1. RESIDENCY TRAINING IN THE US

2. Residency Training in US 1. Eligibility 2. Difference in Canadian vs US Training 3. USMLE 4. Match in US a) NRMP b) ERAS c) San Francisco match d) Urology match

3. Residency Training in the US 5. Unmatched US - SOAP ( Supplemental Offer and Acceptance Program) - FindAResident 6. Information Sources - Careers in Medicine AAMC - AMA FREIDA

4. 1. Eligibility:  US citizenship  Married to US citizen

5. 2. Difference in Training Canada vs US: a) Length  US: 3 years- Family Medicine - Pediatrics - Internal Medicine  Canada: 2 years- Family Medicine 4 years- Pediatrics - Internal Medicine

6. 2. Difference in Training Canada vs US: b) Quality  University  Board certified

7. 3. USMLE:  Step 1: - End of 2 nd year medical school  Step 2: - 4 th year of medical school - Clinical knowledge (*CK) - Clinical skills (*CS) *CK:- MCQ *CS:- Standardized patients - Information gathering - Physical examination - Communication of findings

8. 3. USMLE:  Part 1, Part 2 Used in application  Resource: - Charting outcomes in the match - AAMC - NRMP

9. 4. Match in US:  CaRMS match date first  NRMP match date second

10. 4. Match in US: NRMP - Not application service or job placement service - Must apply directly to residency programs in addition to register for match

11. 4. Match in US: b) ERAS (Electronic Residency Application Service)  Register with both NRMP, ERAS  Through NRMP in 2013: - 16,390 US MD - Over 40,000 applicants in total compete for 25,463 positions

12. 4. Match in US: c) San Francisco Match  Ophthalmology  Some plastic surgery  Neurotology (subspecialty of ENT)

13. 4. Match in US: d) Urology Match e) All specialties except:  Dermatology  Neurosurgery  Orthopedics  ENT  Plastic surgery

14. 4. Match in US:  Have enough positions for US seniors who prefer that specialty  As medical school numbers increase, this will not continue

15. 4. Match in US: Difference: Canada vs. US  PGYI/transition year is not automatically included in US match position  Must find own PGYI/transition year

16. 4. Match in US:  Preliminary: 1 or 2 year position provides training for advanced programs  Categorical (c): Begin PGY1 and for entire training to board exams  Categorical (m): Mixed in Internal Medicine and Pediatrics  Advanced: Begin in PGY2 after prerequisite training

17. 4. Match in US: Charting outcomes in the match: Who was successful  Rank more programs within preferred specialty  US seniors  Have higher USMLE 1 and 2  Members AOA (Alpha Omega Alpha)

18. Match Results 2013  Overall US Seniors 95% matched  Canadian medical schools: 21 applicants, 14 matched (66.7%)  US citizens in IMG schools 49%  Non-US IMG’s 40.6%  Canadians in 2012  17 applicants with 12 matched (70.6%)

19. 4. Match in US: Advice:  Rank all programs you really want  Mix of highly competitive and less competitive within your specialty  Rank most preferred programs in alternate specialty

20. 5. Unmatched US:  NRMP match day 3 rd Thursday in March  Monday of match week – notified if matched or not  If unmatched: - SOAP ( Supplemental Offer and Acceptance Program) - FindAResident (positions outside of ERAS and NRMP)

21. 6. Information Sources  Careers in Medicine AAMC  AMA - FREIDA - Fellowship and Residency - Electronic Interactive Database Access