How Competitive is the Match?

1 Reproduction prohibited without the written permission of the M. SignerPresident and CEON ovember 13, 2016 How Competitive is the Match? Reproduction prohibited without the written permission of the Residency MatchPGY-1 Positions Offered and Filled6,015 More Positions Since 200705,00010,00015,00020,00025,00030,000 35,00040,0002007200820092010201120122013 201420152016 OfferedFilledFilled US Seniors+ 567 PGY-1 positions over 2015 All In PolicyReproduction prohibited without the written permission of the Applicants162 More Seniors, 571 More Active Applicants7,532 More Applicants Since 200705,00010,00015,00020,00025,00030,000 35,00040,0002007200820092010201120122013 201420152016 OthersDOsIMGsUS IMGsPrior US GradsUS SeniorsAll In PolicyReproduction prohibited without the written permission of the ,8561581,5221,260589-63-1,00001,0002,000 3,0004,000US SeniorUS GradUSIMGDOIMGO therPGY-1 Matches by Applicant TypeChange Since 2007 Reproduction prohibited without the written permission of the match Rates by Applicant TypeOverall 2016 match Rate.

2 SeniorsOsteopathic PhysiciansUS IMGsPrior US GradsIMGsAll In PolicyReproduction prohibited without the written permission of the Length of Seniors ROLsMatched and Unmatched prohibited without the written permission of the Rates By Preferred SpecialtyMost Seniors match !Source: Charting Outcomes in the MatchReproduction prohibited without the written permission of the Seniors, PGY-1 Positions in SOAPMore Unmatched Seniors than PGY-1 Positions = 4 Years1,13005001,0001,5002,00020072008200 92010201120122013201420152016975 PGY-1 Positions in Seniors With ROLs Unmatched to PGY-1 Positions1,3311,005 SOAPR eproduction prohibited without the written permission of the of Unmatched Seniors Available SOAP Positions3355679999914151622242848519371 7383102116169050100150200250300350400450 500 OtherChild NeurologyThoracic SurgeryTransitional YearRadiation OncologyRadiology-DiagnosticVascular SurgerySurgery-Preliminary (PGY-1 Only)PathologyInternal Medicine-PediatricsInternal Medicine (PGY-1 Only)Physical Medicine & RehabAnesthesiologyNeurologyPlastic SurgeryDermatologyOtolaryngologyPediatri csNeurological SurgeryInternal Medicine (C & M)

3 Obstetrics-GynecologyFamily MedicinePsychiatryEmergency MedicineGeneral SurgeryOrthopaedic SurgeryAvailable PositionsPreferred SpecialtyReproduction prohibited without the written permission of the PositionsAccepted by Applicant & Position Type312310238713455543192203868273012000 100200300400500600700US SeniorsUS GradsUSIMGsDOsIMGsNone AcceptedPGY-1 OnlyPGY-2 OnlyCategoricalPGY-1 & PGY-22,1994,0208175,871995989 applicants accepted 1,022 positionsReproduction prohibited without the written permission of the Allopathic Seniors in SOAP2012 -20161,8166056003372,0765956025912,05060 96235062,1426536456062,19966566661505001 ,0001,5002,0002,500 SOAP EligibleOffers AcceptedUnique Applicants With AnyOffersNo Position Post-SOAP*SOAP 2012 SOAP 2013 SOAP 2014 SOAP 2015 SOAP 2016 *Presentations before 2015 included only seniors with a certified ROL who did not have any position at the conclusion of SOAP,regardless of whether they participated in SOAP. This presentation includes all SOAP-participating seniors who did not have any position at the conclusionof prohibited without the written permission of the the InterviewReproduction prohibited without the written permission of the , Interviews, Ranks05001,0001,5002,0002,5003,000 Vascular SurgeryChild NeurologyThoracic SurgeryRadiation OncologyPlastic SurgeryNeurological SurgeryInternal Medicine/PediatricsOtolaryngologyPhysica l Medicine and RehabilitationPathology-Anatomic and ClinicalRadiology-DiagnosticDermatologyO bstetrics and GynecologyNeurologyOrthopaedic SurgeryAnesthesiologyGeneral SurgeryEmergency MedicineAverage for All SpecialtiesPsychiatryPediatricsFamily MedicineInternal Medicine CategoricalApplicationsInterview InvitationsApplicants RankedSource.

4 NRMP Program Director SurveyReproduction prohibited without the written permission of the Percentage Applications Rejected26%32%33%25%29%37%43%32%39%49%49 %44%43%48%52%50%53%51%53%54%61%60%66%26% 27%29%31%33%36%39%40%41%45%46%47%48%48%4 9%51%52%56%58%61%61%62%68%0%25%50%75%100 %Radiation OncologyVascular SurgeryPlastic SurgeryOtolaryngologyDermatologyThoracic SurgeryRadiology-DiagnosticNeurological SurgeryEmergency MedicinePhysical Medicine and RehabilitationOrthopaedic SurgeryAnesthesiologyInternal Medicine/PediatricsNeurologyChild NeurologyAverage for all specialtiesObstetrics and GynecologyPathology-Anatomic and ClinicalPediatricsPsychiatryInternal Medicine CategoricalGeneral SurgeryFamily Medicine20142016 Source: NRMP Program Director SurveyReproduction prohibited without the written permission of the of Programs Citing Each Factor in Interview Selection40%54%54%56%58%58%59%61%61%62%6 4%66%66%70%70%70%70%71%71%78%79%83%84%88 %93%34%54%61%48%69%70%56%57%61%57%56%63% 63%65%65%61%69%69%78%70%80%84%86%94%0%25 %50%75%100%Applicant flagged with match violation by NRMPV olunteer/extracurricular experiencesAwards/honors in clerkship in desired specialtyGraduate of highly-regarded medical schoolAwards or special honors in clinical clerkshipsLack of gaps in medical educationOther life experiencePerceived interest in programAlpha Omega Alpha (AOA)

5 MembershipPassing USMLE Step 2 CS/COMLEX Level 2 PEConsistency of gradesAudition elective/rotation within your departmentLeadership qualitiesPersonal prior knowledge of the applicantEvidence of professionalism and ethicsGrades in clerkship in desired specialtyAny failed attempt in USMLE/COMLEXP erceived commitment to specialtyClass ranking/quartilePersonal StatementGrades in required clerkshipsUSMLE Step 2 CK/COMLEX Level 2 CE scoreMedical Student Performance EvaluationLetters of recommendation in the specialtyUSMLE Step 1/COMLEX Level 1 score20142016 Source: NRMP Program Director SurveySource: NRMP Program Director SurveyReproduction prohibited without the written permission of the Use of the MSPEin Interview Selection63%70%71%73%73%78%79%80%81%83%8 4%84%86%88%88%90%90%91%91%92%93%93%97%62 %74%70%79%81%79%91%80%76%83%87%84%87%83% 85%88%90%91%83%94%74%86%95%0%25%50%75%10 0%Plastic SurgeryOtolaryngologyVascular SurgeryOrthopaedic SurgeryNeurological SurgeryGeneral SurgeryEmergency MedicineFamily MedicineObstetrics and GynecologyThoracic SurgeryPediatricsAverage for all specialtiesAnesthesiologyPathology-Anato mic and ClinicalNeurologyPhysical Medicine and RehabilitationInternal Medicine CategoricalRadiology-DiagnosticDermatolo gyPsychiatryInternal Medicine/PediatricsRadiation OncologyChild Neurology20142016 Source: NRMP Program Director SurveyReproduction prohibited without the written permission of the Required?

6 31681326710%20%40%60%80%100%Yes, pass onlyYes, targetscoreNoConsider applicants who fail 1stattempt?2663113059110%20%40%60%80%100 %NeverSeldomOften20142016 Source: NRMP Program Director SurveyPercentage of Programs Using USMLE Step 1 Scores for Interview SelectionReproduction prohibited without the written permission of the Median2014 Median2011 Median2002102202302402502602702007 MedianSource: NRMP Data Warehouse and AAMC Data Warehouse. Step 1 Scores Are RisingBy Preferred SpecialtySource: Charting Outcomes in the MatchReproduction prohibited without the written permission of the , pass onlyYes, targetscoreNoPercentage of Programs Using USMLE Step 2 CK Scores for Interview SelectionScores Required?Consider applicants who fail 1stattempt?35586355780%20%40%60%80%100%N everSeldomOften20142016 Source: NRMP Program Director SurveyReproduction prohibited without the written permission of the Median2014 Median2011 Median2002102202302402502602702007 MedianSource: NRMP Data Warehouse and AAMC Data Warehouse.

7 Step 2 CK Scores Are RisingBy Preferred SpecialtySource: Charting Outcomes in the MatchReproduction prohibited without the written permission of the in required clerkshipsPersonal statementAudition rotation within departmentClass rankLeadership qualitiesPersonal prior knowledge of applicantPerceived interest in programEvidence of professionalismPerceived commitment to specialtyMSPEUSMLE Step 2 CK/Comlex Level 2 Recommendation letters in specialtyUSMLE Step 1/Comlex Level 1 Feedback from current residentsInteractions with housetaff during interviewInterpersonal skillsInteractions with faculty during interviewFactors in Ranking ApplicantsIt s All About the Interview: 2016 Source: NRMP Program Director SurveyReproduction prohibited without the written permission of the post-interview contactUSMLE Step 3/COMLEX Level 3 scoreAway rotation in your specialtyFluency in patient-spoken languageAwards/honors in basic sciencesSecond interview/visitInterest in academic careerVisa statusNRMP match violationInvolvement in researchGold Humanism Honor Society membershipAwards/honors in clinical clerships in in clinical clershipsVolunteer/extracurricular experiencesLack of gaps in medical educationGraduate of highly-regarded life experiencesAlpha Omega AlphaConsistency of gradesAny failed USMLE/COMLEXG rades in clerkship in desired specialtyPassing USMLE Step 2 CS/Comlex Level 2 Factors in Ranking ApplicantsIt s All About the Interview, cont dSource.

8 NRMP Program Director SurveyReproduction prohibited without the written permission of the Ranks Per PositionFilled and Unfilled ProgramsFilled ProgramsReproduction prohibited without the written permission of the NRMP. 9,600 more PGY-1 positions than active seniors in the match No change in seniors PGY-1 match rate No change in match rate by preferred specialty 1,130 seniors unmatched to PGY-1 positions 615 seniors with no position post-SOAP 2,400 DOs & 6,600 IMGs matched to PGY-1 positions No change in total number of unmatched applicants in 2016 No change in percentage of applications rejected USMLE Step scores are rising ROLs are getting longerHow Competitive is the Match? Reproduction prohibited without the written permission of the do we help students target their applications?Reproduction prohibited without the written permission of the you agree that*..0102030405060708090100 Not enough PGY-1positionsPrograms rely too muchon Step 1 MSPE should follow astandard formatApplicants need moreprogram-specificinformationApplicant s need program-specific information aboutmatched applicantsProgramsSchools*Respondents who agree or strongly agreeSource: NRMP Residency Application SurveyReproduction prohibited without the written permission of the Program-Specific Information?

9 0102030405060708090100 Step 1 "cut score"Mean Step 1 score ofapplicants offeredinterviewsMean Step 1 score ofmatched applicantsMean Step 2 score ofmatched applicantsNumber of applicantsranked prior yearPrograms willing to share informationSchools would find information beneficialSource: NRMP Residency Application SurveyReproduction prohibited without the written permission of the Number of ERAS Applications?0102030405060708090100 Yes, capYes, negative consequences for programsYes, negative consequences for studentsProgramsSchools*Respondents who agree or strongly agreeSource: NRMP Residency Application SurveyReproduction prohibited without the written permission of the NRMP. Anna Quindlen: Health Care in an Information Age Dr. Daniel Goleman: Emotionally Intelligent Healthcare in Medical Education Dr. Kenneth Shine: Sustaining the Medical Education EnterpriseDeadline for Breakout Session Proposals: November 30 Transition to Residency: Conversations Across the Medical Education ContinuumMay 4-6, prohibited without the written permission of the Themes: Goodness of Fit: exploring the role of medical schools and residency programs in addressing application overload Matching Process: using match data to understand and inform workforce planning Unmatched Applicants: examining outcomes and considering alternatives to clinical medicine Innovations in Medical Education: evaluating the flexibility of the match in supporting competency-based curricula Single Accreditation SystemTransition to Residency: Conversations Across the Medical Education ContinuumMay 4-6, 2017 Reproduction prohibited without the written permission of the us on FacebookFollowus on Twitter@TheNRMPF ollow us on