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The Match
Joseph S. De Gaetano, DO, MSEd, FAAFP,FACOFP
Associate Professor of Family Medicine
Assistant Dean for Clinical Curriculum/GME
Military Match
• First match
• Completed by December of the M4 year
• Students who match in the military must take their government assignment and will automatically be withdrawn from the AOA and ACGME matches
NRMP
• The National Residency Matching Program (www.nrmp.org)
• only ACGME accredited residencies participate in the NRMP
• osteopathic students are considered independent applicants: NSU-COM does not manage your interaction with the NRMP
• An impartial venue for matching students to residency positions
• provides a uniform time for selection without pressure• 30,000 applicants compete for 25,000 positions annually
NRMP Residency Categories
• Categorical: programs that begin in the PGY1 year
• Advanced: programs that begin in the PGY2 year
• preliminary: programs that count as a PGY1 year and are a prerequisite for advanced programs
NRMP Process
• Students apply to the NRMP and their residencies independently
• application is to the residency via ERAS
• ERAS is run by the AAMC: an electronic clearing house
• registering with NRMP does not register you with ERAS
NRMP Matching Algorithm
• Always attempts to place a student in his/her most preferred site
• matches remain tentative until the official posting after the match is over
• the final preferences of program directors and applicants are reflected in the posted rank order list
• the final posting is a binding commitment
Guidelines for a Student’s Rank Order List
• Only list programs that you absolutely wish to attend
• list programs in sequence of preference
• an unlimited number of programs can be listed based upon a specialties competitiveness
ACGME Program Directors
• Invite students for interviews• institutional policies override NRMP policy• however, any attempt for an applicant
or program to supply specific rank order info. prior to the match is a violation of the match
• the NRMP rank order list takes precedence over any verbal commitments
Approximate NRMP Timeline in the M4 Year
• August: student registration opens• December 1: applicant registration deadline• January 15: applicants and programs begin to
enter their rank order lists• January 31: programs finalize their rank lists• February 26 at 11:59 p.m. EST: student rank
list deadline• March 17: students notified if matched or
unmatched on web at noon
Approximate Timeline Continued
• March 18 at 11:30 a.m.: unfilled positions listed: unmatched students begin to scramble: contact between students and programs prior to this time is a violation
• March 20 at 1 p.m. EST: all student match results listed: notification to students prior to this time is a violation
• March 22-April 22: letters of appointment sent by hospitals to students
NRMP policies
• Matches are legally binding
• failure to honor this commitment is a breach of contract
Policies Cont.
• Teaching hospitals set their own deadline for their own application submission via ERAS
• any subversion of the matching process will automatically withdraw the applicant from the process
• verbal commitments are non-binding• independent applicants must withdraw on
their own from the match
Policies Cont.
• Students with a commitment via the military match are automatically withdrawn from the NRMP
• students who are selected for a position via the AOA match are automatically withdrawn from the NRMP
• registration fees are non-refundable
ERAS
Electronic clearinghouse for:
• Letters of recommendation
• Transcripts
• MSPE
• Separate registration from matches
• Utilized by Military, MD, and DO residencies
Option 1Categorical Internship
• Residency programs will grant credit for the 1st postdoctoral year of training.
• Students will “Match” directly into the residency and the 1st postdoctoral year will be considered the first year of residency training.
• Specialties- Anesthesiology, Family Practice, Internal Medicine, Obstetrics and Gynecology and Pediatrics have chosen this option.
Option 2Preliminary Internship
• Residencies who choose this option will require a preliminary 1st year of training as a prerequisite for entry into the 1st year of residency in the 2nd postdoctoral year of training.
• Matching successfully assures entry into both the preliminary year and the subsequent 2nd year in residency training.
• Both the preliminary year and residency will be offered in the same institution
• Specialties- Emergency Medicine, General Surgery, Neuromusculoskeletal Medicine/Osteopathic Manipulative Medicine, Neurology, Neurosurgery, Ophthalmology, Orthopedic Surgery, Otolaryngology, Pathology, Psychiatry, Radiology, Radiation Oncology, Urology have chosen this option.
Option 3Traditional Rotating Internship
• This option represents a traditional rotating internship and stands alone.
• Specialties that have chosen this option prefer residents in their specialty to have completed a traditional rotating internship.
• This option is available to students who are undecided on future plans or for students planning on entering ACGME training.
• Students completing a traditional rotating internship and then selecting option 1 or 2 specialties must contact that specialty college to determine whether advanced standing will be granted.
• This option will depend on available residency positions since most will have been filled with first year matched trainees advancing to the OGME-2 year.
• Specialties- Dermatology, Occupational/Preventive Medicine, Physical Medicine and Rehabilitation and Proctology has chosen this option.
The new rotation schedule for Option 3 –
The Traditional Rotating Internship • 1. At least six months of training rotations in any or all basic core disciplines.
These include general internal medicine, general surgery, family practice, pediatrics, obstetrics/gynecology (ambulatory gynecology) and emergency medicine.
• 2. No less than two months of exposure in general internal medicine. • 3. One-month exposure in emergency medicine. • 4. At least one month in family practice in a hospital or ambulatory site or one-
half day per week for a minimum of 46 weeks of ambulatory exposure in a family practice continuity of care type practice site.
• 5. No more than three months of elective exposure adequate to meet the individual needs of the interns and approved by the DME/internship program director.
• 6. All remaining time may be scheduled at the discretion of the base institution. • 7. No more than one month may be spent in non-clinical experience (research,
scholarly pursuits, administration, etc.). • 8. Exposure must occur to the support disciplines of pathology, radiology, and
anesthesiology. This may occur directly by rotation or indirectly by formal didactic conferences and/or exposure while on medical and surgical services. This exposure must be verified
AOA accreditation of an ACGME Internship
• FL, WV, MI, OK, PA require an osteopathically accredited internship for licensure
• Resolution 42
AOA Match
• Administered by the National Matching Service (NMS) for the AOA
• each student independently registers with the NMS and submits a rank order list
• all osteopathic students automatically receive registration packets from NSU-COM in June of their M3 year
• the deadline for registration is October of the M4 year
• Rank order lists are submitted electronically by the end of January
Preparing for the AOA Match
• Students must also independently apply to residency programs
• ERAS is utilized by osteopathically accredited residencies
• verbal agreements are non-binding• contracts signed before the match are non-
binding• Official match results are binding• a student may rank order as many programs as
they desire
Notification of Results
• Students are notified by email of results in February of their M4 year
• a contract will be sent by mail to matched students from the hospital that selected them
• a student must sign the contract within 30 days after receipt
• failure to sign violates the match rules
Match Violations
• Students who violate match rules cannot take AOA training for one year after the violation
• the AOA will never approve allopathic training performed by students who violate the AOA match rules
• Only a residency training program can release a matched student from their contractual agreement.
• Contract disputes occur between the student and the program
Failure to Match
• All students who do not match via the NMS will receive a listing of open AOA slots across the country via email
• students and programs independently contact each other to fill open slots