NRMP UPDATE

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NRMP UPDATE

• 2004 PRODS MEETING
• Mona M. Signer
• Director

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2004 AND BEYOND

• 2004 Match Results
• Update on NRMP New Rule
• Match Policy News
• Jung. v. AAMC

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APPLICANTS, POSITIONS, PGY-1 MATCHES1998 - 2004
Source NRMP Match Data
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ACTIVE APPLICANTS IN THE MATCHBy Applicant
Type2000-2004
Source NRMP Match Data
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All APPLICANT MATCHESBy Applicant Type2000-2004
Matches
Source NRMP Match Data
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PATHOLOGY POSITIONS IN THE MATCH1998 - 2004
355
477
Source NRMP Match Data
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PATHOLOGY POSITIONS FILLEDALL APPLICANTS1998 -
2004
438
248
Source NRMP Match Data
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PATHOLOGY POSITIONS FILLEDUS SENIORS1998 - 2004
61
39
Source NRMP Match Data
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PATHOLOGY MATCHESBy Applicant Type2000-2004
Source NRMP Match Data
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NRMP NEW RULE

• Beginning with the 2004 Match
• all sponsoring institutions participating in the
  Main Match must register and
• attempt to fill all their positions in the Match
• except for those specialties or programs
  participating in other national matching programs.

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SURVEY RESULTSNo. Residents Selected Outside the
Match
Programs
Source NRMP 2004 Match Data
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SURVEY RESULTSNo. Residents With J-1 Visas
Programs
Source NRMP 2004 Match Data
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REPORT DATESPathology and All ResidentsJ-1
VisasN 26
Residents
Source ECFMG
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POLICY UPDATEU.S. Seniors in the Match

• Ensuring that all of its programs that offer
  positions to senior US allopathic students are
  enrolled in the NRMP, and that all such programs
  select senior US allopathic students only through
  the Matching Program. If any position is offered
  to US students outside the Matching Program, the
  institution will be in material breach of this
  Agreement and may suffer the penalties described
  in Section 9.0.
• Teaching hospitals that register any program in
  the Matching Program agree to select senior
  students of US allopathic medical schools for all
  of their programs only through the Matching
  Program.

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POLICY UPDATEContract Requirement2005 Main
Residency Match

• programs are expected to provide complete
  and accurate information to interviewees,
  including the contract the applicant would be
  expected to sign if matched to the program and
  all institutional policies regarding eligibility
  for appointment to a residency position. This
  information must be communicated to interviewees
  in writing prior to the rank order list
  certification deadline. It is recommended that
  each program obtain a signed acknowledgement.

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POLICY UPDATECriteria for Fellowship Match
Participation

• Programs must meet one of the following criteria
• Be accredited by the ACGME
• Be affiliated with an ACGME-accredited program in
  the primary discipline
• Lead to certification by an ABMS-recognized board

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POLICY UPDATEWaivers

• All waiver requests must be reported to and
  approved by the NRMP.
• A vacancy may be filled only after NRMP grants a
  waiver.
• NRMP determines if a violation occurred.
• Programs may not knowingly offer positions to
  applicants who matched elsewhere.

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POLICY UPDATEClinical Skills Assessment

• April 2004 last CSA administration by ECFMG
• June 2004 USMLE Step 2 CS replaces CSA
• Step 2 CS scores no longer controlled by ECFMG
• Lag in score releases during first year
• Earlier Step 2 CS deadline for Match
  participation

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POLICY UPDATEBoard Composition Subcommittee

• Current Board 12 voting, 2 non-voting members
• Solicit public input
• Analyze appropriate Board size
• Consider options for Board governance and
  appointment of new members
• Develop criteria to identify organizations for
  appointment of new Board members
• Consensus to add resident, program director, IMG,
  and public member

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POLICY UPDATESubcommittee on Second Match

• Review deliberations of NRMP Committee on the
  Unmatched Applicant (R3 System)
• Seek input from program directors, medical
  schools, and student groups
• Evaluate Match Week improvements
• Survey 2005 Main Match participants

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POLICY UPDATESubcommittee on Second Match

• All unmatched applicants unfilled programs
  required to participate in phase 2 NRMP cannot
  require ROLs
• Results released only after phase 2
• Partially matched applicants would be given
  geographic information
• All couples would be uncoupled but could
  re-couple
• ERAS could be used to send applications
  interviews discouraged
• Coordination with CaRMS and AOA matches required
• Unknown effect on applicant behavior

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POLICY UPDATESubcommittee on Second Match

• August 15 Applicant registration
• September 1 Program registration
• December 1 Registration deadline
• January 15 Ranking opens, phase 1
• January 30 Quota deadline
• February 11 Ranking deadline, phase 1
• March 1 Phase 1 results
• March 2 Ranking opens, phase 2
• March 8 Ranking closes, phase 2
• March 29 Applicants notified
• March 30 Programs notified
• March 30-31 Scramble
• April 1 Match Day

No change
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JUNG V. AAMC

• Filed May 7, 2002
• Class action on behalf of other residents
• Claims defendants violated federal antitrust laws
• Seeks injunctive and monetary relief
• Seeks structural changes to the Match

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JUNG DEFENDANTS

• National Resident Matching Program
• Association of American Medical Colleges
• Accreditation Council for Graduate Medical
  Education
• 27 Institutions
• -Yeshiva and Washington University
• American Medical Association
• American Hospital Association
• American Board of Medical Specialties
• Council of Medical Specialty Societies

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JUNG MILESTONES

• Motions to dismiss argued February 2003
• Court ruled February 2004
• NRMP filed appeal March 2004
• Co-defendants appealed March 2004
• Stay in proceedings requested pending appeal
• Class certification briefs filed Winter-Spring
  2004
• Legislative exemption granted April 2004
• Trial in 2007

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LEGISLATIVE RELIEF

• It shall not be unlawful under the antitrust
  laws to sponsor, conduct, or participate in a
  graduate medical education program residency
  matching program..

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SAVE THE MATCHwww.savethematch.org
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National Resident Matching Program

• www.nrmp.org
• nrmp_at_aamc.org
• [phone]