Mona M' Signer

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Nephrology Training Program DirectorsNovember
5, 2008

• Mona M. Signer
• Executive Director

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"Not everything that can be counted counts, and
not everything that counts can be counted."
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Medical Specialties Matching ProgramNumbers of
Programs and Positions2009 Appointments
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Medical Specialties Matching ProgramNumbers of
Positions Offered and Filled2009 Appointments
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Medical Specialties Matching ProgramPercent of
Programs Filled2009 Appointments
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Medical Specialties Matching Program Percent of
Programs FilledNew Internal Medicine Fellowship
Match
Nephrology
89.4
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Medical Specialties Matching ProgramPercent of
Positions Filled2009 Appointments
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Medical Specialties Matching Program Percent of
Positions FilledNew Internal Medicine Fellowship
Match
Nephrology
94.8
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Medical Specialties Matching ProgramPercent of
Positions Filled by Applicant Type2009
Appointments
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Percent of U.S. Allopathic Graduate Matches by
Specialty and Rank, 2009
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Percent of Independent Applicant Matches by
Specialty and Rank, 2009
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Number of Applicants Ranked by Each Nephrology
Program by Program Quota
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• Now that the Match is over

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(No Transcript)
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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.

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Match Waivers

• Applicants
• Hardship
• Change of specialty must be requested by January
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• 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.

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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

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Match Waivers

• If an applicants 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.

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Violation Investigations

• 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
• Final Report distributed

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Violation by an Applicant

• Final report sent to
• Applicants 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.
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Applicant Match History
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Violation by a Program

• Final report sent to
• ACGMEResidency 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.
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Fellowship Match Results
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Specialties Matching ServiceResults and Data Book
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Specialties Matching ServiceResults and Data Book
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National Resident Matching Program

• www.nrmp.org
• nrmp_at_aamc.org
• 202-828-0676
• 866-617-5834