total Filled Slots

Non-Responsive Program Slots

Total Unfilled Slots

Large: More than 10 Slots

61 16 29 45 0 16

Medium: 5-9 Slots

121 33 50 83 9 38

Small: 1-4 Slots

273 76 98 174 10 99

Totals 455 125 177 302 19 153

Filled and Unfilled Slots by Size of Program  - 2015 Preliminary Data

Number of Available Slots

NRMP Data on Slots Filled in Match

Responding Program Slots Filled Outside Match

Total Filled Slots

Available Slots Still Trying to Be Filled by Responding Programs

Non-Responsive Program Slots

Total Unfilled Slots

Large: More than 10 Slots

42 16 13 29 8 10 13

Medium: 5-9 Slots

120 27 31 58 52 6 62

Small: 1-4 Slots

286 112 36.5 148.5 94 47 137.5

Totals 448 155 80.5 235.5 154 63 212.5

*Programs are still filling slots

Match Cycle Interviewing Experience as Compared to Prior Years

 # of Candidates Seen

Match Participants(N = 103)2014

Match Participants (N=109)2015

Non-Match Participants (N = 19)2014

Non-Match Participants

(N=11)2015

All Non and Match 

Participants    

(N = 122)2014

All Non and Match 

Participants    

(N = 120)2015

More Candidates 39% 30% 26% 27% 37% 30%

Same Number of Candidates

35% 26% 42% 46% 36% 28%

Less Candidates 24% 40% 32% 27% 25% 38%

No Response 2% 4% 0% 0% 2% 4%

Positions Filled Outside the Match (as of 4/28/15)

Programs have filled 80.5 positions outside of the Match. 31 positions were filled by a total of 24 programs that Did Not

Participate in the Match 9 positions were filled prior to the Match by 6 programs that had

commitments and stated so in their Participation Agreements 40.5 were filled after the Match by 96 Programs that participated

in the Match Of the 80.5 positions offered outside the Match, 9 of them

were hybrid positions. 3 Geri-Pal 2 Geri-Onc 1 Geri-Hosp 3 Geri-Med

Fill Rates for University-based Programs

Academic Slots Filled

2014

Total Slots Filled2014

 % Slots  Filled  2014 

Academic Slots Filled2015

Total Slots Filled2015

% of Slots Filled2015

In the Match 103 125 82.40% 131 155 84.5%

Outside the Match 93.5 114.5 81.66% 73.5 80.5 91%

Totals 196.5 239.5 204.5 235.5

Fill Rates for Community-Based Programs

  Community Slots Filled

Total Slots Filled

 % Slots  Filled   

Community Slots Filled

Total Slots Filled

% Slots Filled

In the Match 22 125 17.60% 24 155 15.5%

Outside the Match 21 114.5 18.34% 7 80.5 9%

Totals 43 239.5 31 235.5

Program Participation for 2015 Match

When asked about participating in the 2015 match, programs responded as follows: 75% (90/120) will participate 19% (23/120) are undecided 3% (4/120) will not participate 1% (1/120) cannot participate (military program) 2% (2/120) closed program for 2016 (not accepting fellows)

The 90 programs that indicated they would participate have 317 ACGME accredited fellowship training slots.

Breakdown of Costs to Participate in the Match for 2015 Cycle

Institution/Program Fees Institution registration:$210 – regardless of the number of

programs/tracks in the match Program registration: $40 per program/track Matched applicant fee:$40 per applicant

Applicant Fees: Applicant registration: $65 Couples: $15 per partner

Data Summary Slide

235.5 slots are filled; a 52% fill rate when calculated on available slots (448)

155 slots were filled in the Match and 80.5 slots were filled outside the Match

We have reached 79% of historical number of slots filled (296)

Survey respondents are still actively seeking to fill slots (154). The 25 non-respondents represent 68 positions:

13 programs (38 positions) that participated in the Match 12 programs (30 positions) that did not participate in the Match

Conclusion

120 programs (83%) were "all in" for 2015 Match - signed code of ethics

Transparency - 24 non-NRMP participating programs listed on ADGAP website

In 2015, 24% increase in positions filled in match relative to 2014 (125 to 155)

Total number of fellows in training constant at around 300

How To Keep Moving Forward

ADGAP reached out to programs who are still undecided about the Match. Here are the concerns: Local competition with programs not in Match creating

an unfair advantage in recruitment Fellows not wanting to pay applicant fees Easier to recruit internally/locally More flexibility in recruitment outside of Match

How can we help resolve these issues and convince ALL programs to be “all in”?

Next Steps

Geriatrics will join MSMP Match in 2016 In-service Exam for Level 1 Members Code of Ethics Seal of Approval

Final Thoughts

“Changes to the Match will not in themselves address the underlying problem of a limited pool of applicants. However, if the Match continues to erode—or vanishes entirely—the resulting chaos and stressful competition will drive away potential applicants. To enhance the profession, nephrology must provide a fair and equitable system for applicants and the programs that train them.”

- Jonathan Himmelfarb, MD, FASN President, American Society of Nephrology