national resident matching program

Nephrology Training Program Directors

Peggy G. Geigher Associate Director November 1, 2007

NRMP GOVERNANCE

American Board of Medical Specialties

Association of American Medical Colleges

American Hospital Association

American Medical Association

Council of Medical Specialty Societies

Three students:AMA-MSS, AAMC OSR, AMSA

Two program directors: OPDA

Three resident physicians

Public member

NRMP MATCHES

Main Residency Match

• 35,000 applicants

• 25,000 PGY-1 and PGY-2 positions

Specialties Matching Service

• 20 fellowship matches

• More than 30 subspecialties

BENEFITS OF A MATCH

Allows applicants and programs to consider all options before making commitments

Creates an impartial venue for matching programs’ and applicants’ preferences

Establishes a uniform date for appointments to GME programs

FELLOWSHIP SPONSOR AGREEMENTAnnual Commitment

• At least 75% of programs with available positions will be registered in the Match

• These programs will actively participate by submitting rank order lists

• At least 75% of the available positions within the subspecialty will be in the Match

Participating Programs/Positions

According to ASN (as of October 2007):

Programs participating: 120

Positions in the match: 368

About Specialty Matches

Participating Fellowships

MEDICAL SPECIALTIES MATCHING PROGRAM2009 Appointments

Cardiovascular Disease

Endocrinology (new)

Gastroenterology

Hematology

Hematology/Oncology

Infectious Disease

Nephrology (new)

Oncology

Pulmonary Disease and Critical Care Medicine

Rheumatology

MSMP SCHEDULE OF DATES2009 Appointments

January 2, 2008 Match opens for registration

April 9, 2008 Ranking opens

May 21, 2008 Quota Change Deadline

June 4, 2008 Rank Order List Deadline

June 18, 2008 Match Day!

NRMP Program Codes1000148F0

1000 Institution code = same for all programs

148 First 3 digits of ACGME number = specialty

F Program description = C, P, A, R, M, F

0 Program track = clinical, research

APPLICANT SEARCH

MATCH DAY!

MATCH DAY!

MATCH DAY!

MATCH DAY!

MEDICAL SPECIALTIES MATCHING PROGRAM

Percent of Positions Filled by Applicant Type2008 Appointments

0

20

40

60

80

100

CD ID PD RHCCM GA

HEMONC

HEM/O

NC

US Grads US IMGs IMGs Osteopaths Others Unfilled

MEDICAL SPECIALTIES MATCHING PROGRAM

Programs in the Match by Subspecialty2008 Appointments

0

50

100

150

200

CD ID PD RHCCM GA

HEMONC

HEM/O

NC

Registered Programs Unregistered Programs

MEDICAL SPECIALTIES MATCHING PROGRAM

Positions in the Match by Subspecialty2008 Appointments

0

200

400

600

800

CD ID PD RHCCM GA

HEMONC

HEM/O

NC

THE MATCH COMMITMENT

“The listing of an applicant by a program on its certified rank order list or of a program by an applicant on the applicant's certified rank order list establishes a binding commitment to offer or to accept an appointment if a match results.

Failure to honor this commitment by either party participating in a match will be a material breach of this Agreement and may result in penalties to the breaching program or applicant…….”

MATCH WAIVERSApplicants:•Hardship•Change of specialty: must be requested by January 15•Completion of residency postponed

Programs:•Loss of funding•Loss of accreditation•Hardship

Waivers must be requested from, and can be granted only by, the NRMP.

MATCH WAIVERS

•Applicants may not negotiate for another appointment during a waiver review.

•Programs may not negotiate with other applicants until the waiver has been granted.

•If the waiver is granted, the applicant may accept another position and the program may fill the vacancy.

•Reconsideration can be requested if a waiver is denied.

•Waiver policy is at www.nrmp.org

MATCH WAIVERS

If an applicant’s waiver is denied:

• The applicant is expected to accept the matched position.

• If the applicant does not accept the matched position, he/she may be barred from accepting a position in an NRMP match-participating program for 1 year and a violation investigation is initiated.

• A match participating program may not offer a position to an applicant whose waiver was denied.

INVESTIGATION OF VIOLATIONS

Report potential violation to Executive Director

Information gathered by NRMP

Preliminary report reviewed by all parties

Case reviewed by Violations Committee

Review Panel Report to violator

Violator can arbitrate; “pending action”

Final Report distributed

VIOLATION BY A PROGRAM

Final report sent to:

• ACGME–Residency Review Committee

• NRMP institutional official

• Program director association

• Interested parties

Program may be identified as a match violator in R3 System or barred from future matches.

VIOLATION BY A PROGRAM

Final report sent to:• ACGME–Residency Review Committee

• NRMP institutional official

• Program director association

• Interested parties

Program may be identified as a match violator in R3 System or barred from future matches.

VIOLATION BY AN APPLICANT

Final report sent to:

• Applicant’s medical school

• Directors of residency programs

• American Board of Medical Specialties

• ECFMG

• FSMB

• Interested parties

Applicant may be identified as a match violator in R3 System or barred from future matches.

Applicant may be barred from match-participating programs for one year.

APPLICANT MATCH HISTORY

MATCH FEES

Programs$100 institution fee

$20 per program

$20 per matched applicant

Applicants$40 registration fee

$15/partner couple fee

“As far as offering positions outside the match, last year was so stressful that I won't even consider offering a position outside the match. I like the match more than I like any candidate.”

Anonymous Program Director

National Resident Matching Program

www.nrmp.org

nrmp@aamc.org

202-862-6077

866-617-5834