Results of the 2014 NRMP Program Director Survey

1 Results of the 2014 nrmp Program Director Survey 2014 Requests for permission to use these data as well as questions about the content of this publication or the national resident matching Program data and reports may be directed to Mei Liang, Director of Research, nrmp , at about the nrmp should be directed to Mona M. Signer, Executive Director , nrmp , at CitationNational resident matching Program , Data Release and Research Committee: Results of the 2014 nrmp Program Director Survey . national resident matching Program , Washington, DC. 2014 national resident matching Program . Introduction .. 1 All 2 Charts for Individual Specialties Anesthesiology .. 8 Child Neurology .. 14 Dermatology .. 20 Emergency Medicine .. 26 Family Medicine.

2 32 Internal Medicine .. 38 Internal Medicine/Pediatrics .. 44 Neurological Surgery .. 50 Neurology .. 56 Obstetrics and Gynecology .. 62 Orthopaedic Surgery .. 68 Otolaryngology .. 74 Pathology .. 80 Pediatrics .. 86 Physical Medicine and Rehabilitation .. 92 Plastic Surgery .. 98 Psychiatry .. 104 Radiation Oncology .. 110 Radiology-Diagnostic .. 116 Surgery .. 122 Thoracic Surgery .. 128 Transitional Year .. 134 Vascular Surgery .. 140 Table of Contents Introduction1 nrmp Program Director Survey Results , 2014In March 2014 , the national resident matching Program ( nrmp ) conducted its biennial Survey of the directors of all programs participating in the Main Residency Match . The primary purpose of the Survey was to shed light on the factors that Program directors use to (1) select applicants to interview and (2) rank applicants for the Match.

3 The Survey was fielded during the 18 days between the rank order list deadline and Match Week so that Program match outcomes would not influence respondents' answers. The Survey solicited information on: the number of applications received, screened, and reviewed, as well as the number of applicants interviewed and ranked whether the Program typically interviews and ranks specific applicant groups use of test scores in considering which applicants to interview, and the factors used for both interview selection and for ranking overall response rate for all specialties in this report was percent. Transitional Year and 22 specialties with 10 or more responses are included in this report. Their response rates are listed in the table below.

4 Response rates for those specialties ranged from a high of percent for Emergency Medicine and Pediatrics to a low of for changes were made to the 2014 questionnaire. In the past, Program directors were asked to indicate factors they used in selecting applicants to interview and to rate the importance of each factor in ranking. In this Survey , Program directors were asked to indicate factors they used in selecting applicants to interview and rank respectively. They were asked to rate the importance on a scale of 1 to 5 only for the factors they used in their selection process. In addition, this Survey asked Program directors how they handled unfilled positions after the 2013 Match and SOAP. Because the number of responses for that question was small, the Results are only reported in the "All Specialties" section.

5 Numbers of responses are presented in most of the graphs. Some graphs use data from multiple Survey questions. In those cases, different N's are listed. Numbers of applicants ranked and positions in the Match are extracted from the nrmp database. Graphs are suppressed for questions with fewer than five report presents Results by specialty on selected items from the Survey . The nrmp hopes that Program directors, medical school officials, and applicants find these data useful as they prepare for and participate in the Main Residency nrmp 's data reporting and research activities are guided by its Data Release and Research Committee. nrmp data and reports can be found at: Sent Num ber Responding Response and Medicine and ,4991, All Specialties Combined(N=1,844) Figure 1 All SpecialtiesPercentage of programs Citing Each Factor And Mean Importance Rating for Each Factor in Selecting Applicants to Interview(N=1,793)100%50%0%94%86%84%80%7 8%75%70%70%69%69%69%65%65%63%63%61%61%61 %57%57%56%56%54%48%43%39%34%28%27%27%25% 25%18%USMLE Step 1/COMLEX Level 1 scoreLetters of recommendation in the specialtyMedical Student Performance Evaluation (MSPE/Dean's Letter)

6 USMLE Step 2 CK/COMLEX Level 2 CE scorePersonal StatementGraduate of allopathic medical schoolGrades in required clerkshipsGaps in medical educationHonors in clinical clerkshipsPerceived commitment to specialtyClass ranking/quartileEvidence of professionalism and ethicsPersonal prior knowledge of the applicantAudition elective/rotation within your departmentLeadership qualitiesHonors in clerkship in desired specialtyGrades in clerkship in desired specialtyAlpha Omega Alpha (AOA) membershipPass USMLE Step2 CS/COMLEX Lvl2 PEPerceived interest in programConsistency of gradesOther life experienceVolunteer/extracurricular experiencesGraduate of highly regarded medical schoolDemonstrated involvement and interest in researchVisa status*Applicant was flagged with Match violation by the NRMPI nterest in academic careerHonors in basic sciencesGold Society membershipAway rotation in your specialty at another institutionFluency in language spoken by your patient populationUSMLE/COMLEX Step 3 Citing FactorAverage Rating Ratings on a scale from 1 (not at all important) to 5 (very important).

7 * International Medical Graduates only3 nrmp Program Director Survey Results , 2014100%50%0%93%93%88%82%80%74%71%68%67% 64%62%60%58%57%57%55%55%51%50%49%45%45%4 5%45%44%40%40%36%36%33%26%23%22%20%20%20 %19%17%15%Interactions with faculty during interview and visitInterpersonal skillsInteractions with house staff during interview and visitFeedback from current residentsUSMLE Step 1/COMLEX Level 1 scoreLetters of recommendation in the specialtyUSMLE Step 2 CK/COMLEX Level 2 CE scoreMedical Student Performance Evaluation (MSPE/Dean's Letter)Perceived commitment to specialtyEvidence of professionalism and ethicsPerceived interest in programLeadership qualitiesPersonal prior knowledge of the applicantClass ranking/quartileGraduate of allopathic medical schoolPersonal StatementAudition elective/rotation within your departmentGrades in required clerkshipsPassing USMLE Step 2 CS/COMLEX Level 2 PEHonors in clinical clerkshipsHonors in clerkship in desired specialtyGaps in medical educationGrades in clerkship in desired specialtyAlpha Omega Alpha (AOA)

8 MembershipOther life experienceConsistency of gradesVolunteer/extracurricular experiencesDemonstrated involvement and interest in researchGraduate of highly regarded medical schoolOther post interview contactInterest in academic careerVisa status*Applicant was flagged with Match violation by the NRMPF luency in language spoken by your patient populationGold Society membershipHonors in basic sciencesSecond interview/visitAway rotation in your specialty at another institutionUSMLE/COMLEX Step 3 scoreAll SpecialtiesPercentage of programs Citing Each Factor And Mean Importance Rating for Each Factor in Ranking Applicants(N=1,799) Figure 212 3 4 RatingPercent Citing Factor4 nrmp Program Director Survey Results , 2014 Ratings on a scale from 1 (not at all important) to 5 (very important).

9 * International Medical Graduates only0%20%40%60%80%100%Yes, pass onlyYes, target scoreNo31%50%19%Scores required?All SpecialtiesPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview Figure 3 Percentage of programs That Use USMLE Step 1 ScorePercentage of programs That Use USMLE Step 2 (CK) Score0%20%40%60%80%100%Yes, pass onlyYes, target scoreNo31%68%1%Scores required?0%20%40%60%80%100%NeverSeldomOf ten26%63%11%Would your Program consider applicants who fail theexam on the first attempt?0%20%40%60%80%100%NeverSeldomoft en35%58%6%Would your Program consider applicants who fail theexam on the first attempt?N=1,746N=1,601N=1,672N=1,417N=50 8N=684N=989 USMLE Step 1 and Step 2 CK Scores programs Consider When Granting Interviews N=688170180190200210220230240250260 Scores Below Which programs Generally Do Not Grant Interviews170180190200210220230240250260 Scores Above Which programs Almost Always Grant InterviewsThe boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median.

10 The x-shaped symbol in the box represents the mean. USMLE Step 2 CKUSMLE Step 1 USMLE Step 2 CKUSMLE Step 15 nrmp Program Director Survey Results , 20140%10%20%30%40%50%60%70%80%90%100%Yes , pass onlyYes, target scoreNo17%10%73%COMLEX-USA Level 3*0%10%20%30%40%50%60%70%80%90%100%Yes, pass onlyYes, target scoreNo36%41%23%COMLEX-USA Level 1*N=610%10%20%30%40%50%60%70%80%90%100%Y esNo78%22%USMLE Step 2 Clinical Skills (CS)0%10%20%30%40%50%60%70%80%90%100%Yes , pass onlyYes, target scoreNo33%33%34%COMLEX-USA Level 2-CE*N=410%10%20%30%40%50%60%70%80%90%10 0%Yes, pass onlyYes, target scoreNo18%11%71%USMLE Step 30%10%20%30%40%50%60%70%80%90%100%Yes, pass onlyYes, target scoreNo50%12%38%COMLEX-USA Level 2-PE*N=1,140N=1,102N=1,057N=789* Osteopathic applicants only Figure 4 All SpecialtiesPercentage of programs That Use USMLE Step 2 Clinical Skill (CS)