Guide to the Match 2008 Junior Class Meeting January 23, 2008.

Guide to the Match 2008

Junior Class Meeting

January 23, 2008

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.

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• Neuro Sg• PediNeuro• Plastic Sg

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/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) New!* 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: – Neurological Surgery – Child Neurology/NDD– Ophthalmology – Plastic Surgery

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 http://nmmpte.med.navy.mil/gme/MCPP.htm

• U.S. Air Forcehttp://airforcemedicine.afms.mil/idc/groups/public/documents/webcontent/knowledgejunction.hcst?functionalarea=AF_PhysicianGME&doctype=subpage&docname=CTB_046956

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 2009

• The applicant has been determined by the dean of student affairs to be on schedule for graduation in the year of the Match (2009)

• The applicant must be eligible to begin graduate medical training by July 1, 2009

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 2008– Decide on specialty– Determine what type of Match is

involved– Externships: investigate & request

applications

Timeline

• January – April 2008– Utilize Resources:

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

Career Guidance

Timeline

• January – April 2008– 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 2008 – Residency Program Directors Meeting

Wednesday, February 20, 2008

1:00 – 3:00 PM

RMSB 5th FL Auditorium and Labs

– Career Advising DinnerTuesday, March 18, 2008

6:30 – 9:00 PM

The Commons, Rosenstiel Marine School

– CV & Personal Statement WorkshopTime and location: TBA

Timeline

• May - June 2008– 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 2008– 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 2008– Complete applications and all

support materials– Confirm receipt of letters of

recommendation– Dean’s letter released to all

programs: 11/1/08– Schedule and go to interviews– Complete early match rank order lists

Timeline

• January - February 2009– Submit rank order list to NRMP (Main

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

• March 2009– Match results released– Scramble– Match Day Celebration!

2008 UMMSM Early Match Results

• Ophthalmology: 9/9

• Military Match:

• Urology: 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.

• If possible, 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 Coordinator for Student Services

• 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

• A confidentiality waiver is available (optional)

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

NRMP Results 2007

Selected Specialties # Spots # FilledPositions per

Applicant (US Seniors)

Anesthesiology (PGY-1/2) 1338 1286 1.2

Dermatology (PGY-2) 288 287 0.8

Emergency Med (PGY-1) 1288 1282 1.2

ENT 270 268 0.9

Family Medicine 2603 2299 2.4

General Surgery (Cat) 1057 1055 1.2

Internal Medicine (Cat) 4798 4720 1.7

Neurology 539 520 1.7

OB/GYN 1155 1149 1.2

Orthopedic Surgery 616 614 0.9

Pathology 513 466 1.6

Pediatrics 2328 2265 1.4

Psychiatry 1057 1000 1.6

Radiology-Dx (PGY-1/2) 1043 1026 1.1

Percent of Matches by Choice, 2007 U.S. Seniors

First Rank58.6%

First Rank58.6%

Second Rank15.7%

Second Rank15.7%

Third Rank9.5%

Third Rank9.5%

Fourth Rank5.5%

Fourth Rank5.5%

> Fourth Rank10.7%

> Fourth Rank10.7%

Objective Structured Clinical Evaluation (OSCE)

June 7th – 8th, 2008

PARTICIPATION IS MANDATORY!