Transcript Facts about the Match - University of South Florida
Facts about the Match
Introduction
Prior to the mid 70’s, getting into a residency was “crazy”
Then the NIMP became the NRMP
Programs were still quite variable so getting into the “right place” was important (but still pyramidal)
The ACGME has “leveled the field”
Today the “Match” really means finding the program that matches the applicant
Caveats
Students get information from many sources (Student Affairs, current residents, other students, parents, family doctor, etc)
Much of the information is WRONG
NRMP 2007-2009 USF Data 1. Percentile Distribution for All Matched Seniors: All Specialties Combined Characteristic Match Characteristics:
1. Number of matched seniors 2. Percentage of class matched 3. Mean number of programs ranked 4. Mean number of programs ranked in matched specialty
Student Characteristics:
5. Mean number of work experiences 6. Mean number of volunteer experiences 7. Mean number of research experiences 8. Mean number of publications 9. Percent AOA members
USMLE Step Scores:
10. Mean Step 1 score 11. Mean Step 2 Scores
25th
207.0
212.0
2007 - 2009 50th
8.0
6.2
247 93.3
8.3
6.4
312 93.4
342 95.2
9.2
7.4
2.2
9.5
2.4
5.3
1.6
1.5
13.2
1.7
1.9
2.6
6.1
2.0
2.1
15.1
219.4
223.0
229.0
234.9
75th
442 96.6
10.0
8.1
3.0
6.9
2.5
3.0
16.5
237.0
244.0
7.4
NRMP 2007-2009 USF Data 25. Percentile Distribution for All Matched Seniors: Unmatched Characteristic Match Characteristics:
1. Number of matched seniors 2. Percentage of class 3. Mean number of programs ranked 4. Mean number of programs ranked in matched specialty
Student Characteristics:
5. Mean number of work experiences 6. Mean number of volunteer experiences 7. Mean number of research experiences 8. Mean number of publications 9. Percent AOA members
USMLE Step Scores:
10. Mean Step 1 score 11. Mean Step 2 scores
25th 2007 - 2009 50th 75th
11 3.4
17 4.8
22 6.6
24 6.7
5.0
5.8
6.8
--Does Not Apply for Unmatched Seniors - 2.1
4.1
2.4
2.5
5.0
1.6
1.4
0.0
2.1
2.1
0.0
2.3
4.5
2.9
6.1
2.7
3.1
6.3
6.6
2.8
194.0
193.0
207.0
209.0
219.1
224.0
227.0
235.8
Program
Family Medicine Internal Medicine Pediatrics Neurology Psychiatry Anesthesiology Emergency Medicine Obstetrics/Gynecology Pathology Physical Medicine All Programs
Radiology General Surgery Neurosurgery Orthopedic Surgery Otolaryngology Dermatology Plastic Surgery Vascular Surgery (integrated) P(match givenUS)
0.98
0.98
0.98
0.97
0.95
0.94
0.94
0.94
0.94
0.94
0.93
0.88
0.88
0.82
0.82
0.82
0.73
0.71
0.67
P(match givenUS)
0 0,5 1 Family Medicine Internal Medicine Pediatrics Neurology Psychiatry Anesthesiology Emergency… Obstetrics/Gynec… Pathology Physical Medicine All Programs Radiology General Surgery Neurosurgery Orthopedic Surgery Otolaryngology Dermatology Plastic Surgery Vascular Surgery… P(match givenUS)
2010 Match-Scramble Survey
•
111 (of 126) schools responded
•
14,623 seniors represented (NRMP = 16,070)
•
871 unmatched on Monday 3/15/10 (6.0%)
•
194 without a PGY-1 position on 3/29/10 (1.3%)
•
179 “ready to start” according to their student affairs deans (1.2%)
2010 Match-Scramble Survey
•
Of those 179
• • • • • • • • • •
81 49 28 18 16 13 11 6 2 1 - not competitive for chosen field - USMLE issues - Rank order issues - Difficulty with the process - Geography - Overly Aggressive - Poor interviewing skills - Professionalism issues - Poor Letters of Recommendation - Poor advice
Things to consider
How competitive is the student
How competitive is the discipline
How much help is the student going to need, how do you help get it
Alternate Plan, where indicated
“What Color is Your Parachute-2010” by Richard Bolles ($12.91 at Amazon)
• •
Interviewing skills Dress
Careers in Medicine (AAMC resource)
2010 NRMP Data for US Seniors
Matched US Seniors %matched first choice %matched second choice %matched third choice %matched 4th choice %matched >4th choice %unmatched Couples match rate (N=808 couples) 93.3% 52.7% 15.4% 9.2% 5.3% 11.6% 5.9% 93.4% 52.7% 68.1% 77.3% 82.6% 94.2% 5.9%
USF 2010 Class Data
first quartile median third quartile Minimum Maximum
Applications
15 24 36.5
3 100
Interviews
7 11 15 1 51
Attended
11 1 24 5 8
# ranked
5 7 10 0 24
Things to Address
Need to list at least 7 institutions that the student is willing to go to (or more)
Interviewing do’s and don’ts
How to put together a match list.
Determining “risk”
Surgery example
•
risk of surgery is estimated by
•
risk of operation x risk of patient
Match example
•
Risk of not matching is a combination of
•
risk of “chosen field” x risk of student
Take home message
• •
Understand how competitive your field is Understand how competitive you are
Risk of Discipline
90+% Anesthesiology 93% Neurology 95% Pathology 90% Pediatrics 90% Psychiatry 90% 80-89% Emergency Med 88% Family Med 87% Internal Med 85% Neurosurgery 82% Obstetrics 88% Radiology Diagnostic 90% Physical Med 89% 70-79% Med Peds 77% Orthopedics 75% Otolaryngology 77% Radiation Onc 79% Surgery 71% 60-69% Dermatology 69% 50-59% Plastic Surgery 56%
Your Risk
Getting an interview
• • •
USMLE Step 1 Score Rank in Class Getting help
Getting ranked highly
• • • • •
AOA “Audition Rotation” +/ Rank in Class Interview Letter from someone KNOWN
Getting “GOOD” advice
Career Counselor/Master Trainers
• • • • • •
Michael Flannery (IM) Erika Abel (IM/Peds) Lara Katzin (Neuro) William Marshall (Surgery & Specialties) Kelly O’Keefe (Emergency Medicine) Eduardo Gonzalez (Family Medicine)
USF Faculty (sometimes wrong)
Residents (often wrong, N=1)
Other Students (often wrong, N=0)
Family/friends (usually wrong, old)
USMLE Step 2 Exam
Required to be ranked?
Delay in starting residency
Score “decays” with time
Summary
Get good advice
Understand the field and yourself
Meet with USF Chair and/or PD
Rank at least 7 programs
Have a developed “Plan B”
DON’T count on the scramble
Take Step 2 early