1. Guide to the Match 2007 Junior Class Meeting January 25, 2006

2. Residency Positions Categorical - programs that begin in the PGY-1 year and provide the training required for board certification in medical specialties. Preliminary - one-year programs beginning in the PGY-1 year that provide prerequisite training for advanced programs. Advanced - programs that begin in the PGY-2 year after a year of prerequisite training.

3. The “Match” Process by which students apply for and are “matched” to residency training programs. There are several kinds of “Match” Not all residency programs participate in a Match. Some Match participants offer positions outside the Match.

4. Organizations National Residency Match Program (NRMP) Electronic Residency Application Service (ERAS) San Francisco Match American Urological Association U.S. Armed Services

5. Main Match Main Match: Sponsored by the NRMP. The main match offers PGY-1 and PGY-2 level residency training positions in most specialties. Couples Match: Part of the Main Match. Couples can link their program choices together so that they can be matched into a combination of programs suited to their needs.

6. Specialties that participate in the Main Match Anesthesiology Dermatology Diagnostic Radiology Emergency Medicine Family Practice Internal Medicine IM/Pediatrics IM/Physical Medicine IM/Emergency Medicine IM/Family Practice IM/Psychiatry Obstetrics/Gynecology Orthopaedic Surgery Pathology Pediatrics Peds/Emergency Medicine Psychiatry Psychiatry/Family Practice Physical Medicine and Rehab Surgery Transitional Year Urology All Army PGY-1 Programs Others?

7. Main Match Resources National Residency Match Program (NRMP) –A private, not-for-profit corp. established in 1952 to provide a uniform process for applicants seeking residency positions. http://www.nrmp.org/

8. Main Match Resources Electronic Residency Application Service (ERAS) –a service that transmits residency applications, letters of recommendation, Dean's Letters, transcripts, and other supporting credentials to residency program directors using the Internet. http://www.aamc.org/audienceeras.htm

9. Main Match Resources Rank Order List Input Confirmation System (ROLIC) –Applicants and programs enter their Rank Order Lists via the Web using NRMP code and password.

10. IMPORTANT Applicants must register with both the NRMP and ERAS to participate in the services of each!!!

11. Early Match Programs Early Match: collection of specialties that operate outside the Main Match. An earlier match process. –San Francisco Match –American Urological Association (AUA) –Military Match, U.S. Armed Services

12. Early Match Programs The San Francisco Match provides matching services for: – Neurological Surgery – Neurology – Ophthalmology – Plastic Surgery http://www.sfmatch.org/

13. Early Match Programs The American Urological Association (AUA) –Provides a matching service for Urology Residency Programs –An Early Match http://www.auanet.org/

14. Early Match Program Military Match –The Army participates in the NRMP Main Match –Other Armed Services: Many more applicants than spots available Programs select applicants rather than using a computer algorithm.

15. IMPORTANT Participants in the Early Match should also register for the Main Match. –Some early match specialties require a PGY-1 preliminary year –Main Match can serve as an effective backup strategy

16. Eligibility to Participate in Match 2007 The applicant has been determined by the dean of student affairs to be on schedule for graduation in the year of the Match (2007). The applicant must be eligible to begin graduate medical training by July 1, 2007.

17. Resources Fellowship and Residency Electronic Interactive Database (FREIDA) –a database containing information on approximately 7,500 graduate medical education programs that are accredited by the Accreditation Council for Graduate Medical Education (ACGME), as well as on 200 combined specialty programs. http://www.ama-assn.org/ama/pub/category/2997.html

18. Additional Resources Careers in Medicine –http://www.aamc.org/students/cim/http://www.aamc.org/students/cim/ Strolling Through the Match –http://www.aafp.org/x20259.xmlhttp://www.aafp.org/x20259.xml Financing your Medical Education –http://www.aamc.org/students/financing/start.htmhttp://www.aamc.org/students/financing/start.htm

19. Timeline January – April 2006 –Decide on specialty –Determine what type of Match is involved –Externships: investigate & request applications

20. Timeline January – April 2006 –Utilize Resources: Careers in Medicine Strolling through the Match FREIDA, ERAS, NRMP, USMLE Office of Professional Development and Career Guidance

21. Timeline January – April 2006 –Dean assignments: today –Senior Schedules (March) Line up research projects for the senior year Start planning externships –CV & Personal Statement Workshop Thursday, February 16 th 4:00 pm Location to be announced

22. Timeline January – April 2006 –Residency Program Directors Meeting Tuesday, April 4 th 1:00 – 4:00 PM from 1 to 4 pm DTC, Jackson Memorial Hospital –Career Advising Dinner Monday, April 24, 2006 6:30 – 9:30 PM The Commons, Rosenstiel Marine School

23. Timeline May - June 2006 –Work on application materials Biographical information sheet Introduction to Dean’s Letter Curriculum vitae Personal statement

24. Timeline May - August 2006 –Meet with Advising Deans –Request letters of recommendation –Schedule externships –Review Junior Clerkship evaluations! –Register with NRMP –Register with ERAS –Register for USMLE Step 2 CS and CK

25. Timeline September - December 2006 –Complete applications and all support materials –Confirm receipt of letters of recommendation –Dean’s letter released to all programs: 11/1/06 –Schedule and go to interviews

26. Timeline January - February 2007 –Submit rank order list to NRMP –Finish interviews –Early and Military Match results released March 2007 –Match results released –Scramble –Match Day Celebration!

27. UMSM Early Match Results: 2005 Ophthalmology: 2/2 ENT: 2/2 Military Match: 7/7 Urology: 1/1 Neurology: 6/7

28. Special Issues The USMLE Step 2 Externships The Dean’s Letters Couples Match

29. USMLE Step 2 (CK and CS) Check to see what the requirements are for each program you apply to. If possible, take the exams early

30. Externships Reasons to go on an externship –Audition for a program –Audition a program / city –Take advantage of a unique educational experience

31. Externships: Requirements Must submit letter stating that you have been accepted to the program Must leave contact information with the Registrar Must submit an evaluation upon your return –See handout for instructions

32. The Medical Student Performance Evaluation “The Dean’s Letter” A letter of evaluation, not a letter of recommendation (don’t worry, we still recommend you) The content of the letter is non- negotiable A confidentiality waiver is available (optional)

33. The Couples Match Identify yourself ASAP so we can plan orientation meetings. Let programs know if you intend to participate in the Couples Match. Let programs know early if you have other special issues!!!

34. Approaching the Match: BE REALISTIC! When considering a specialty, consider the competitiveness of the specialty and your competitiveness as an applicant. –Grades –Awards –Board Scores –Research –Extra-curricular activities

35. Match Competition in 2005 Selected Specialties# Spots# Ranks / PositionFilled Anesthesiology (PGY-1)4637.3439 Anesthesiology (PGY-2)8207.0791 Dermatology (PGY-2)2888.4283 Emergency Med (PGY-1)11888.01164 Family Practice27612.52275 Internal Medicine (Cat)47684.54634 Internal Medicine (Prelim)198710.31803 OB/GYN11445.51083 Orthopedics61011.2605 Pediatrics22695.82211 Radiology-Dx (PGY-2)8849.9845 General Surgery10519.61044 Total Number of Positions: 24,012 Number of US Applicants: 15,308 Total Number of Applicants: 31,862

36. Average and range of USMLE Step 1 scores for UMMSM students who matched in each specialty Avg. Step 1 Score Range USMLE Step 1 Internal Medicine213170 – 245 Anesthesiology212183 – 258 Radiology236212 – 253 Ophthalmology245239 – 252

37. Objective Structured Clinical Evaluation (OSCE) June 10 th – 11 th, 2006 PARTICIPATION IS MANDATORY!