MS3 Student Academy February 17, 2017 STROLLING THROUGH THE MATCH

Will I match? Most likely! 17,057 U.S. Seniors matched in 2016 Overall 93.8% were successful 95.7% of couples were matched

Will I be able to go where I want? Probably! 78% of U.S. seniors got their first, second or third ranked program Only 12% got >fourth rank

Top Five Specialties for US Seniors Internal Medicine (categorical) (3,291) Emergency Medicine (1,895) Pediatrics (categorical) (1,829) Family Medicine (1,467) Medicine-Preliminary (PGY-1 Only) (1,388)

Top Five Specialties for OU Seniors Family Medicine (21) Internal Medicine (categorical) (21) Anesthesiology (15) Pediatrics (categorical) (13) Surgery (categorical) (11)

Class of 2016 – Residency Match (all COM, N = 150) SPECIALTIES (Categorical placements only)   (21) Family Medicine (21) General Internal Medicine (categorical) (15) Anesthesiology (13) Pediatrics (11) General Surgery (9 each) Psychiatry, Obstetrics/Gynecology (7) Orthopedic Surgery (6 each ) Emergency Medicine, Diagnostic Radiology (5 each) Urology, Ophthalmology (4) Neurology (3 each) Dermatology, Otolaryngology, Med/Peds, Pathology (2 each) Neurosurgery, General Internal Medicine (transitional) (1 each) Radiology-Oncology, Surgery-General – transitional, Plastic Surgery

Class of 2016 – Residency Match (all COM, N = 150) LOCATIONS 45 - Oklahoma 15 –Texas 9 – North Carolina 8 – California 7 – New York, Illinois 6 – Washington, Alabama, Washington, D.C. 5 – Florida, Tennessee, Arizona, Missouri 4 - Kansas 3 - Arkansas, Louisiana, Massachusetts, Michigan, Minnesota, Pennsylvania, Kentucky 2 - Colorado, Utah, Nebraska, Iowa, South Carolina 1 - Indiana, Wisconsin, New Mexico, West Virginia, Georgia, Oregon, Maryland

Class of 2016 – Residency Match (SCM only, N = 24) Specialties: 4 – Family Medicine 3 – Pediatrics, Psychiatry 2 – Otolaryngology, Ob/Gyn, Pathology, Internal Medicine 1 – Orthopedic surgery, General surgery, Med-Peds, Neurosurgery, Emergency Medicine

Class of 2016 – Residency Match (SCM only, N = 24) Students placed in 13 locations: 7 – Oklahoma (4 Tulsa, 3 OKC) 3 –New York 2 – Utah, Texas 1 each – Kansas, Massachusetts, South Carolina, North Carolina, Colorado, Tennessee, Missouri, Indiana, West Virginia, Oregon

Match Programs NRMP – National Residency Match Program Military Match – Also register with NRMP Urology Match – early match (January) San Francisco Match “early match” – Ophthalmology and Plastic Surgery; also PGY2, advanced residency positions SOAP – Supplemental Offer and Acceptance Program

The Match What Is It and How It works What is the “match”? The National Resident Matching Program (NRMP) provides a uniform system by which residency candidates simultaneously “match” to first and second-year postgraduate training positions accredited by the ACGME. The NRMP is a private, not-for-profit corporation established in 1952 to provide a uniform date of appointment to positions in graduate medical education (GME) in the United States.

Supplemental Offer and Acceptance Program (SOAP) Unmatched applicant and unfilled program information are released simultaneously Only unmatched applicants are able to send out applications Programs make offers of unfilled slots Applicants must accept or reject offers within a specific timeframe Unfilled programs must accept applicants only through ERAS

Couples Match - NRMP Any two applicants can couple. Each partner of a couple must enroll individually in a Match and indicate in the R3® system that they want to participate in that Match as a couple. The couple will match to the most preferred pair of programs on the rank order lists where each partner has been offered a position. For the Main Residency Match®, the algorithm considers only a couple's primary rank order lists & does NOT consider a couple's supplemental rank order as a unit. Each partner may rank up to 30 programs on their primary rank order lists.

Introduction to ERAS ERAS – Electronic Residency Application Service Introduced by American Association of Medical Colleges in 1995 to automate residency application process Service uses internet to transmit residency and fellowship applications, letters of recommendation, dean’s letters, transcripts, etc. to residency and fellowship program directors

Participating specialties At its May 2011 meeting, the NRMP Board of Directors voted unanimously to require programs participating in the Main Residency Match to place all positions in The Match. Exceptions: Rural Scholars Programs Family Medicine Accelerated Programs Post-SOAP positions Off-cycle appointments Few other unusual circumstances

How ERAS works Four components: MyERAS – applicant’s Web application DWS – Dean’s Office workstation PDWS – Program Director’s workstation ERAS Post Office

Advantages of ERAS Saves TIME Complete one application and send it to all programs ERAS is very “user friendly” ERAS offers flexibility Can customize your applications with different personal statements, letters of reference, etc.

Steps in the ERAS process Decide which programs you wish to apply to Get your ERAS token for accessing MyERAS Go to website www.aamc.org/eras and complete your applications Dean’s office will send dean’s letter and transcripts. You must submit names and information for Letter Writers. The recommender uploads letters directly to portal (beginning 2016). Applicant Documents Tracking System (ADTS) will use email to acknowledge documents that are downloaded by programs. CHECK YOUR EMAIL OFTEN!

ERAS/NRMP Timeline June 2017 First Monday in June: Obtain ERAS token. Begin work on “MyERAS” Write curriculum vitae (CV) Write personal statement Identify letters of recommendation (LoRs) writers Provide CV & personal statement to LoR writers Review NRMP data to assess competitiveness for specific residency programs of interest Register for Step 2-CK & Step 2-CS (many residency programs may want results of both Step 2 exams during interviews) July 1, 2017 Deadline to submit Medical Student Performance Evaluations (MSPE) Form, aka Dean’s Letter Sept. 1, 2017 May begin applying to residency programs via ERAS Sept. 15, 2017 Residency applications released via ERAS October 1, 2017 MSPE loaded into ERAS

ERAS/NRMP Timeline Oct. 2017-Jan. 2018 Residency interviews. Go on at least 15! November 30, 2017 NRMP registration deadline. Late fee assessed afterwards. December 2017 Military Match January 2018 Early Match - register with NRMP if (1) a PGY-1 year is needed and (2) to utilize parallel plan Applicants & programs begin entering rank order lists (ROLs) February 2018 FINAL ROLs from programs and applicants due 9 p.m. Eastern time, date in late Feb tbd March 12, 2018 SOAP-eligible notification March 13-16, 2018 SOAP week culminating in Match Day

Supplemental Offer and Acceptance Program SOAP Supplemental Offer and Acceptance Program Unmatched applicants apply for unfilled residency positions through ERAS. Unmatched students will be notified on Monday of Match week. Students submit preferred lists via ERAS. Programs may conduct phone or other interviews with applicants Tuesday and Wednesday. Wednesday afternoon through Thursday, offers from programs to candidates will occur. Last offers from programs to candidates expire 5 p.m. Eastern time on Thursday. Reveal will occur at noon on Friday.

Match and SOAP Week Friday, March 9, 2018 All students who registered for the Match are notified by NRMP whether or not they are SOAP eligible. This does NOT mean the students did not match. Monday, March 12, 2018 Noon Students notified whether or not they matched 1 p.m. Programs begin receiving SOAP applications through ERAS. 2 p.m. ERAS Programs begin receiving applications; SOAP- eligible applicants can send applications only to unfilled Match-participating programs. Program- initiated communication may begin, but no offers or commitments allowed.

Match and SOAP Week Tuesday, March 13, 2018 11:30 a.m. Residency programs begin preference lists. Wednesday, March 14, 2018 11:55 a.m. Residency programs finalize first round offers. Noon First-round offers sent to applicants. 2 p.m. First offers from to applicants expire. 2:55 p.m. Residency programs update preference lists. 3 p.m. 2nd-round offers sent to applicants. 5 p.m. Second offers to applicants expire.

Match and SOAP Week Thursday, March 15, 2018 9:00 a.m. Offers extended every three hours beginning at 9 a.m. with last offers valid 3:00 - 5:00 p.m., using same update schedule noted on Wednesday. 5 p.m. SOAP closes. Friday, March 16, 2018 Noon Match Day Reveal 1 p.m. Applicants: Where Did I Match? (email from R3 system)

What happens if I don’t Match? Master of Public Health Research Year Delay graduation OU students are generally successful if they go into match after one year off Every SCM student has found a residency in the last 10 years!

Dean’s Office Role MSPE dean’s letter and transcripts to programs’ “mailboxes” Offer advice, support, and nagging We want you to succeed and match with an appropriate residency!

Program Director’s Role Your file will have an applicant identification number Program Director’s evaluate your application through ERAS Issue invitations to students they wish to interview Make a MATCH list for their residency program

Choosing a Specialty Obtain specialty information from research and interviews with physicians in the field Overview of positions in residencies Categorical/Transitional/Preliminary How competitive is specialty Other types of training programs Research programs National medical specialty societies offer extensive information on their websites

Preparation Visit OU – Tulsa SCM website Curriculum Vita – Student Services’ Office will review Write a personal statement - Student Services and Writing Center Obtain letters of reference - Practice Interviewing – Student Services’ Office offers practice interview Meet with Associate Dean regarding Medical School Performance Evaluation (MPSE) “Dean’s Letter”

Selecting a Program Residency selection steps What were your original goals? What do you value about the role of physician? What part of doctor/patient relationship do you like? What type of lifestyle do you envision? Where do you want to live? What skills do you have? Are there certain clinical situations that make you uncomfortable?

The top factors in ranking applicants Results of the 2016 NRMP Program Director Survey USMLE Step 1 and Step 2-CK scores open the residency doors, but it is the interview that lands you the residency. The top factors in ranking applicants Interactions with faculty during interview and visit Interpersonal skills Interactions with housestaff during interview and visit Feedback from current residents USMLE/COMLEX Step 1 score

The Interview Process Interviewing tips Elements of the interview Questions to consider asking at the interview Follow-Up The next step Practice! Be prepared for possible difficult questions

Success in the Match Do not overestimate yourself - look at the characteristics of individuals who successfully match. Do not underestimate yourself - talk to people who can objectively assess your competitiveness. Do not list programs that you do not want – decide if it’s better to be unmatched than to match where you don’t want to go. The order is crucial! Don’t make your list too short – the more competitive your specialty, the longer your list needs to be.

Use the NRMP Resources! NRMP has an excellent website (http://www.nrmp.org/) Especially good resource: Charting Outcomes in the Match Characteristics of Applicants Who Matched to Their Preferred Specialty in the 2016 Main Residency Match http://www.nrmp.org/wp-content/uploads/2016/09/Charting-Outcomes-2015-Final.pdf

What can I do now? Begin deciding what you would like to do; try to imagine what you want to be doing in 2027, not just in 2017 Think about your strengths and possible challenges Decide on letters of recommendation If you know what you want to do, you can start your resume and personal statement Explore the idea of different regions of the country If you want a couples’ match or other special circumstances, schedule a meeting with me before June Otherwise, we will be scheduling for Dean’s letter meetings in July

General Residency Application Time Line & Checklist April (junior year) - March (senior year)