A Unified Match System for AGP Fellowship Programs

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A Unified Match System for AGP Fellowship Programs

• Fellowship Training
• Special Interest Group
• May 4, 2008

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CoPS fellowship application process

• Task Force Recommendations
• In order to simplify the process for the
  applicants, we would recommend that all Pediatric
  Subspecialties utilize ERAS
• In order to allow flexibility for subspecialties
  and enhance fairness to the applicants, we
  recommend utilizing a match, but suggest two
  match dates from which subspecialties could
  choose. These dates would be in the late spring
  and late fall.

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APA voted yes
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Benefits of a match

• Allows applicants and programs to consider all
  options before making decisions
• Creates an impartial venue for matching programs
  and applicants preferences
• Establishes a uniform date for appointment
• Produces a stable marriage

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Benefits of a match

• Professionalizes recruitment process
• Eliminates undue pressure on trainees to decide
  on program before all interview are complete
• Levels the playing field among programs
• Programs can interview more quality applicants
• Eliminates undue pressure on programs
• To select applicants before all interviews are
  complete
• To make appointments earlier and earlier each year

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NRMP 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 applicants 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
  will be a material breach of this Agreement an
  may result in penalties to the breaching program
  or applicant

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NRMP Match Waivers

• Applicants
• Hardship
• Change of specialty must be requested by January
  15
• Completion of residency postponed
• Programs
• Loss of funding
• Loss of accreditation
• Hardship

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NRMP Participation Criteria

• Programs must meet one of the following criteria
• Accredited by the ACGME
• Affiliated with an ACGME-accredited program in
  the core discipline
• Lead to specialty certification or oversight by
  an ABMS recognized certifying board

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NRMP Fellowship Sponsor Agreement

• At least 75 of programs with available positions
  will be registered in the match
• These programs will actively participate by
  submitting rank order lists
• At least 75 of the available positions within
  the subspecialty will be in the match

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NRMP Cost

• Programs
• 100 institution fee
• 20 per program (really track)
• 20 per matched applicant
• Applicants
• 40 registration fee
• 15/partner couple fee

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ERAS

• Advantages for applicants - they are familiar
  with this process
• Complete 1 application
• Request 1 set of documents
• Reduces certified mail expenses
• Tracks status of application materials
• Makes locating, researching, applying to
  accredited pediatric fellowship programs
  convenient and easy

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ERAS

• Disadvantages to applicants
• Cost but saves time
• More applications/greater competition
• Cost to applicants

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ERAS

• Advantages for Pediatric Fellowship Programs
• Bring greater diversity to applicant pool
• Electronic process streamlines recruitment
• Reduces processing time
• Applications more timely, consistent and easier
  to manage and review
• Supporting documents from source
• More reliable data
• ERAS data exportable
• To trainee tracking systems
• For grant writing purposes
• To GME offices
• Applicant behavior data - compare national and
  local characteristics
• No fee to use ERAS Fellowships

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ERAS Cost

• Program
• No cost
• Applicant
• 1-10 applications 100
• 11-20 10/each
• 21-30 15/each
• 31 25/each
• USMLE/COMLEX
• Transcripts 60 unlimited
• Processing fee 75
• 7560100 235 so 235 total first 10
  applications

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ERAS implementation

• At least 75-80 participation of programs
• Decision to join ERAS Fellowships is required by
  Nov 1, preceding year
• Registration of programs in Feb
• Application cycle begins upcoming July or Dec

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NRMP Fellowship

• Neonatology
• Critical Care
• Emergency Medine
• GI
• Hematology/Oncology
• Rheumatology
• Cardiology
• Nephrology (soon)

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ERAS Fellowship

• Neonatology
• Emergency Medicine
• GI
• Rheumatology
• Cardiology
• Nephrology

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Discussion