ERAS/NRMP Task Force Report January 2018

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1 ERAS/NRMP Task Force Report January 2018 Amal Assa ad, MD Cincinnati Children s Hospital Medical Center Cincinnati, OH Chair: ERAS/NRMP Task Force ERAS/NRMP Task Force Katharine Woessner, MD Sujani Kakumanu, MD Mark Dykewicz, MD Mariana Castells, MD PhD Luz Fonacier, MD Franklin Adkinson, Jr., MD David Khan, MD Lisa Kobrynski, MD AAAAI Staff: Mari Durán 1

2 Mission To serve as a resource to the Program Directors Assembly, to monitor the match process and data and to ascertain that the match is conducted in a professional manner. A Resource to the Program Directors Assembly Designating different tracks within the positions offered Research/3 year track option Moving to the Medical Specialties Match Seek, compile, share, analyze and archive data on positions and applicants Resource for special situations 2

3 Medical Specialties Matching Program (MSMP) A/I match is part of the Medical Specialties Matching Program Allows candidates: Couples match with candidates applying to any of MSMP. Rank and potentially match with any of MSMP Medical Specialties Matching Program (MSMP) Includes only these Internal Medicine fellowships: Cardiovascular, Endocrinology, Gastroenterology, Geriatric Medicine, Hematology, Hematology/Medical Oncology, Infectious Disease, Interventional Pulmonology, Medical Oncology, Nephrology, Pulmonary Disease and Pulmonary/Critical Care Medicine and Rheumatology. 3

4 Monitor the Process and Data Inform program directors of dates and deadlines Monitor participation Contact programs listed as not participating Contact applicants reported to have withdrawn their application Contact programs that are reported to take applicants outside the match Number of A/I Programs Since

5 ERAS PROGRAMS AND APPLICANTS Programs ERAS: 73 of 77 participated 1 did not participate due to no positions 1 undergoing several internal changes 5

6 Applicants to A/I 300 IMG US Grad positions offered Applicant to Position ACGME/UCNS/RCPSC USG IMG Child & Adol Psych Allergy and Immunology Neonatal-Perinatal Med (Peds) Geriatric Med (IM) Pediatric Pulmonology -8 4 Adolescent Med (Peds) -6-2 Pediatric Rheuma (Peds) -4-2 Dev & Behavioral Peds -3 8 Medical Genetics -3-1 Pediatric ID (Peds) -2-2 Sports Medicine (EM) 0 8 Pulmonary Disease (IM) 2 12 Pediatric Endocrinology (Peds) 3 3 Peds Rehab Med 3 1 Headache Medicine 4-1 Pediatric CCM (Peds) 4 10 Child Abuse Pediatrics 5 4 Geriatric Med (FM) 5 4 Hematology (IM) 5 3 Clinical Informatics (Anes) 10 8 Infectious Disease (IM) Adult Congenital Heart Disease 11 7 Clinical Informatics (Path) ED&M (IM) Rheumatology (IM) Sports Medicine (PM&R) 13 1 Pediatric Nephrology (Peds) 14 1 Hospice and Palliative Med 15 1 Clinical Informatics (FM) Sleep Medicine Ped Gastroenterology (Peds) Clinical Informatics (EM) Clinical Informatics (Peds) Gastroenterology (IM) Critical Care Medicine (IM) Clinical Informatics (IM) Nephrology (IM) Pediatric EM (Combined) 29-7 Sports Medicine (Peds) 30-1 Pediatric EM (EM) 31-5 Pediatric EM (Peds) 31-9 Oncology (IM) 33 1 Cardiovascular Disease (IM) Pulmo Dis & Critical Care (IM) Sports Medicine (FM) 55-2 Hematology and Oncology (IM)

7 USG IMG Child & Adol Psych Allergy and Immunology Neonatal-Perinatal Med (Peds) Geriatric Med (IM) Pediatric Pulmonology -8 4 Adolescent Med (Peds) -6-2 Pediatric Rheuma (Peds) -4-2 Dev & Behavioral Peds -3 8 Medical Genetics -3-1 Pediatric ID (Peds) -2-2 USG IMG Rheumatology (IM) Sports Medicine (PM&R) 13 1 Pediatric Nephrology (Peds) 14 1 Hospice and Palliative Med 15 1 Clinical Informatics (FM) Sleep Medicine Ped Gastroenterology (Peds) Clinical Informatics (EM) Clinical Informatics (Peds) Gastroenterology (IM) Critical Care Medicine (IM) Clinical Informatics (IM) Nephrology (IM) Pediatric EM (Combined) 29-7 Sports Medicine (Peds) 30-1 Pediatric EM (EM) 31-5 Pediatric EM (Peds) 31-9 Oncology (IM) 33 1 Cardiovascular Disease (IM) Pulmo Dis & Critical Care (IM) Sports Medicine (FM) 55-2 Hematology and Oncology (IM)

8 Match PROGRAMS AND APPLICANTS Are Fellowships Growing?? 8

9 National Program Highlights of the SMS Of 9,766 positions offered 8,483 (86.9%) were filled. Of 4,176 participating programs 3,299 (79.0%) filled all positions. Of the 62 participating subspecialties, 32 filled 90 percent or more of the positions offered and 21 filled less than 75 percent of the positions offered. National Applicant Highlights Of the 10,410 applicants who submitted a rank order list of programs, 81.5 percent (8,483) obtained positions, the highest match rate on record for the SMS. S. allopathic medical school graduates matched at a rate of 88.9 percent, the second highest on record for the SMS. 9

10 National Applicant Highlights Number of registered U.S. osteopathic medical school graduates totaled 1,060, a 12 percent (110) increase over 2016 and a 67.2 percent (426) over The number of registered non-u.s. citizen graduates of international medical schools (IMGs) declined for the fifth year in a row, down 369 applicants since Institutions 50 Combined Track 13 Two Separate tracks 6 Only Pediatric 20 One position 25 Two positions 5 Three positions 6 Two positions 4 Three positions 2 Four positions 1 Six positions 3 One position 3 Two positions 3 Only Internal Medicine 1 One position 1 Two positions 1 Three positions 10

11 Positions By All 84 Tracks No Positions 1 Position 2 Positions 3 Positions 4 Positions Applicants in NRMP Total Applicants US Grad Positions offered IMG

12 Matched Applicant Statistics Number 123 U.S. Grad % U.S. Foreign % Osteopathic % Foreign % Matched Applicants US Grad IMG Year 28 12

13 Programs 89 Programs 4 Withdrawn 70 FILLED (82.4%) 15 UNFILLED (17.6%) Positions Filled and Unfilled Positions Filled Unfilled Year 13

14 PROGRAM DIRECTOR SURVEY Recruitment Time Year Pre-Match Post-Match

15 Additional Qualifications Year PHD Master Minority Status Year AA Hispanic

16 Extended Fellowship Year Year Gender Year Female N Percent

17 Attended Chrysalis or Spark Year Either How many applications did you receive in ERAS Year Ped IM IM/Ped Total

18 Number Invited, Interviewed and Ranked Invited 21 (+10) Interviewed 16 (+ 7) Ranked 14 (+ 6) Interviewed and not ranked 36 programs did not rank candidates they interviewed, ranged from 1-5 ERAS online data NRMP online data DATA SOURCES ACGME Data Source publications and archives PDA provided data 18

19 Make Allergy Great Again!! 19

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