1. Current student information –
RANK ORDER LIST
Class of 2018
Current student information –
M4 students

2. “What is a Rank Order List?”

3. A Rank Order List
A Rank Order List (ROL) is an ordered listing, created by a student, of programs where the student interviewed and where he/she would like to do medical residency training
Programs also create a rank ordered listing of the students they would like to fulfill their residency openings
The ROLs are entered in the R3® System on the National Residency Match Program (NRMP) website

4. A Few Things Before Beginning
When you register with the NRMP for the Match, you are assigned an NRMP ID. After completing the NRMP registration process, you need to return to the ERAS website and enter your NRMP ID into the Profile section of your MyERAS
Help in preparing and entering the ROL is available in the “Help” section of the NRMP’s R3® System
NRMP communicates by – keep yours current – turn off any junk mail filters or add to your address book

5. Deadlines and Dates Where did I match? 12:00 noon
January 15th Ranking opens at 11:00 am
February 21st Ranking closes at 8:00 p.m.
March 9th verifying eligibility for SOAP
March 12th Did I match? 10:00 am
SOAP begins
March 16th Match Day Ceremony 11:00 am
Where did I match? 12:00 noon

6. NRMP Fees Registration fee $80
Late registration $50 additional (after Nov 30)
Couples $15 per partner
Primary ROL programs - no charge
Suppl. ROL(s) programs - no charge
Add’l programs $30 per program ranked on all lists and/or suppl. lists combined
Couples ROL 30 programs before extra fees

7. Couples Information Any two applicants can couple’s match
Each partner enters his/her own ROL, which MUST have equal number of ranks. Applicants participating as a couple can rank the same program more than once
Couples are matched on PRIMARY list only – supplemental rank order lists are NOT linked

8. “So how do I get started?”

9. Strategies for Creating a Rank Order List
Think about the strengths and weakness of each program at which you interviewed - assess the competitiveness of the specialty and yourself
Rank all programs where you would be happy to complete residency training. If you find a program unacceptable and aren’t interested in training there, don’t include it
Put programs on your ROL in order of your true preference, not how you think programs will rank you
Go for the “reach” program - include a “safety” program
Make your ROL long enough – data shows matched applicants have longer ROLs than unmatched applicants
It is recommended that you create a list of your program choices with NRMP program codes prior to entering them in the R3® system. Search for programs by clicking “Program Directory” on the top or left hand menu
Strategies for Creating a Rank Order List

10. Process of Entering a Rank Order List
After January 15th, go to the NRMP home page and log into the Registration, Ranking, and Results (R3®) system. To enter your ROL, click on “My Rank Order List” via the top menu option or the left menu option
The ROL page has two tabs – the “Primary Rank Order List” tab, where you maintain your ordered list, and the “Find & Add Programs” tab, where you can search for programs to add to your list
You may enter programs on the “Primary Rank Order List” by entering the program’s NRMP program code or by searching for them in the “Find/Add Programs” tab. You may also change the rank of programs once they have been entered
Reminder - after 20 minutes of inactivity, your session will expire and you will be logged out. Please save often to avoid losing any changes
Process of Entering a Rank Order List

11. “What is this Supplemental Rank Order List that just popped up?”

12. Creating a Supplemental Rank Order List
When an advanced program (PGY-2) is entered on the primary ROL, a box appears under “Supplemental List” so the applicant may create a list of preliminary or transitional programs for the PGY-1 year of training
Supplemental ROL’s are used in the Match only if the applicant is matched to an advanced program linked to that supplemental list
For your first supplemental list, select “New” from the dropdown list under “Supp List” and a new screen will appear automatically. Then enter the codes for PGY-1 programs for this supplemental list. The first list created will be List A, the second List B, etc.
Attach a supplemental list to each advanced program on your primary rank order list

13. “How do I submit my Rank Order List?”

14. Certifying a Rank Order List
When you have completed your rank order list entry, you MUST CERTIFY IT – that tells the NRMP that your ROL is ready to be used in the Match
Click on “Certify List”, enter your password and click on “Submit” - match status changes from “Ranking” to “Certified”. It’s good to print a copy for your records
When you certify your ROL, you enter into a binding commitment to accept a position should a Match occur and to begin training on the date specified in the appointment contract
Plan to certify your list several days before the deadline, as the servers will likely become overloaded on Feb. 21st
Even after certifying your ROL, your verification status will show as “not verified” – our office will verify your graduation status before the ROL deadline

15. “I think I want to change my list – can I do that?”

16. Making Changes to a Rank Order List
You can make changes after a ROL is certified, up until the ROL deadline, but you must re-certify the ROL after each
The System does NOT save any version(s) of previously certified ROL’s. It saves only the version you see on the My Rank Order List page
When ANY change is made, your list returns to ranking status and there is no record of that earlier certified list. You MUST re-certify your list before the deadline for it to be used in the Match
The ranking deadline is 8:00 p.m. CST on Wed., Feb. 21st. Your list must be certified at that time. Our office will be checking to make sure each student has a certified list before the ROL deadline
Making Changes to a Rank Order List

17. “How does the Match actually work?”

18. How the Match Algorithm Works
Applicants and programs create rank order lists
The system starts with an attempt to place an applicant in the program they ranked #1
If the applicant can’t be matched to that program, an attempt is then made to place the applicant into their #2 program, and so on, until the applicant obtains a tentative match or all the applicant’s choices on the ROL are exhausted
A tentative match occurs:
if the program also ranked the applicant and the program has unfilled positions
If the program is filled but the applicant is ranked higher than another applicant tentatively matched to that program

19. How the Match Algorithm Works (cont.)
There is no match if:
the program did not rank the applicant
the program ranked the applicant but is filled with other applicants more preferred by the program
Matches are final when the algorithm completes its cycles - all tentative matches then become final
Couples matches are final when the algorithm places a couple in their highest ranked pair of programs on the primary list where BOTH matched

20. “How do I find out if I matched?”

21. Match Results
At 11:00 a.m. on Monday, March 12th, you can learn whether you matched to a program by logging into the NRMP Registration, Ranking, and Results (R3®) System. You will be presented with one of the following messages on the Match Home page:
Congratulations, you have matched
Congratulations, you have matched to an advanced position but not a first-year position
Congratulations, you have matched to a one-year position
We are sorry, you did not match to any position
At 12:00 noon on Friday, March 16th, you can learn the specific name of the program to which you matched by logging in to the NRMP R3 System

22. “So what happens if I don’t match or I have a partial match?”

23. Supplemental Offer and Acceptance Program (SOAP)
Students who are unmatched or partially matched on Monday, March 12th should come to SM by 12:00 noon to participate in SOAP
At that time, unmatched or partially matched students may apply to unfilled programs using ERAS. Based upon applications they receive, programs create preference lists in the NRMP R3® system
The R3® system uses a series of rounds to offer positions to applicants in order of the program preference list and according to the number of unfilled positions remaining in the program during each round
SOAP concludes at 10:00 a.m. on Thursday of Match week
Supplemental Offer and Acceptance Program (SOAP)

24. “What is the Match Participation Agreement?”

25. Match Participation Agreement
As part of NRMP registration, Match participants, both programs and students, are required to agree to the terms and conditions of the Match Participation Agreement, which outlines policies and procedures related to the Match
Failure to abide by the terms and conditions of the agreement will subject the program or student to a violation investigation and could result in the levying of sanctions
Programs marked with a red flag in the Program Directory have violated the NRMP Match Participation Agreement. Programs marked with a yellow flag have a pending action. You may see further information by clicking “Institution and Program Violations” on the left menu bar

26. Types of Match Violations - Programs
Offering a position outside of the Match to a US senior
Requesting a student reveal, verbally or in writing, ranking preferences or intentions or programs to which they have applied
Don’t put too much weight on letters or words of interest from a program. These do not guarantee that the program is planning to rank you on their ROL

27. An Actual Letter to an Applicant
Dear Applicant:
We have thoroughly enjoyed your visit with us, and it is clear that you will excel wherever you choose to go.
You represent the kind of candidate that has traditionally done well in our program, and we hope to have the opportunity to work with you in the coming year.
Yours sincerely,
Program Director
Did the student who received this letter match to this program, even though the student ranked the program? No!
An Actual Letter to an Applicant

28. Types of Match Violations - Students
Requesting a program reveal, verbally or in writing, ranking preferences or intentions
Refusing to accept a position at a program on the student’s ROL or begin training on the scheduled date
Consider carefully the programs you include on your ROL. In certifying a ROL, you enter into a binding contract with the NRMP to accept a position at ANY program on your ROL should a match occur and to begin training on the date specified in the appointment contract

29. Violation Investigations
Once a violation is reported to the NRMP Executive Director, the case is investigated, then reviewed by the NRMP Violations Committee and all parties involved
The committee’s report is sent to the violator, who may seek arbitration. The final report is then distributed to the violator and other parties
Take your Match commitment seriously - if you are found to be in violation, the final report will go to the medical school, all residency program directors, the American Board of Medical Specialties, FSMB, and other interested parties

30. “Is there anything else I need to remember?”

31. Final Reminders
Complete and certify your list several days before the Feb. 21st deadline. Don’t wait until the last minute, as the servers may be overloaded and very slow
Even after certifying your list, your verification status may show as “not verified” – our office will verify your graduation status before the ROL deadline
Be careful about making last minute changes to your ROL - most are not well thought out and frequently regretted
If you do want to change a certified list, you may do so until 8:00 p.m. CT on Feb. 21st
The NRMP will NOT enter a list, add, delete or move programs or in any way modify your rank order list
Once you’re done, take a deep breath and congratulate yourself. You’ve done all you can do!

32. Questions?