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
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
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. http://www.nrmp.org/fellowships/medicalspecialties-matching-program/ 3
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and deadlines Monitor participation Contact programs listed as not participating Contact applicants reported to have withdrawn their application Contact programs that are reported to take applicants outside the match Number of A/I Programs Since 1960 100 90 80 70 60 50 40 30 20 10 0 60 69 88 90 93 95 97 99 1 3 5 7 9 11 13 15 17 4
ERAS PROGRAMS AND APPLICANTS Programs ERAS: 73 of 77 participated 1 did not participate due to no positions 1 undergoing several internal changes 5
Applicants to A/I 300 IMG US Grad positions offered 250 200 150 90 73 76 67 72 52 61 56 49 61 41 100 50 178 158 151 131 137 139 151 130 130 142 119 0 8 9 10 11 12 13 14 15 16 17 18 Applicant to Position 2.5 2.0 1.9 1.6 1.7 1.5 1.6 1.5 1.3 1.4 1.1 ACGME/UCNS/RCPSC USG IMG Child & Adol Psych -21-14 Allergy and Immunology -20-15 Neonatal-Perinatal Med (Peds) -15 4 Geriatric Med (IM) -9 15 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) 10 37 Adult Congenital Heart Disease 11 7 Clinical Informatics (Path) 11 13 ED&M (IM) 11-40 Rheumatology (IM) 12-27 Sports Medicine (PM&R) 13 1 Pediatric Nephrology (Peds) 14 1 Hospice and Palliative Med 15 1 Clinical Informatics (FM) 16 13 Sleep Medicine 18 18 Ped Gastroenterology (Peds) 20-20 Clinical Informatics (EM) 21 14 Clinical Informatics (Peds) 22 16 Gastroenterology (IM) 23 39 Critical Care Medicine (IM) 27 30 Clinical Informatics (IM) 28 20 Nephrology (IM) 29-26 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) 43 80 Pulmo Dis & Critical Care (IM) 49 46 Sports Medicine (FM) 55-2 Hematology and Oncology (IM) 83-5 6
USG IMG Child & Adol Psych -21-14 Allergy and Immunology -20-15 Neonatal-Perinatal Med (Peds) -15 4 Geriatric Med (IM) -9 15 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) 12-27 Sports Medicine (PM&R) 13 1 Pediatric Nephrology (Peds) 14 1 Hospice and Palliative Med 15 1 Clinical Informatics (FM) 16 13 Sleep Medicine 18 18 Ped Gastroenterology (Peds) 20-20 Clinical Informatics (EM) 21 14 Clinical Informatics (Peds) 22 16 Gastroenterology (IM) 23 39 Critical Care Medicine (IM) 27 30 Clinical Informatics (IM) 28 20 Nephrology (IM) 29-26 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) 43 80 Pulmo Dis & Critical Care (IM) 49 46 Sports Medicine (FM) 55-2 Hematology and Oncology (IM) 83-5 7
Match PROGRAMS AND APPLICANTS Are Fellowships Growing?? 8
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
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 2013. 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 2013. 74 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
45 40 35 30 25 20 15 10 5 0 Positions By All 84 Tracks No Positions 1 Position 2 Positions 3 Positions 4 Positions Applicants in NRMP 250 200 150 100 50 Total Applicants US Grad Positions offered IMG 0 8 9 10 11 12 13 14 15 16 17 18 11
Matched Applicant Statistics Number 123 U.S. Grad 83 67.5% U.S. Foreign 15 12.2% Osteopathic 12 9.8% Foreign 13 10.6% Matched Applicants 140 120 100 80 60 40 20 0 US Grad IMG 18 15 23 22 25 20 19 19 24 21 85 93 92 90 93 98 104 98 101 107 95 8 9 10 11 12 13 14 15 16 17 18 Year 28 12
Programs 89 Programs 4 Withdrawn 70 FILLED (82.4%) 15 UNFILLED (17.6%) Positions Filled and Unfilled Positions 140 120 100 80 60 40 20 0 Filled Unfilled 7 13 7 7 9 12 8 17 9 7 4 103 108 115 112 118 118 123 117 125 128 122 8 9 10 11 12 13 14 15 16 17 18 Year 13
PROGRAM DIRECTOR SURVEY Recruitment Time Year 15 16 17 18 Pre-Match 11 3 2 3 Post-Match 6 9 2 10 14
Additional Qualifications Year 15 16 17 18 PHD 14 5 10 14 Master 12 9 12 15 Minority Status Year 15 16 17 18 AA 4 5 5 4 Hispanic 4 6 8 6 15
Extended Fellowship Year 15 16 17 18 3 Year 27 36 21 26 Gender Year 15 16 17 18 Female N 95 103 86 94 Percent 71 76 71 70 16
Attended Chrysalis or Spark Year 15 16 17 18 Either 11 19 How many applications did you receive in ERAS Year Ped IM IM/Ped Total 17 1417 2013 314 4192 18 1343 1805 584 3732 17
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
Make Allergy Great Again!! 19