Results and Data

Results and Data

2017 Main Residency Match?

April 2017



Requests for permission to use these data as well as questions about the content of this publication or National Resident Matching Program data may be directed to Mei Liang, Director of Research, NRMP, at datarequest@.

Questions about the NRMP should be directed to Mona M. Signer, President and CEO, NRMP, at admin@.

Suggested Citation National Resident Matching Program, Results and Data: 2017 Main Residency Match?. National Resident

Matching Program, Washington, DC. 2017.

Copyright ? 2017 National Resident Matching Program, 2121 K Street, NW, Suite 1000, Washington, DC 20037 USA. All rights reserved. Permission to use, copy and/or distribute any documentation and/or related images from this

publication shall be expressly obtained from the NRMP.

NRMP Board of Directors

NATIONAL RESIDENT MATCHING PROGRAM 2121 K Street, NW Suite 1000 Washington, DC 20037

The NRMP is governed by a 19-member Board of Directors, including: ? Chair, Chair-Elect, and Secretary/Treasurer ? Two graduate medical education program directors ? Three medical students ? Three resident physicians, one of whom is an international medical graduate ? One public member

Officers

? Chair: Maria C. Savoia, M.D., Dean for Medical Education, University of California, San Diego ? Chair Elect: Susan Guralnick, M.D., Associate Dean for Graduate Medical Education and Student Affairs,

Winthrop University Hospital ? Secretary/Treasurer: C. Bruce Alexander, M.D., Professor of Pathology, University of Alabama at

Birmingham ? President and Chief Executive Officer: Mona M. Signer, M.P.H., National Resident Matching Program

Board Members, 2016-2017

? Maya A. Babu, M.D., MBA, Neurological Surgery Resident, Mayo Clinic ? Jennifer Bai, M.D. Candidate, University of Maryland School of Medicine ? Carol D. Berkowitz, M.D., F.A.A.P., F.A.C.E.P., Executive Vice Chair, Department of Pediatrics,

Harbor-UCLA Medical Center; Distinguished Professor of Pediatrics, David Geffen School of Medicine at University of California at Los Angeles ? Juliana Bonilla-Velez, M.D., Otolaryngology Resident, University of Arkansas ? Karen R. Borman, M.D., Principal, Health Policy Alternatives, Inc. ? Deborah S. Clements, M.D., Chair, Family and Community Medicine, Northwestern University Feinberg School of Medicine ? Donna Elliott, M.D., Ed.D., Senior Associate Dean for Student and Educational Affairs, Keck School of Medicine, University of Southern California ? Glenn A. Fosdick, F.A.C.H.E., Former President/Chief Executive Officer, The Nebraska Medical Center ? Kipp Johnson, M.D./Ph.D. Candidate, Icahn School of Medicine at Mount Sinai ? Marc J. Kahn, M.D., MBA, F.A.C.P., Senior Associate Dean for Admissions and Student Affairs, Tulane University School of Medicine ? Seth Kelly, MBA, M.D. Candidate, Texas A&M University College of Medicine ? Vivek Kulkarni, M.D., M.H.S., Internal Medicine Resident, Brigham and Women's Hospital ? Daniel S. Morrissey, O.P., Public Member ? Edward S. Salsberg, M.P.A., Director of Health Workforce Studies, Health Workforce Institute, George Washington University ? Steven J. Scheinman, M.D., Executive Vice President and Chief Academic Officer, Geisinger Health System; President and Dean, The Commonwealth Medical College ? Kenneth B. Simons, M.D., Executive Director and DIO, Senior Associate Dean for Graduate Medical Education and Accreditation, Professor of Ophthalmology and Pathology, Medical College of Wisconsin

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Table of Contents

NRMP Board of Directors .......................................................................................................................................... i About the NRMP ....................................................................................................................................................... v Figure 1. Applicants and 1st Year Positions in The Match, 1952-2017 ................................................................... v Definitions................................................................................................................................................................. vi Introduction................................................................................................................................................................ 1 Table 1. Match Summary, 2017............................................................................................................................... 3 Table 2. Matches by Specialty and Applicant Type, 2017 ...................................................................................... 7 Table 3. Positions Offered in the Matching Program, 2013-2017 ......................................................................... 11 Figure 2. Number of Active Applicants and Percent Matched to PGY-1 Positions, 2013-2017 ............................ 14 Table 4. Applicants in the Matching Program, 2013-2017.................................................................................... 15 Figure 3. Positions per All Active and Active U.S. Senior Applicant, 1976-2017 ................................................. 16 Table 5. Number of PGY-1 Positions per Active Applicant, 1976-2017 .............................................................. 16 Figure 4. PGY-1 Match Rates by Applicant Type, 1982-2017............................................................................... 18 Table 6. PGY-1 Match Rates, 1982-2017.............................................................................................................. 18 Table 7. Positions Offered and Number Filled by U.S. Seniors and All Applicants, 2013-2017.......................... 21 Figure 5. Number of Positions Offered and Filled for Selected Specialties, 2017 ................................................. 25 Table 8. Positions Offered and Percent Filled by U.S. Seniors and All Applicants, 2013-2017........................... 26 Table 9. All Applicants Matched to PGY-1 Positions by Specialty, 2013-2017................................................... 28 Table 10. U.S. Seniors Matched to PGY-1 Positions by Specialty, 2013-2017 ...................................................... 30 Table 11. Osteopathic Students/Graduates Matched to PGY-1 Positions by Specialty, 2013-2017 ....................... 31 Table 12. Foreign-Trained Physicians Matched to PGY-1 Positions by Specialty, 2013-2017 .............................. 32 Table 13. Applicant Choices by Specialty, 2017..................................................................................................... 34 Table 14. Match Results for U.S. Seniors and Independent Applicants Who

Ranked Each Specialty as Their Only Choice, 2017 ............................................................................... 36 Figure 6. Percentages of Unmatched U.S. Seniors and Independent Applicants Who

Ranked Each Specialty as Their Only Choice, 2017 ............................................................................... 37 Table 15. Matches from U.S. Seniors' and Independent Applicants' Rank Order Lists, 1997-2017 ....................... 38 Figure 7. Percent of Matches by Choice and Type of Applicant, 2017 .................................................................. 41 Table 16. Number of Couples in the Match and Match Outcome, 1987-2017........................................................ 42 Figure 8. Number of Couples in the Match and Match Outcome, 1987-2017 ........................................................ 43 Table 17. Average Number of Ranked Applicants Needed to Fill Each Position by Specialty, 2013-2017 ........... 44 Table 18. Participating Programs and Positions Filled in SOAP, 2016-2017.......................................................... 47 Table 19. SOAP Applicants Accepting Positions by Type, 2016-2017................................................................... 49 Figure 9. Offers Extended in SOAP, 2013-2017 ..................................................................................................... 49

NRMP Program Results 2017 Main Residency Match............................................................................................ 51

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About the NRMP

The National Resident Matching Program? (NRMP?) is a private, not-for-profit corporation established in 1952 to optimize the rank-ordered choices of applicants and program directors. The NRMP is not an application processing service; rather, it provides an impartial venue for matching applicants' and programs' preferences for each other using an internationally recognized mathematical algorithm.

The first Main Residency Match? ("the Match") was conducted in 1952 when 10,400 internship positions were available for 6,000 graduating U.S. medical school seniors. By 1973, there were 19,000 positions for just over 10,000 graduating U.S. seniors. Following the demise of internships in 1975, the number of first-year post-graduate (PGY-1) positions declined to 15,700. The number of PGY-1 positions gradually increased through 1994 and then began to decline slowly until 1998. This year, an all-time high 27,860 PGY-1 positions were offered

(Figure 1), the fifteenth consecutive annual increase. The total number of positions, at 31,757, also was an all-time high.

The trend in the total number of applicants is more dramatic, starting with 6,000 in 1952 and rising to 36,056 in 1999. After a decline of 5,052 applicants from 1999 to 2003, the number has risen each year since the 2004 Match. In 2017, the number of applicants reached an all-time high of 43,157, an increase of 787 over 2016.

For more information about the NRMP, please visit: . Additional data and reports for the Main Residency Match and the Specialties Matching Service? (SMS?) can be found at: match-data. Instructions on how to request NRMP data also are provided.

Figure 1 Applicants and 1st Year Positions in the Match, 1952 - 2017

50,000

45,000

40,000

35,000 30,000

Total Applicants

25,000

20,000 15,000

Total PGY-1 Positions

10,000

5,000

0 1952

1960

1970

1980

1990

2000

2010

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Definitions

ACGME

Accreditation Council for Graduate Medical Education.

Active Applicant An active applicant is one who submits a certified rank order list of programs.

All In Policy

Beginning with the 2013 Main Residency Match, any program registering for the Match must attempt to fill all positions through the Match or another national matching plan.

Applicant Type

The NRMP classifies applicants for the Main Residency Match into seven types:

Senior student of U.S. Allopathic Medical School (U.S. Senior): A fourth-year medical student in a U.S. allopathic school of medicine accredited by the Liaison Committee on Medical Education (LCME) with a graduation date after July 1 in the year before the Match. U.S. seniors are sponsored by their medical schools.

Previous Graduate of U.S. Allopathic Medical School (U.S. Grad): A graduate of a U.S. allopathic school of medicine accredited by the LCME with a graduation date before July 1 in the year before the Match. Previous U.S. graduates are not sponsored by the medical school.

Student/Graduate of Canadian Medical School (Canadian): A senior student or graduate of a Canadian school of medicine accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS).

Student/Graduate of Osteopathic Medical School (Osteo): A senior student or graduate of a medical school accredited by the Commission on Osteopathic College Accreditation (COCA).

Graduate of Fifth Pathway Program (5th Pathway): A graduate of a U.S. Fifth Pathway program.

U.S. Citizen Student/Graduate of International Medical School (U.S. IMG): A U.S. citizen who attended

an international medical school. Non-U.S. Citizen Student/Graduate of International Medical School (Non-U.S. IMG): A non-U.S. citizen

who attended an international medical school.

In this report, applicant types are sometimes combined into a smaller number of groups.

Couple

Foreign-Trained Physicians: U.S. citizen and non-U.S. citizen students and graduates of international medical schools.

Independent Applicants (IA): All applicant categories excluding U.S. allopathic seniors. Others: Includes previous U.S. graduates and Canadian, Osteopathic, and Fifth Pathway applicants.

Any two applicants can register as a couple in the Match. The NRMP allows couples to form pairs of choices on their primary rank order lists, which are considered in rank order when the matching algorithm is processed. The couple will match to the most preferred pair of programs where each partner has been offered a position.

PGY-1 & PGY-2 Post-graduate year one and post-graduate year two.

Program Type

The NRMP classifies programs for the Main Residency Match into five types:

Advanced (A) programs: Programs that begin in the PGY-2 year after a year of prerequisite training.

Categorical (C) programs: Programs that begin in the PGY-1 year and provide the full training required for specialty board certification.

Primary (M) programs: Categorical programs in primary care medicine and primary care pediatrics that begin in the PGY-1 year and provide the full training required for specialty board certification.

Preliminary (P) programs: One-year programs that begin in the PGY-1 year and provide prerequisite training for advanced programs.

Physician (R) programs: Programs that are reserved for physicians who have had prior graduate medical education. Reserved programs offer PGY-2 positions that begin in the year of the Match and thus are not available to senior medical students.

SOAP

The Supplemental Offer and Acceptance Program? (SOAP?) is a process by which eligible unmatched applicants in the Main Residency Match apply for and are offered positions that did not fill when the matching

algorithm was processed.

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