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National Resident Matching ProgramApplicant User Guide

August 2011

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Copyright 2011 National Resident Matching Program. All materials subject to this copyright

may be photocopied for the purpose of nonprofit, scientific or educational advancement.

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Applicants

Table of Contents

Copyright 2011 National Resident Matching Program All Rights Reserved i

Part I: Introduction ........................................................................................................ 3About NRMP ...............................................................................................................4

How the NRMP Process Works ...................................................................... 5The Role of the NRMP in Medical Education .................................................. 6

About Residency ........................................................................................................7The Application Process .................................................................................7Communications with Applicants .................................................................... 8Residency Programs ......................................................................................9

Part II: Registration ..................................................................................................... 10Type of Applicants ................................................................................................... 10

Seniors in U.S. Medical Schools .................................................................. 10Independent Applicants ................................................................................ 11Verification of Credentials ............................................................................ 12

Registering for NRMP Matches ............................................................................... 13The Match Participation Agreement ............................................................. 22

Registration Fees ..................................................................................................... 26Paying by Credit Card .................................................................................. 27Paying by Internet Check ............................................................................. 29

Logging In ................................................................................................................33Forgot My Password ................................................................................................ 35Reviewing the Applicant Options Page .................................................................. 36Navigating in the NRMP Match Application ........................................................... 37

Using the Left Menu Bar ............................................................................... 37Using the Text Links ..................................................................................... 38Using the Browser Toolbar ........................................................................... 38

My Profile ..................................................................................................................39Update My Profile ......................................................................................... 39Withdrawal from the Matching Program ....................................................... 42Automatic Withdrawals ................................................................................. 44Registering as a Couple ............................................................................... 45UnCoupling .................................................................................................. 48Account History ............................................................................................ 50

Change My Password .............................................................................................. 51Part III: Ranking ........................................................................................................... 53

Summary of Guidelines for the Preparation of Applicant Rank Order Lists ........ 54

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Applicants

Table of Contents

Copyright 2011 National Resident Matching Program All Rights Reserved ii

My Rank Order List .................................................................................................. 55Creating a Rank Order List ........................................................................... 55Searching for Program Codes ...................................................................... 57To Search for a Program Code: ................................................................... 58Searching for an Institution Code ................................................................. 63Entering 10 Ranks ........................................................................................ 67Changing the Rank Order of the Programs .................................................. 70Deleting a Program from a Rank Order List .................................................. 72Inserting a Program on the Rank Order List ................................................. 73Supplemental Rank Order Lists .................................................................... 76Creating and Assigning Supplemental Rank Order Lists for AdvancedPrograms ..................................................................................................... 77Certifying a Rank Order List ......................................................................... 81Viewing and Printing a Rank Order List ........................................................ 84

Rank Order List Fees ............................................................................................... 86

To Certify a Rank Order List with Extra Ranks ............................................. 87Couples Rank Order Lists ....................................................................................... 93

Shared Residency Positions ........................................................................ 96Part IV: Institution and Program Violations .............................................................. 97Part V: Results ............................................................................................................. 98

NRMP Match Results ............................................................................................. 100Reports ................................................................................................................... 101Match Week Reports .............................................................................................. 102

Regional Match Statistics by Specialty ....................................................... 102Match Outcome for All Programs by State .................................................. 102

Other Reports ......................................................................................................... 102Programs Accepting Shared Pairs ............................................................. 102

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Applicant User Guide

Copyright 2011 National Resident Matching Program All Rights Reserved 3

Part I: Introduction

Welcome to the National Resident Matching Programs (NRMP) Registration,Ranking, and Results (R3) System. You are about to begin the process of

selecting a program for your residency training through the matching serviceadministered by the NRMP. It is our intent to provide you with an accessibleand user-friendly process.

This User Guide is designed to provide applicants with detailed informationabout the NRMP and the R3 System. Detailed easy-to-use instructions areincluded to assist participants in the registration process and to simplify theranking of programs and the retrieval of Match results.

If you have any questions, please contact a member of the NRMP Help Desk

Staff.

Phone: 202-828-0566Toll-Free: 866-617-5838

Fax: 202-828-4797E-mail: [email protected]

Web site address:http://www.nrmp.org
http://www.nrmp.org/http://www.nrmp.org/http://www.nrmp.org/http://www.nrmp.org/

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About NRMP

The National Resident Matching Program (NRMP) is a private, not-for-profitcorporation established in 1952 to provide a uniform date of appointment topositions in graduate medical education (GME). Five organizations sponsor theNRMP and nominate members to the Board of Directors:

American Board of Medical Specialties (ABMS)American Medical Association (AMA)

Association of American Medical Colleges (AAMC)American Hospital Association (AHA)

Council of Medical Specialty Societies (CMSS)

In addition, there are three medical student members nominated by the AAMCOrganization of Student Representatives, the AMA Medical Student Section, andthe American Medical Student Association; three resident physicians selected

from at-large nominations; and one public member.

Each year, the NRMP conducts a Match that is designed to optimize the rank-ordered choices of applicants and program directors. In the third week of March,the results of the Match are announced.

The NRMP is not an application processing service; rather, it provides animpartial venue for matching applicants' and programs' preferences for eachother. Each year, approximately 16,000 U.S. allopathic medical school studentsparticipate in the Match. In addition, another 20,000 "independent" applicants

compete for the approximately 25,000 available residency positions.Independent applicants include former graduates of U.S. allopathic medicalschools, U.S. osteopathic students/graduates, Canadian students/graduates, andstudents/graduates of international medical schools.

In 2011, the NRMP enrolled 4,235 programs, which altogether offered 26,158positions. A total of 37,735 applicants registered for the Match. Of those, 16,893were 2011 graduates of accredited U.S. allopathic medical schools and 20,842were independent applicants.

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How the NRMP Process Works

Because it provides a uniform date for decisions about residency selection forboth applicants and residency training programs, the NRMP eliminates thepressure that might otherwise fall upon applicants and programs to makedecisions before all their options are known. The Match Participation Agreementcontains the policies and procedures developed to accomplish this objective and

should be reviewed carefully. The NRMP can best accomplish its goals whenevery program involved in the selection of applicants participates fully in theMatch.

Since January 1998, an applicant-proposing algorithm has been used in all NRMPmatches. Offers made to applicants by the various programs are determined bythe applicants' preference lists (rank order lists). Applicants match into theprogram listed highest on their list(s) that also ranked the applicant and that didnot fill all available positions with applicants the program preferred asdetermined by its rank order list.

There is one cardinal rule for both programs and applicants: neither must askthe other prior to the Match to make a commitment as to how each will beranked. Each party may express interest in the other; however, questions abouthow each will rank the other must be avoided and must not be solicited. Neitherprograms nor applicants should consider the others comments about interest ascommitments. Candor and honesty are important for both programs andapplicants.

Applicants who register for the Main Residency Match and who are either (1)

withdrawn by the NRMP or (2) unmatched or partially matched after thematching algorithm has been processed may be eligible to participate in theMatch Week Supplemental Offer and Acceptance program (SOAP). SOAP is anordered process whereby eligible applicants attempt to obtain positions inprograms that did not fill all their positions.

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The Role of the NRMP in Medical Education

The NRMP is not a centralized application service for graduate medicaleducation programs and cannot advise applicants in selecting specialties orprograms. The NRMP is a mechanism for matching applicants to programsaccording to the preferences expressed by both parties in their final certified rank

order lists.

Types of Positions Offered through the NRMP Residency Match

Categorical (C) positions are in programs that expect applicantswho enter in their first post-graduate year to continue until theyhave completed all training required for specialty certification,provided their performance is satisfactory. Primary categoricalprograms in medicine and pediatrics are designated by (M).

Preliminary (P) or PGY-1 positions provide one or two years ofprerequisite training for entry into an advanced position inspecialty programs that require one or more years of broad clinicaltraining. Internal medicine, surgery, and transitional programscommonly offer preliminary positions.

Advanced (A) or PGY-2 positions begin in the year after the Matchand require completion of one or more years of preliminarytraining. Applicants without prior graduate medical education canapply for these positions while also applying for preliminarypositions that are compatible with their plans.

Physician (R)positions are reserved for physicians who havealready completed some graduate medical education. Physicianpositions are not available to senior U.S. medical students.

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About Residency

The Application Process

Candidates must apply to the programs of their choice by requesting applications directly

from the programs or by using the Electronic Residency Application Service (ERAS).

ERAS is the Electronic Residency Application Service administered by the AAMC to

transmit via the Internet residency applications, personal statements, recommendationletters, MSPEs (Medical Student Performance Evaluation), transcripts, and other

supporting credentials from medical schools to residency program directors.

Candidates are responsible for requesting letters of recommendation, ordering transcripts,

and forwarding other materials directly to each program by the deadline established by

each program.

Programs may require graduates of U.S. medical schools accredited by the Liaison

Committee on Medical Education (LCME) to provide copies of their MSPE. This

document is the standard recommendation prepared for graduating seniors by U.S.

medical schools. Graduates of non-LCME accredited medical schools will be expected

to provide an alternative to the MSPE from individuals capable of evaluating theirpotential as physicians. Program directors review candidates' credentials and, if

interested, invite them for interviews.

Applicants are responsible for ensuring that they meet all program prerequisites and

institutional employment conditions as provided by the program during the interview.

The Educational Commission for Foreign Medical Graduates (ECFMG) serves as the

ERAS coordinator for students and graduates of international medical schools. Refer to

the ERAS web site for more information (http://www.aamc.org/eras).

Please note: Registering with ERAS does not register applicants with the NRMP.Applicants must register separately with each service.
http://www.aamc.org/erashttp://www.aamc.org/erashttp://www.aamc.org/erashttp://www.aamc.org/eras

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Communications with Applicants

Program directors review candidates' credentials and, if interested, invite them for

interviews. The NRMP encourages frank and open discussion between applicants and

program directors during the interview process. Applicants and programs are responsible

for the completeness, timeliness, and accuracy of information exchanged during the

application process.

Programs must provide complete and accurate information to interviewees, including a

copy of the contract the applicant will be expected to sign if matched to the program and

all institutional policies regarding eligibility for appointment to a residency or fellowship

position. This information must be communicated to interviewees in writing prior to the

rank order list certification deadline and the program should obtain a signed

acknowledgement from each applicant who interviews.

The ranking of an applicant by a program or of a program by an applicant establishes a

binding commitment between them should they be matched. Appointments are

dependent upon applicants meeting all eligibility and employment requirements in effect

at the time of the rank order lists deadline shown on the Schedule of Dates for the Match.Institutional policies take precedence over the results of the Match.

The Match Participation Agreement does not preclude one party from expressing interest

in the other. It is not a violation for an applicant or a program to volunteer how one will

rank the other; however, any attempt to request such information is a violation of the

Match Participation Agreement. Verbal or written statements implying a commitment

should not be solicited, nor should applicants be required to reveal the names or identities

of programs to which they have or may apply. Rank order lists take precedence over

verbal commitments.

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Residency Programs

Residencies for recognized specialties are diagrammed below. The length ofeach bar represents the years of training required for certification. These areunofficial assignments and are offered for informational purposes only. Consultthe most recent Graduate Medical Education Directory for the most current officialrequirements. Many specialties indicated as starting at the PGY-2 level now offer

categorical tracks, which include the first year.

1 2 3 4 5 6-7FAMILYMEDICINE

EMERGENCY MEDICINE

PEDIATRICS SUBSPECIALTIES

INTERNAL MEDICINE SUBSPECIALTIES

OBSTETRICS/GYNECOLOGY

OTOLARYNGOLOGY

PATHOLOGY

GENERAL

SURGERY

SUBSPECIALTIES

UROLOGYNEUROLOGICAL SURGERY

ORTHOPAEDIC SURGERY

VASCULAR SURGERY (INTEGRATED)

PLASTIC SURGERY (INTEGRATED)

THORACIC SURGERY (INTEGRATED)

TRANSITIONAL

or

PRELIM MEDICINE

or

PRELIM SURGERY

ANESTHESIOLOGY

DERMATOLOGY

NEUROLOGY

NUCLEAR MEDICINE

OPHTHALMOLOGY

PHYSICAL MEDICINEPSYCHIATRY

RADIOLOGY - DIAGNOSTIC

RADIATION ONCOLOGY

PRELIM PEDIATRICS CHILD NEUROLOGY

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Part II: Registration

Applicants register once in the NRMP Registration, Ranking, and Results (R3)System and submit personal profile information that may be updated after theinitial registration process. During the initial registration, applicants areassigned an AAMC ID number and select a personal password of their choice.

The AAMC ID number and the personal password will be used by theparticipant to access the R3 System for future sessions.

Type of Applicants

Two types of applicants are eligible to register for the NRMP Main ResidencyMatch: U.S. seniors (students in U.S. allopathic medical schools) andindependent applicants.

Seniors in U.S. Medical Schools

A U.S. senior is a fourth-year medical student in an allopathic school of medicinethat is accredited by the Liaison Committee on Medical Education. A studentwith a graduation date after July 1, prior to the Match, is considered a U.S.senior. U.S. seniors are sponsored by their medical schools in the NRMP MainResidency Match. Information about the results of the Match is sent to the U.S.senior's school of medicine.

For a senior in a U.S. allopathic medical school to participate in the MainResidency Match as a U.S. senior, the following requirements must be met:

the applicant has attended a U.S. medical school accredited by the Liaison

Committee on Medical Education (LCME), and the applicant has been determined by the schools dean of student affairs to

be on schedule for graduation and to be eligible to enter graduate medicaleducation by July 1stin the year of the Match .

Before registering for the Match, students are asked to carefully review theMatch Participation Agreement found on the NRMP website athttp://www.nrmp.org/res_match/policies/map_main.html.

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Independent Applicants

Applicants who are not sponsored by LCME-accredited U.S. medical schoolsmust register with the NRMP as independent applicants.

Independent Applicant Categories

Six types of independent applicants may participate in the Main ResidencyMatch. It is important to select the correct independent applicant categoryduring registration.

previous graduates of U.S. allopathic medical schools (who graduated earlierthan July 1 in the year before the Match)

students /graduates of osteopathic medical schools

students /graduates of Canadian medical schools

students /graduates of Fifth Pathway programs

U.S. citizen students /graduates of international medical schools (physicianswhose basic medical degree or qualification was conferred by a medicalschool located outside the United States or Canada)

non-U.S. citizen students /graduates of international medical schools

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Verification of Credentials

All Match applicants must have their credentials verified in order to participatein the Match. Requirements for the verification of credentials vary depending onthe type of applicant, as outlined below.

U.S. SeniorsThe NRMP requires that U.S. seniors be verified for scheduled, on-timegraduation (before July 1st in the year of the Match) from their medical school bytheir NRMP school official or administrator. If for any reason an applicantcannot be verified for graduation by the medical school, the student will benotified by the NRMP. If a senior student is withdrawn from the MatchingProgram because he/she will be ineligible to enter graduate medical educationon July 1 in the year of the Match, the student may accept a position outside theMatching Program provided training will begin no later than February 1 in theyear following the Match; however, if the student elects to participate in the

Match, he/she will be a sponsored applicant. Students who are withdrawn fromthe Match may not seek an out-of Match position before noon eastern time onMonday of Match Week. Students who are withdrawn may or may not beeligible to participate in the Match Week Supplemental Offer and AcceptanceProgram (SOAP). For further information about SOAP, see page XX.

Students/Graduates of Osteopathic, Canadian, & Fifth Pathway Programsand Previous Graduates of U.S. Medical SchoolsThe NRMP requires the NRMP school official at the above-designatedinstitutions to verify that the information provided by the applicant is correct. Iffor any reason an applicants credentials cannot be verified, he or she will be

notified and withdrawn automatically from the Match.

Students/Graduates of International Medical SchoolsThe NRMP requires students and graduates of international medical schools topass all examinations required for certification by the Educational Commissionfor Foreign Medical Graduates (ECFMG). The ECFMG requires applicants topass USMLE Step 1 and Step 2 (or their equivalents). Step 1 and both parts ofStep 2 (CK AND CS) must be passed by the rank order list deadline.

Students and graduates of Fifth Pathway programs also must pass Steps 1 and 2

of the USMLE. Step 1 and both parts of Step 2 (CK AND CS) must be passed bythe rank order list deadline.

Applicants who have not received their reports of performance on any of theabove examinations still may register for the Match; however, if the ECFMGreports that applicants have not met the examination requirements by thedeadline for submitting rank order lists, those applicants will be withdrawnautomatically from the Match.

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Registering for NRMP Matches

Applicants register in the Registration, Ranking, and Results (R3) System andsubmit personal profile information that may be updated after the initialregistration process. During the initial registration, applicants are assigned anAAMC ID number and select a personal password of their choice. The AAMCID number and personal password will be used by the participant to access the

R3 System for future sessions.

To use the R3 System, Internet Explorer version 6.0 (greater), FireFox version 3.0,or other Mozilla compatible browsers are required. The R3 System uses featuressuch as JavaScript, Java applets, and cookies all of which must remain enabledfor the System to work. Either a PC or Macintosh computer can be usedprovided the computer has Internet access; however, the R3 System does notsupport the use of Safari by Mac users. If you wish to use a Mac, pleasedownload a free version of Firefox for Mac using this link,http://www.mozilla.com/en-US/firefox/all.html.

To Register for NRMP Matches:

1. Start a web browser.

2. Enter the address for the NRMP web site (ht tp : / /www.nrmp.org) into thelocation bar.

3. Click Register / Login at the top of the page.
http://www.mozilla.com/en-US/firefox/all.htmlhttp://www.mozilla.com/en-US/firefox/all.htmlhttp://www.mozilla.com/en-US/firefox/all.html

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4. Click Appl icant Reg is t ra t ion .

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5. Select the Match for which you are registering and click SUBMIT .

Only active matches are available. An X appears next to the Matches thatare not open for registration.

This links to the Select Participant Typepage.

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If you do not know your ID number, please contact your medical schoolor the ECFMG to obtain this number.

All fields with asterisks (*) are required and must be entered.

11.Review and verify all information for completeness and accuracy.

12.Click SUBMIT to save and update the profile information.

If you prefer not to save changes, click CANCEL .

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5. Click I A CCEPT at the end of the Agreement to signify acceptance of theTerms and Conditions. You have entered into a binding agreement when

you click I A CCEPT .

If you prefer not to agree to the Terms and Conditions at this time, click

CANCEL . This will exit you from the Registration, Ranking, and ResultsSystem. No applicant can access the R3 System without first agreeing tothe Terms and Conditions set forth in the Agreement.

Upon acceptance of the Terms and Conditions, the Account Balance pageis displayed.

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Paying by Credit Card

To Pay Registration Fees by Credit Card:

1. Use the drop-down list to select Card Type.

2. Enter the cardholders credit card information including Card Number, CardExpiration Date, and Name as it appears on card.

The NRMP accepts only Visa and MasterCard.

3. Click Cont inue .

The Confirm Credit Card Information page is displayed.

4. Verify the accuracy of the information on the Confirm Credit Card

Information page. If it is correct, click I AUTHORIZE.

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If the information is not correct, click CANCEL and re-enter yourpayment information.

Applicants are strongly encouraged to print the Billing Receipt andmaintain it with their records.

5. Click CONTINUE.

The applicant is logged in automatically to the R3 System and theApplicant OptionsPage is displayed.

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Navigating in the NRMP Match Application

Navigating the Registration, Ranking, and Results System can be accomplishedusing three different methods: the Left Menu Bar, text links at the bottom of thescreen, and to a lesser extent buttons on the browser toolbar.

Using the Left Menu Bar

The Left Menu Bar is a blue-green bar found at the left of each screen within theR3 System. Several options can be accessed using the Left Menu Bar. Theseoptions are displayed by category and will be described in detail later in the UserGuide.

To Navigate Using the Left Menu Bar:

Click the desired option on the menu bar.

Options on the Left Menu Bar include:

General Directory: Displays a Program Search Window. Agreement: Displays the Match Participation Agreement Help: Accesses the online Help system Logout: Logs out of the Registration, Ranking, and Results System Contact Us:Displays NRMP contact information such as phone numbers, fax

number, email address, and mailing address

Back to My Options: Takes you back to your Applicant Options page

My Profile

Update My Profile: Allows the applicant to update and maintain personalcontact information including couple status and withdrawal from the Match

Change My Password: Allows the applicant to change his or her password

SOAP Beginning January 15, a link for the Supplemental Offer and Acceptance

Program will display on the left menu bar. During Match Week, the link willbecome active for applicants eligible to participate in SOAP.

My Rank Order List: Allows the applicant to set up an ordered ranking ofpreferred programs that will be used during the Match process.

Institution and Program Violations: The Institution and Program Violationsreport was designed to display information about graduate medical educationinstitutions and programs that have violated the National Resident MatchingProgram's Match Participation Agreement. Institution and program information

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is reflected on the Institution and Program Violations report. Term limits of anysanction(s) are included to identify the length of time the sanction is in effect.

My Reports: Displays a list of reports available to applicants.

Using the Text Links

In addition to the Left Menu Bar, a set of text links displayed on the bottom ofmost pages also can be used for navigation. These text links include the same setof choices found on the Left Menu Bar. Pages are accessed by clicking on thedesired option.

To Navigate Using the Links:

Click the button for the desired link.

Using the Browser Toolbar

Navigation buttons also can be found on the browsers toolbar. Back andForward buttons are available in most Internet browser programs. It isimportant to remember, however, that Back and Forward buttons display onlythe pages that have been viewed. Specific Match options cannot be selected fromthe browser toolbar.

To Navigate Using the Browser Toolbar:

1. Click Back to move back to the previous page.

2. Click Forward to move forward to the next page.

The Forward button is available only if the Back button already hasbeen used.

In general, the navigation buttons within the R3 System should be usedrather than the browser buttons.

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Withdrawal from the Matching Program

Applicants who decide not to participate in the Match can withdraw from the R3System. Withdrawal requests must be entered before the rank order listdeadline. Applicants who have submitted certified rank order lists and who donot withdraw by this deadline will be included in the Match. They will beobligated to accept an appointment if matched and if all of the program

prerequisites have been fulfilled.

Withdrawal for U.S. SeniorsU.S. seniors can withdraw from the Match for a limited number of reasons, andonly through the dean of student affairs. U.S. seniors may not withdrawthemselves.

Withdrawal for Independent ApplicantsIndependent applicants who are appointed to a position in a program sponsoredby the U.S. military services or any other matching service, or who accept a

position outside the NRMP, must withdraw. Applicants who decide not toparticipate also should withdraw through the R3 System.

Self-Withdrawal for Independent Applicants

To Withdraw from the Match Program:

1. Click Updat e My Prof i le .

2. Click Withdraw under the Options heading.

3. Select a Reason for your Withdrawal.

Reasons include Applicant Request and non-NRMP position.

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4. Enter Your Password.

If you do not wish to withdraw at this time, click CANCEL.

5. Click SUBMIT to withdraw from the Match.

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Automatic Withdrawals

Automatic withdrawals from the Match will occur for the following reasons:

1. Applicants who participate in both theCanadian Resident Matching Service(CaRMS)and the NRMP are expected to accept a position if matched to aCanadian program. Applicants may register for both the CaRMS and theNRMP. In those years in which CaRMS has an earlier schedule than the

NRMP, individuals who match through CaRMS will be ineligible to match toconcurrent-year NRMP positions.

2. Applicants who participate in theAmerican Osteopathic Association (AOA)Matchare prohibited from participating in the NRMP Match for concurrent-year positions. The earlier schedule of the AOA Match allows applicants tocompete for an osteopathic position and, if unsuccessful, to participate in theNRMP. The AOA informs the NRMP of the dual participants who havematched into an osteopathic program, and those individuals are withdrawnautomatically from the NRMP Match for concurrent year PGY-1 and PGY-2

positions.3. Applicants who obtain positions in the Military Match will be withdrawn

from the NRMP Match based on information forwarded by their service tothe NRMP.

4. Applicants who obtained advanced positions (PGY-2) to begin in the currentMatch year either in the NRMP Specialties Matching Service or the previousyear's Main Residency Match must receive a waiver of the matchcommitment in order to participate in the current year's Match. The applicantwill not be allowed to register for the Match if a waiver has not been granted

by the NRMP.5. Students or graduates of international medical schools who are not confirmed

by ECFMG as having passed all examinations necessary for ECFMGcertification will be withdrawn automatically by the NRMP.

6. Fifth Pathway program students or graduates not confirmed by ECFMG ashaving passed the USMLE Step 1 and Step 2 (CK and CS) (or theirequivalents) will be withdrawn automatically by the NRMP.

7. Applicants whose attendance or graduation from a Canadian, osteopathic, orFifth Pathway program is not confirmed by their institutions will be

withdrawn automatically by the NRMP.

8. Applicants whose graduation from a U.S. medical school is not verified bytheir institutions will be withdrawn automatically by the NRMP.

9. Applicants with unpaid fees for any services provided by the NRMP will bewithdrawn automatically.
http://www.carms.ca/http://www.carms.ca/http://www.carms.ca/http://www.carms.ca/http://www.natmatch.com/aoairp/index.htmhttp://www.natmatch.com/aoairp/index.htmhttp://www.natmatch.com/aoairp/index.htmhttp://www.natmatch.com/aoairp/index.htmhttp://www.natmatch.com/aoairp/index.htmhttp://www.natmatch.com/aoairp/index.htmhttp://www.carms.ca/http://www.carms.ca/

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UnCoupling

If at any time in the Match process, prior to the rank order list deadline, anapplicant chooses not to participate as a member of a couple, both partners mustcomplete the process of uncoupling.

To UnCouple:


2. Click UnCouple under the Options heading.

3. Verify the Partner to Remove.

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If you do not want to remove the Partner, click CANCEL .

4. Click SUBMIT to remove the partner from your profile.

Note: The $15 couple registration fee is non-refundable.

The other member of the couple also must complete the above steps tofinish the uncoupling process.

Uncoupling may modify the rank order list. Duplicate ranks will beremoved and the length of the rank order list will be shortened. Bothparties must re-certify their lists to be included in the Match.

Note: The $15 couple registration fee is non-refundable.

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Account History

Another option available to applicants on the Update My Profile page isAccountHistory. TheAccount History option allows applicants to view charges madeagainst their accounts since registering in the R3 System. Registration fees,couple registration fees, and primary ROL fees for more than 20 programs forsingle applicants and more than 30 programs for each partner of a couple are

displayed on the Account History page. Applicants can view informationregarding charges and payment dates.

To View Account History:


2. Click Accoun t H isto ry under Options heading.

The View Account History page may be printed at any to serve as yourreceipt from the NRMP and can be used for tax purposes.

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Change My Password

Upon initial registration in the R3 System, all applicants must select a password.The password should be changed periodically to protect the security of theapplicants information and the match process.

To Change Your Password:

1. Click Change My Passw ord .

2. Enter your Current Password.

3. Enter a New Password.

Passwords are case sensitive and must be at least six characters long andno more than ten characters. They may be alphanumeric and, for securityreasons, should be known only by the applicant.

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4. Type your password again in the Verify Password field to confirm. Passwordsare case sensitive.

Your Security Questions and answers will be displayed. Your SecurityQuestions may be changed or left unchanged.

Should you forget your password in the future, you will be asked to

answer these questions to receive a new password.5. Click SUBMIT to save your new password.

6. If you have forgotten your password, click FORGOT Y OUR

PASSWORD? (See page35.)

Note: NRMP staff members do not have access to passwords.

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Summary of Guidelines for the Preparation of Applicant Rank Order Lists

1. Applicants are advised to rank ONLY those programs that represent theirtrue preferences.

2. Programs should be ranked in sequence, according to the applicants truepreferences and not based on what the applicant perceives to be his or herchances of matching to a particular program.

3. Factors to consider in determining the number of programs to rankinclude the competitiveness of the specialty, the competition for thespecific programs being ranked, and the applicant's qualifications. Inmost instances, the issue is not the actual number of programs on the rankorder list, but whether to add one or more additional programs to the listin order to reduce the likelihood of being unmatched.

4. Applicants are advised to rank all programs deemed acceptable to theapplicant, i.e., programs where they would be happy to undertakeresidency training. Conversely, if an applicant finds certain programsunacceptable and is not interested in training at those programs, theprogram(s) should not be included on the applicants rank order list.

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My Rank Order List

Using the My Rank Order L ist option, applicants can create individualized,ordered lists of programs at which they wish to train. These lists are thencertified by the applicant and used by the NRMP to find the best possible pairingbetween all Match applicants and programs.

Creating a Rank Order List

It is recommended that applicants create a list of their program choices withcorresponding NRMP program codes prior to entering them into the R3 System.

To Create a Rank Order List:

1. Click My Rank Order L ist .

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Searching for Program Codes

Although program codes can be entered directly in the Program Code field,applicants can run a program search to obtain and enter unknown codes. Theprogram search allows applicants to find program codes based on specialty,program type, state/province, and institution code.

This function is not designed for use in populating the rank order list but ratherto find the occasional incomplete or incorrect program code. Applicants arestrongly urged to look up all program codes in the Directory located at the topof the left menu bar prior to entering them on their rank order list.

The following table illustrates the conventions used in the NRMPs 9-digitprogram coding scheme.

Institution The 4-digit code specifying the specific institution.Example: 1000

ACGME Specialty Code The first three digits of the 10-digit ACGME number.Example:140-12-23-181

Program Description One-letter designation of the type of Program.Example:P

Program Track Where the program is located within the institution.This will typically be zero, unless there is more thanone location.Example:0

NRMP Program Code: Examples: 1000 140 P0 Medicine - Preliminary1000 140 P1 Med-Prelim/Neurology

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To Search for a Program Code:

1. Click the Search icon next to the Prog Code field to search for an unknownprogram code.

If the program code is known, it may be entered in the Prog Code fieldwithout using the Search icon.

2. Select a Specialty from the list.

3. Select a Program Type.

4. Select a State/Province

Leave the Institution Code field blank. Only enter information in thefield(s) on which you want to search.

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Click Detai ls under the Options heading to view program informationand to confirm the correct program/institution code.

7. Select a program to add to the rank order list by clicking the Prog Code.

The program code will populate the Prog Code field on your rank orderlist.

8. Click SAVE to add the program to your rank order list.

The program is added to the rank order list.

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The institution code is entered in the Institution Code field on the ProgramSearch window.

7. Click SUBMIT to obtain a list of participating programs at the selectedinstitution. You may need to scroll down the screen to view the results.

8. Select a program from the results list and add to your rank order list by

clicking the Program Code.

After you begin entering programs on your rank order list, your MatchStatus will display Ranking in red.

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9. Click Save to add the program to your rank order list.

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Programs are ranked from most desirable to least desirable. Therefore,Rank 1 should indicate your most preferred program.

Click the Search icon to search for a program.

3. When all Program Codes have been entered as desired, click SAVE.

If you are not ready to add program codes to the rank order list at this

time, click CANCEL .

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The programs are added to your rank order list.

If you wish to add more than ten programs, click 10 Rank s and begin

these steps again. There is no limit to the number of programs an applicant can rank;

however, extra rank fees may apply, and applicants should rank onlyprograms where they have interviewed.

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Changing the Rank Order of the Programs

After creating a rank order list, applicants may wish to change the order of theprograms. Because of the way the matching algorithm works, it is important tomake sure that all programs are in order from most preferred to leastpreferred.

To Change the Rank Order of Programs:1. Click My Rank Order L ist .

2. Identify the program whose rank is to be changed.

3. Click Move under the Options heading.

4. Change the New Rank to the appropriate number using the drop-down list.

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5. Click SAVE to change the rank for the program.

If you prefer not to change the programs ranking, click CANCEL .

The rank of the selected program will change and other programs on therank order list will shift up or down as necessary to accommodate themove.

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Deleting a Program from a Rank Order List

An applicant may decide to delete a program on his or her rank order list. Theprogram can be removed by using the Delete option.

To Delete a Program from a Rank Order List:


2. Identify the program you want to delete.

3. Click Delete under the Options heading.

The program is deleted from the rank order list and all other programsshift accordingly.

If you wish to delete all programs from your rank order list, click Delete

Al l Rank s . If you select Delete Al l Ranks , the programs will bedeleted and you must create a new rank order list.

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4. Click the SAVE button.

The program is inserted on your rank order list and all other programsshift accordingly.

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Creating and Assigning Supplemental Rank Order Lists for Advanced

Programs

A supplemental rank order list must be created before you can assign it to anadvanced program. If more than one supplemental rank order list is created, thespecific list must be assigned to each advanced program being ranked on the

primary rank order list.

Note: A supplemental rank order list is used in the Match when the applicantinitially matches to the corresponding advanced program on the primaryrank order list.

To Create a Supplemental Rank Order List for an Advanced Program:

1. Click the My Rank Order L ist option from the Left Menu Bar.

2. Identify the advanced program for which you want to create a supplementalrank order list.

Only advanced programs allow the assignment of a supplemental rankorder list.

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3. Select from the drop-down list under theSupp List heading.

4. Enter appropriate program codes for your supplemental rank order list.

The process for entering ranks on a supplemental rank order list is thesame as entering them on your primary rank order list. Refer to page55for more information.

Each unique supplemental list will be assigned a letter. For example, thefirst list will be supplemental list A.

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To Assign an Existing Supplemental Rank Order List to an Advanced Program:


2. Identify the advanced program to which you wish to assign a supplementalrank order list.

Only advanced programs allow the assignment of a supplemental rankorder list.

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Certifying a Rank Order List

A rank order list will not be used in the matching process until it has beencertified by the applicant. Certification indicates to the NRMP that the rankorder list is finalized and ready to be used for the Match. Changes still may bemade to the rank order list after it has been certified. However, once the list hasbeen changed, the new version must be certified in order to be used for the

Match. Changes include adding a program, deleting a program, changing theorder of the programs, and changing couple status.

Note: The R3 System does not retain previous versions of the rank order listregardless of whether the lists were certified. The list currently displayed on thescreen upon logging in is the ONLY version on file with the NRMP. After therank order list deadline, the NRMP will not add, delete, or move programs or inany way modify a rank order list.

To Certify a Rank Order List:

1. Click the My Rank Order L ist option.

2. Verify that all programs are ranked appropriately in order of preference..

3. Click Cert i fy L is t .

The Certify Rank Order List page is displayed. You must CERTIFY yourrank order list to have it included in the Match. Certifying the primaryrank order list also certifies any supplemental rank order lists created bythe applicant.

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Warning messages also may be displayed, including a message informingyou of any additional fees due. If you do not wish to pay those fees, you

must Cancel and delete the extra ranks before you certify your list.

4. Enter your Password.

Remember: When you certify a rank order list you enter into a binding

commitment to accept a position should a match occur.

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The NRMP recommends that you print a copy of your certified rank orderlist to maintain with your records.

After you have certified your rank order list, you will receive an emailfrom the NRMP with the date and time your list was certified and thenumber of programs on your list.

Viewing and Printing a Rank Order ListThe NRMP strongly recommends that all Match applicants print their certifiedrank order lists and maintain a copy for their records. Although the list can beprinted directly from the My Rank Order List page, a more printer-friendlyversion is available.

To View and/or Print a Rank Order List:


2.

ClickView /Pr int ROL

under the Options heading.

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A printer-friendly version of the View Rank OrderList page is displayed.

3. From the browsers File menu, select Print or click Print on the browsertoolbar.

If you have created one or more supplemental rank order lists, they willappear on the printout following your primary rank order list.

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Rank Order List Fees

Single applicants may rank up to 20 programs on a primary rank order list withno additional charge. A total of 20 unique programs may be ranked on all of theapplicants supplemental rank order lists combined with no additional charge.Each additional ranked program over 20 will incur a charge of $30 per program.

Primary Rank Order Lists Fee1 to 20 programs ranked No ChargeEach additional program over 20 $30.00/program ranked

Supplemental Rank Order Lists Fee1 to 20 programs ranked No ChargeEach additional program over 20 $30.00/ program ranked on all

Supplemental lists combined

Each partner of a couple may rank up to 30 unique programs on his or her

primary rank order list with no additional charge. A total of 30 unique programsmay be ranked on all of the applicants supplemental rank order lists with noadditional charge. Each ranked program after 30 will incur a charge of $30 perprogram.

If an applicant wants to submit a rank order list with more than 20 programs (ormore than 30 programs in the case of couples) the normal procedure should befollowed. For more information on creating a rank order list, refer to page55.

When a rank order list with more than 20 programs (or more than 30 in the case

of couples) is about to be certified, a notice that extra fees will be due is displayedin red on the Certify Rank Order List page.

Unless the extra ranks are deleted from the rank order list prior to certification,the fees must be paid after the list has been certified. Please note that extrarank fees will not be refunded even if the rank order list subsequently ismodified to include fewer than 20 programs for single applicants or fewer than30 programs for applicants participating as a couple. Applicants with unpaidfees will be unable to access the R3 System, their rank order lists will not beused when the matching algorithm is process, and they will not be able to

participate in SOAP .

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2. You will be taken automatically to the Certify Rank Order List page, whichwill display the amount due in red.

Please read carefully. All outstanding fees will appear in red.

To certify the rank order list, you must enter your password and click

Submit .

If you do not wish to pay the additional fees, click Cancel and delete theextra ranks. Note: If you exit the R3 System and have not deleted theextra ranks before certifying your rank order list, you will not be able tolog on to the System again until the extra fees have been paid.

3. You will be taken automatically to the Account Balance page, which willdisplay the amount due for extra ranks.

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4. Click Cont inue and you will be taken automatically to the Select PaymentMethod page to pay the additional fees.

5. Select the payment method and click Cont inue . You will be takenautomatically to the Credit Card Information page.

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6. Enter your credit card information and click Cont inue . You will be takenautomatically to the Confirm Credit Card Information page.

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7. Click I Author ize to pay for the extra ranks.

If you do not wish to pay for the extra ranks, click Cancel .

8. After your payment has been processed, the Billing Receipt page willappear.

It is recommended that you print a copy of the billing receipt to maintainwith your records.

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9. Click Cont inue and you will be taken automatically to the ApplicantOptions page. Fee Status will display as Paid.

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Couples Rank Order Lists

Each partner of a couple enrolls individually in the Match and indicates in the R3System that they want to be included in the Match as part of a couple. (Refer topage45for information on how to register as a member of a couple.) The NRMPallows couples to form pairs of choices on their primary rank order lists, which

are then considered in rank order in the Match. The couple will match to themost preferred pair of programs where each partner has been offered a position.

Couples can be matched into a combination of programs suited to their personalneeds. In creating pairs of programs, couples can mix specialties, program types(preliminary or transitional, categorical, and advanced), and geographiclocations. The partners can be matched into positions in the same institution orin different institutions. Unlike single applicants, members of a couple may list aprogram more than once on the primary rank order list if the corresponding rankon the partners list is for a different program.

By clicking View/Print Partners ROL you are able to view your partners rankorder list.

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Each partner must have the same number of ranks. Each ranked program mustbe paired with an active program or with an indication of "No Match" (NRMPProgram Code = 999999999) by the other partner, which means that one partneris willing to go unmatched if the other matches to a position in the programdesignated at that rank.

If a partner's rank is for an advanced position, a supplemental rank order list forthat program also must be prepared by that partner, unless the required first-year program already has been completed. If both partners rank advancedpositions, each partner must prepare separate supplemental rank order lists. Thechoices should be geographically acceptable to both partners.

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If both partners match to advanced programs, their supplemental rank orderlists are not treated as a unit in the Match. The coupling function is done onlyfor the primary rank order lists of the two partners. Any supplemental listswill be considered individually and not paired with the partnerscorresponding supplemental list. Therefore, it is wise for partners to createsupplemental lists based upon geography.

If one partner wishes to withdraw from the Match, both partners mustuncouple prior to withdrawal. The other partner's rank order list must be re-certified and will remain in the R3 System to be used in the Match as a singlecandidate. Couples are encouraged to complete couples worksheets beforeentering choices in the R3 System. Partners registered as a couple are treatedstrictly as a couple. If they do not obtain matches as a couple, the matchingalgorithm will not run their lists separately to find a possible match for eachindividual.

For more information about creating a couples rank order list, please visit theNRMP web site athttp://www.nrmp.org. Click Residency Match, selectRegistration on the left menu bar and scroll down to Couples.
http://www.nrmp.org/http://www.nrmp.org/http://www.nrmp.org/http://www.nrmp.org/

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Part IV: Institution and Program Violations

The Institution and Program Violations report displays information aboutgraduate medical education institutions and programs that have violated theNational Resident Matching Program's Match Participation Agreement. Thenature of the violation is described, and the information is displayed for as long

as the sanctions apply.

To Access the Institution and Program Violation

s Report:

1. Click Institutions and Program Violations.

The report displays the names of the programs and sponsoringorganizations and the match in which the violation occurred. A briefstatement about the violation and description of the penalty is alsodisplayed.

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This message will be displayed for any applicant who matched to a preliminaryposition, but did not match to an advanced position listed on his/her primaryrank order list. Applicants who receive this message will have access to the Listof Unfilled Programs and may be SOAP eligible to obtain an advance position;however, applicants are not eligible to obtain a categorical position or a differentpreliminary position.

4. We are sorry, you did not match to any position!

This message will be displayed for any applicant who did not match to aprogram listed on either his/her primary or supplemental rank order list. Forapplicants participating as a partner of a couple, this statement also may bedisplayed if the applicant listed the 999999999 program code on the primary rankorder list to indicate '"No Match". Applicants who receive this message will haveaccess to the List of Unfilled Programs and may be SOAP eligible for anycategory of unfilled positions.

5. You are not matched because you did not submit a certified rank order list!

This message will be displayed for any applicant who registered to participate inthe Match but did not certify a rank order list prior to the rank order listcertification deadline. Applicants who receive this message will have access tothe List of Unfilled Programs and may be SOAP eligible for any category ofunfilled positions.

6. You are NOT matched because you are withdrawn!

This message will be displayed for any applicant who registered to participate inthe Match but was withdrawn either by his/her medical school or by the NRMP.Applicants who were withdrawn by the NRMP because they obtained positionsthrough another matching service will not have access to the List of UnfilledPrograms.
http://review.nrmp.org/res_match/yearly.htmlhttp://review.nrmp.org/res_match/yearly.htmlhttp://review.nrmp.org/res_match/yearly.htmlhttp://review.nrmp.org/res_match/yearly.html

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Reports

To find more detailed information about the results of the NRMP Match,applicants must access My Reports. Reports are available only for viewing andcannot be modified by applicants or programs. Reports can be printed as a hardcopy to be filed and saved for retention and future review.

Most applicant reports are not available until Match Week because they displaydetailed Match results.

Note: The reports to which an applicant has access will be determined by theapplicants match status. For example, fully matched applicants will not haveaccess to any information on unfilled programs.

To View Reports:

1. Click My Reports .

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2. Select a report from the List of Reports by clicking on the name.

The selected report is displayed on the screen.

3. To print a report, click Print on the browser toolbar.

4. Click Back to return to the My Reports page.

Match Week Reports

The following reports are available only as of a specific day during Match Weekand cannot be accessed prior to the specified day. Each report is describedbelow, along with the day it becomes available.

Regional Match Statistics by Specialty

Regional Match Statistics by Specialty displays Match information organized bygeographic region and specialty. The report is displayed in four regionsWestern, Northeastern, Southern, and Central. It also is delineated by specialty.

For each specialty, the numbers of offered and unfilled positions are displayed,with a total shown at the end. This report is not available until Monday ofMatch Week.

Match Outcome for All Programs by State

Match Outcome for All Programs by State displays a list of the Match resultsorganized by state and hospital. Applicants can use this report to view, bylocation, which programs were filled and unfilled. This report is available theMonday after Match Week.

Other ReportsThese reports are available throughout the matching process.

Programs Accepting Shared Pairs

Programs Accepting Shared Pairs lists all programs that will accept twoli t l i i f id iti

2012 Applicant

Documents

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