RESIDENCY TRAINING IN THE US

Residency Training in US

1. Eligibility2. Difference in Canadian vs US

Training3. USMLE4. Match in US

a) NRMP

b) ERAS

c) San Francisco match

d) Urology match

Residency Training in the US

5. Unmatched US- SOAP ( Supplemental Offer and

Acceptance Program) - FindAResident

6. Information Sources- Careers in Medicine AAMC

- AMA FREIDA

1. Eligibility:

US citizenship Married to US citizen

2. Difference in Training Canada vs US:

a) Length

US: 3 years - Family Medicine- Pediatrics- Internal

Medicine

Canada: 2 years - Family Medicine 4 years - Pediatrics

- Internal Medicine

2. Difference in Training Canada vs US:

b) Quality

University Board certified

3. USMLE:

Step 1: - End of 2nd year medical school Step 2: - 4th year of medical school - Clinical knowledge (*CK)

- Clinical skills (*CS)

*CK: - MCQ*CS: - Standardized patients - Information gathering

- Physical examination- Communication of findings

3. USMLE:

Part 1, Part 2 Used in application

Resource: - Charting outcomes in the match

- AAMC- NRMP

4. Match in US:

CaRMS match date first NRMP match date second

4. Match in US:

NRMP - Not application service or job placement service

- Must apply directly to residency programs in

addition to register for match

4. Match in US:

b) ERAS (Electronic Residency Application

Service)

Register with both NRMP, ERAS Through NRMP in 2013:

- 16,390 US MD- Over 40,000 applicants in

total compete for 25,463 positions

4. Match in US:

c) San Francisco Match

Ophthalmology Some plastic surgery Neurotology (subspecialty of ENT)

4. Match in US:

d) Urology Match

e) All specialties except: Dermatology Neurosurgery Orthopedics ENT Plastic surgery

4. Match in US:

Have enough positions for US seniors who prefer that specialty

As medical school numbers increase, this will not continue

4. Match in US:

Difference: Canada vs. US PGYI/transition year is not

automatically included in US match position

Must find own PGYI/transition year

4. Match in US:

Preliminary: 1 or 2 year position provides training for advanced programs

Categorical (c): Begin PGY1 and for entire training to board exams

Categorical (m): Mixed in Internal Medicine and Pediatrics

Advanced: Begin in PGY2 after prerequisite training

4. Match in US:

Charting outcomes in the match: Who was successful

Rank more programs within preferred specialty

US seniors Have higher USMLE 1 and 2 Members AOA (Alpha Omega Alpha)

Match Results 2013

Overall US Seniors 95% matched Canadian medical schools: 21 applicants,

14 matched (66.7%) US citizens in IMG schools 49% Non-US IMG’s 40.6%

Canadians in 2012 17 applicants with 12 matched (70.6%)

4. Match in US:

Advice:

Rank all programs you really want Mix of highly competitive and less

competitive within your specialty Rank most preferred programs in

alternate specialty

5. Unmatched US:

NRMP match day 3rd Thursday in March Monday of match week – notified if

matched or not If unmatched:

- SOAP ( Supplemental Offer and Acceptance Program)

- FindAResident (positions outside of ERAS and NRMP)

6. Information Sources

Careers in Medicine AAMC AMA - FREIDA

- Fellowship and Residency - Electronic Interactive

Database Access