Match 401: Strolling Through the Match MAY 22, 2019 Presented by Catherine R Womack M.D. and Debbey Hester The Beginning of the End …or the end of the beginning

Your Application Team MSPE Writers Application Coordinator Catherine Womack, M.D. Gerald Presbury, M.D. George Maish, M.D.. William Dabbs, M.D. (Knoxville) Mukta Panda, M.D. (Chattanooga) Application Coordinator Debbey Hester dhester@uthsc.edu | 901.448.5531 / 901.461.1293

Our Contact Information 910 Madison Avenue, Suite 1031 Memphis, TN 38163 Tel: 448-5684 | Fax: 448-7085 http://www.uthsc.edu/medicine/students

STTM Overview Quick Review from Match 302: The Trends How did UT do in 2019 match Medical Student Performance Evaluation (MSPE) Letters of Recommendation Applying for Residency Electronic Residency Application Service (ERAS) Nat’l Resident Matching Program (NRMP)

Applicants and PGY-1 Positions in Match 1952-2019 This year there were 43,909 applicants enrolled for 30,232 PGY-1 positions

UTHSC COM Match 2019 160 students graduating in 2019 157 enrolled in a match 138 matched NRMP + 2 Military + 2 Urology 14 entered SOAP- 11 received PGY-1, Categorical, or Advanced 3 accepted PGY-1 positions post-SOAP + 1 w/research fellowship

2019 Match In-state PGY1 UT system (66); TN (3) # Students Percentage In-state PGY1 UT system (66); TN (3) Mem (41) Chat (3) Knox (12) Nash(2) 69 43% Out-of-State PGY1 88 55% Primary Care 73 46% Non-Primary Care 83 52.8% December Grads; 2019 Match 2 1.2%

Match Week 2019 May Graduates # Students Percentage Enrolled in Match 157 Matched 138 + 2 + 2 90.4% No Match on Monday 14 8.9% Matched Prelim or Categorical in SOAP* 11 7.0% Position post-SOAP 3 1.9% Overall Placement 156 99.4% * Supplemental Offer and Acceptance Program

UT Students entering SOAP/Scramble Program 2019 2018 2017 2016 2015 2014 2013 Anesthesia 1 Dermatology Emergency Medicine 4 2 Family Medicine 2** Internal Medicine 1** Med/Peds Neurosurgery OB-GYN 3 Ophthalmology Orthopedics Pediatrics Plastics NA Phys Med & Rehab Psychiatry Radiology/RadOnc Surgery Urology ** board failure

Applicants vs Positions 2018 & 19 Specialty Total Positions 2018 2019 Total Applicant Unmatched Seniors 2018 2019 Anesthesiology 1253 1337 2011 2226 319 363 Dermatology* 476 447 863 701 115 118 Emergency Medicine 2278 2488 2901 3048 232 206 Family Medicine 3629 4107 6421 6652 315 323 Internal Medicine 7542 8116 11,917 12,527 542 600 NSG 225 232 325 341 37 52 Ob-Gyn 1336 1395 1879 2026 177 235 Orthopedics 742 755 1017 1037 158 137 Pediatrics 2768 2847 Psychiatry 1556 1740 2739 2767 254 203 Surgery 1319 1432 2391 2563 346 335 * PGY-2 From NRMP Match 2019 Advance Data Tables

Percent Matches by Choice and Applicant 2019

Take Home Points Primary Care increased positions by >1000 A board failure complicates matters Some specialties are becoming more competitive, like EM Orthopedics is a long shot, even with a Step 1 score of 270 OB/GYN won’t match a poor fit, even with competitive scores Be realistic, but optimistic!

USMLE Step Scores of Matched Applicants by preferred Specialty and Applicant Type NRMP: http://www.nrmp.org/data/index.html: Charting Outcome 2016

Concerns… More U.S. medical students in the pipeline : new schools mean more graduates Good U.S. medical students going unmatched More DO students in the pipeline (NRMP has merged the DO and MD processes) Some new spots: primary care on the rise Advice: Apply Smart!

Check Point! Review Match 302: Today’s Trends Talk about the MSPE Talk about Letters of Recommendation Electronic application (ERAS) Let’s talk “Mechanics” (the NRMP)

Medical Student Performance Evaluation (MSPE)

The MSPE… The MSPE is a comprehensive assessment regarding comparative performance. Sequential description of performance, as compared to peers, through all years of school An assessment of both academic performance and professional attributes. It should be 2-3 pages in length and appropriately formatted with appendices.

MSPE Format

MSPE

MSPE Academic History graduation and matriculation dates breaks, gaps, LOA transfer school and dual degreed program information, if applicable explanation of remediated coursework explanation of adverse actions

MSPE Academic Progress – Includes Professionalism Preclinical Coursework – PCM comments Clerkships – Basis of Overall Grade Example (Clinical:33%, Exam 33%, OSCE 34%) Brief synopsis of performance Chart – Comparative performance

The MSPE… Format Identifying Information Identifies you as a fourth year medical student at the University of Tennessee Health Science Center AOA distinction automatically included if applicable Personal Comments / Noteworthy Achievements 3 main points about you You help write them

The MSPE… Format Academic History graduation and matriculation dates breaks, gaps, LOA transfer school and dual degreed program information, if applicable explanation of remediated coursework explanation of adverse actions

The MSPE… Format Summary summative assessment of comparative performance relative to peers (i.e. quartile) Information on how the quartiles are determined (GPA) Step scores and research aren’t included

MSPE Summary

The MSPE… Is neither a letter of recommendation nor a prediction of future performance in residency

Questions about the MSPE?

Check Point! Review Match 302: Today’s Trends Talk about the MSPE Talk about Letters of Recommendation Electronic application (ERAS) Let’s talk “Mechanics” (the NRMP)

Letters of Recommendations (LOR) Coversheet generated when you create your letter writer in ERAS. Beginning 2016, ALL LORs must be directly uploaded to ERAS by the author using LORP!

Letters of Recommendation Generally 3-4 are required (includes Chair) recommend you get 4 (extra, visiting electives, research) may transmit up to 4 per program department chair of chosen specialty (if required) senior faculty member usually in specialty of choice (i.e., faculty with whom you did JI) other faculty member(s), not necessarily in specialty, who knows you well Non-faculty members (e.g., research) as 4th letter Remember, MSPE not a letter of recommendation!

Letters of Recommendation schedule appointment EARLY to review your professional goals and answer questions LOR appointments schedule through faculty member’s office , not Student Affairs provide a CV, personal statement, transcript, and ERAS LOR Form don’t be shy about discussing your strengths or extenuating circumstances

Chair’s letter etiquette Call to set up an appointment - do not email The chair is expecting you - even if you have never met The interview as well as your performance on the rotation will be enough for him to write you a letter Bring a list of programs you are considering; ask for feedback. Ask about your competitiveness for programs and listen to the feedback

Questions about LORs?

Check Point! Review Match 302: Today’s Trends Talk about the MSPE Talk about Letters of Recommendation Electronic application (ERAS) Let’s talk “Mechanics” (the NRMP)

Questions? Next up… Applying for Residency