Roadmap to Residency: - AAMC

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Roadmap to Residency: FromApplication to the Match and Beyondelectronic signatures. The listing of anapplicant by a program on its certifiedrank order list or of a program by anapplicant on the applicant’s certifiedrank order list establishes a bindingcommitment to offer or to accept anappointment if a Match results. Failureto honor the match commitment byeither party may subject the party tosanctions as outlined in the NRMPViolations Policy that is posted on theNRMP Web site.Applicant registration for the Matchopens each year on August 15. Althoughthe early registration deadline isDecember 1, registrations are acceptedafter that date upon payment of a latefee. The ranking function opens onJanuary 15 and closes on the thirdWednesday in February.Match Week takes place during the thirdweek in March. On Monday of MatchWeek, applicants learn whether, but notto which programs, they have matched.On Tuesday, the NRMP releases a list ofthose positions that were not filled in theMain Match. The third Thursday inMarch is Match Day, when applicantslearn to which specific programs theyhave matched.Any applicant who does not match in theMain Match can seek a residencyposition during a post-Match processknown colloquially as “the Scramble.” AtNoon (EST) on Tuesday of Match Week,when the NRMP releases a list of thosepositions that were not filled in theMatch, unmatched applicants are free tocontact those programs and submitapplications for any unfilled positionsthat are posted on the NRMP’s secureWeb site. It is a violation of the MatchParticipation Agreement for an applicantwho matched to a residency position inthe Match to seek an alternative positionduring the Scramble.B. The San Francisco MatchingProgramFor 2007, the San Francisco MatchingProgram (www.sfmatch.org) offers PGY-2positions in specialties that do not participatein the NRMP: neurological surgery,child neurology, ophthalmology, andPGY4 positions in plastic surgery. It alsooffers fellowship positions in severalsubspecialties. Applicants are advised toreview carefully the information providedon the San Francisco Match Web site.Because the San Francisco Match doesnot offer PGY-1 positions, applicantsmust obtain their preliminary positionsoutside of the San Francisco Match.Some programs have designated preliminarypositions in the same institution forapplicants who match through the SanFrancisco Match; therefore, these applicantsdo not have to go through amatching program to obtain a PGY-1position. Other programs require applicantsto participate in the NRMP MainResidency Match to obtain a position forpreliminary training. Preliminarypositions for U.S. allopathic medicalschool seniors must be offered throughthe NRMP Main Residency Match.To participate in the San FranciscoMatch, applicants complete the onlineregistration form, print it, and mail orfax it along with the required payment tothe San Francisco Matching Program.Applicants are then mailed a certificateof registration, as well as additionalinformation on matching procedures.Most, but not all, of the programs participatingin the San Francisco Match usethe Central Application Service (CAS);programs in those specialties not usingthe CAS must be contacted directly fortheir individual applications. ERAS is notused by any specialties participating inthe San Francisco Match. It is importantto note that registration for the SanFrancisco Match does not register anapplicant for the CAS or vice versa.Information about the CAS can be foundon the San Francisco Match Web site.The ranking function for the SanFrancisco Match is also paper-based.Applicants complete the form that isposted on the San Francisco Match Website and send it by overnight mail, U.S.Postal Service, or fax to the SanFrancisco Match office. Receipt will beconfirmed by mail or telephone. Aseparate form must be completed ifchanges are made to the rank order list.As with the NRMP, the San FranciscoMatch uses an “applicant-proposingalgorithm,” and all matches are tentativeuntil the matching process has beencompleted, with the outcome determinedby the rank order lists submittedby programs and applicants. All matchesare binding commitments.Registration for the San Francisco Matchbegins in May, and the target date forreceipt of CAS applications is lateAugust. The period for submitting rankorder lists is December through mid-January, and Match Day is at the end ofJanuary. Unfilled positions are posted onthe San Francisco Match Web site inearly February.9Association of American Medical Colleges, 2005
Roadmap to Residency: FromApplication to the Match and BeyondC. The Urology MatchThe American Urological Association(AUA, www.auanet.org/residents/resmatch.cfm) sponsors a match forresidency positions in urology only. Eachyear, about 350 applicants compete forapproximately 235 positions, virtually allof which are filled through the AUAMatch. AUA Match statistics, as well asgeneral information about the AUAmatching process, can be found on theAUA Residency Match Web site.Applicants are advised to review thisWeb site information carefully.The prerequisite training for a prospectiveurology resident is one or two years,preferably in a general surgery program.Because the Urology Match does notoffer PGY-1 positions, applicants obtaintheir preliminary positions outside of theAUA Match. Some programs have designatedpreliminary positions in the sameinstitution for applicants who matchthrough the Urology Match; therefore,those applicants do not have to gothrough a matching program to obtain aPGY-1 position. Other programs requireapplicants to participate in the NRMPMain Residency Match to obtain aposition for preliminary training.Preliminary positions for U.S. allopathicmedical school seniors must be offeredthrough the NRMP Main ResidencyMatch.The registration form and fee for theAUA Match are submitted using anonline form that can be accessed on theAUA Web site. The Web site also listsparticipating programs and indicateswhether each uses ERAS or anothermethod for receipt of applications. It isimportant to note that registration forthe AUA Match does not register anapplicant with ERAS, or vice versa.The AUA Match ranking function ispaper-based. Preference lists must besubmitted to the AUA Match by the firstweek in January, and they cannot bechanged after the deadline date. A samplepreference list form can be printed fromthe AUA Match Web site, but it must besent by U.S. Postal Service or fax to theAUA Match office. As with the NRMP,the AUA Match uses an “applicantproposingalgorithm,” and the AUAMatch outcome is determined by applicants’and programs’ preference lists. Allmatches are binding commitments.Applicants can register for the AUAMatch as early as the spring of the yearprior to the AUA Match; the final registrationdeadline is the first week ofJanuary. The period for submitting rankorder lists is December through the firstweek of January, and Match Day is in thethird week in January. Vacancies availableafter the AUA Match may be listed on thephone-in AUA vacancy hotline.Unmatched applicants may makeindividual arrangements with programsthat have vacant positions.D. The American OsteopathicAssociation (AOA) Intern/Resident Registration ProgramThe AOA Intern/Resident RegistrationProgram (IRRP) is a matching programthat places applicants in U.S. osteopathicmedicine internship and residencytraining positions. It is sponsored by theAOA and administered by NationalMatching Services, Inc. (NMS,www.natmatch.com/aoairp). Additionalinformation also may be found on theAOA Web site (http://doonline.osteotech.org/index.cfm?PageID=sir_matchprotocol).New graduates of colleges of osteopathicmedicine must complete an AOAapprovedOGME-1 year in order to beeligible for certification by an osteopathicspecialty board, to continue postdoctoralosteopathic medical training, and toapply for future credentialing.The AOA's Council of PostdoctoralTraining has restructured the available firstpost-graduate year of training (OGME-1).These restructured three options include:• Option 1: Trainees completing thefirst year of residency in approvedspecialties will also meet the AOAapprovedfirst-year requirement.The specialty colleges approving thisoption include: anesthesiology,family practice, internal medicine,internal medicine/pediatrics, obstetrics/gynecology,otolaryngology facialplastic surgery, and pediatrics.• Option 2: Trainees must complete anAOA-approved internship as a prerequisitefor residency training. This yearof training will not be used to fulfill thePGY-1 requirement of residency.Specialty colleges approving this optioninclude: emergency medicine, generalsurgery, internal medicine/emergencymedicine, neuromusculoskeletalmedicine/osteopathic manipulativemedicine, neurology, neurosurgery,ophthalmology, orthopaedic surgery,pathology, psychiatry, radiology,radiation oncology, and urology.• Option 3: Trainees must complete anAOA-approved traditional rotatinginternship for consideration of a10Association of American Medical Colleges, 2005
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