Strategies for Postdoctoral

Matching

Dr. SCS: Answers to Postdoctoral Questions Copies of Slides (Under Downloads)

On the SCS Website at www.scs.msu.edu

Where Do MSUCOM Graduates Go For their Postdoctoral Training??

Inquiring Minds Want to Know!

Educational Directions: MSUCOM Graduates2004-2010

2004 2005 2006 2007 2008 2009 2010

MSUCOM Grads

132 119 109 131 139 202 194

SCS Hosp.

117 104 91 106 105 143 137

AOA Prog.

8 6 11 19 17 15 18

Military 3 2 3 0 3 4 10

Tot. AOA Prog.

128 112 105 125 125 162 165

ACGME Prog.

4 7 4 6 14 23 27

Why do so Many MSUCOM Grads Stay in Michigan for Postdoctoral Training??

1. Most are from MI and Want to Remain Here for Training

2. Wide Variety of Specialty and Primary Care Programs

3. Satisfied with the Quality of the SCS Programs

4. Future Opportunities Following Completion of Training

5. Organizational Support for DOs in Michigan

6. National Reputation and Fellowship Opportunities

Understanding

The AOA Match Program

New AOA Postdoctoral Classifications As of July 1, 2009

Option 1: Residency Status from OGME-1

Anesthesiology, Emergency Medicine, Family Practice, FP/ER, FP/NMM, General Surgery, Internal Medicine, IM/ER, IM/Peds, Neurological Surgery, OB/GYN, Orthopedic Surgery, Urology, ENT, Pediatrics, Neurology, and Psychiatry.

Option 2: Residency Requires a Preliminary Internship

Diagnostic Radiology, NMM/OMT, Ophthalmology, Pathology, Radiation Oncology, and PM&R.

Option 3: Traditional Rotating Internship

Dermatology, Public Health and Preventive Medicine, and Proctologic Surgery

AOA Application Schedule for 2009-10

Date Action

June 2009 Register for the AOA Match Program

July 2009-January 2010 Students Apply to AOA Programs

Aug. 2009-Sept. 2009 DMEs Declare Avail. Programs

October 9, 2009 Final Day to Register for the IRP

November 1, 2009 Listing of Participating AOA Programs

January 22, 2010 Rank Order List is Due

February 8, 2010 Match Results

Understanding

the NRMP

NRMP 2009-10 ScheduleProcess for Independent Applicants

Dates Action

August 15, 2009 Registration Opens

November 30, 2009 Registration Deadline

January 15, 2010 App. & Prog. Can Enter Rank Order Lists

January 31, 2010 Quota Change Deadline

February 24, 2010 Rank Order List Deadline

March 15, 2010 Match Info. Put on the Web

March 16, 20010 Filled and Unfilled Slots Posted

March 18, 2010 Match Results Posted on the Web

March 19, 2010 Hosp. Send Letters of Appointment

NRMP Differences in PGY-1 and PGY-2 Specialties

•Categorical Programs: Offer All Years of Postdoctoral Training

•Advanced Programs: Match at the PGY-2 Level and Require Applicants to Also Seek a Transitional or Preliminary Year Independently for the PGY-1 Year in either the AOA or NRMP Match Programs As a 4th-Year Medical Student

•Transitional/Preliminary Programs: The Equivalent of the AOA Traditional Internship that Fulfills the Requirement of a General Year of Medicine Prior to Entry into a Residency__________________________________________________________

ACGME Programs With Categorical and Advanced Programs:

Anesthesiology Dermatology PM&R

Neurology Diagnostic Radiology Radiation Oncology

DOs In The NRMP1996-2010

Year No. of Applic. Active Applic. Matched PGY-1Unmatched

PGY-1

1996 1176 799 552 247

1997 1185 790 509 281

1998 1343 890 614 276

1999 1451 984 671 313

2000 1665 1150 823 327

2001 1793 1241 876 365

2002 1859 1316 933 383

2003 1937 1408 995 413

2004 2034 1559 1099 461

2005 2043 1524 1045 479

2006 2222 1509 1024 485

2007 2398 1652 1136 516

2008 2711 1870 1339 531

2009 2875 2015 1408 607

2010 2045 1444 601

Year Fam. Med.

Int. Med.

Peds

Emer. Med.

Anes.

OB/ GYN

Psych. PM&R Path. Neuro.

1985 318 288 73 48 79 77 94 44 28 37

1990 727 665 170 116 231 156 202 78 52 68

1995 786 697 222 149 244 145 191 120 50 71

2000 1057 910 334 254 167 210 197 134 48 60

2005 1341 1173 565 364 512 358 318 252 124 91

2008 1374 1296 656 504 463 388 377 301 128 114

% Change 1985-2008 332% 350% 799% 950% 486% 404% 301% 584% 357% 208%

USMDs Comparison -36% -27% -2% -6% -9% -17% -8% -5% -6% -15%

Number of DOs in ACGME Residency Programs1985-2008

Key Points About AOA & NRMP Matches

Match to AOA Residency, NRMP is OVER

• Do Not Match AOA, ALIVE in the NRMP

• No Match with AOA or NRMP, Free Agent

• Match with AOA Internship, ALIVE for PGY-2 Residency in the NRMP

• Critical to Understand the Distinction Between PGY-1 and PGY-2 Matches in the NRMP

When Should I Apply to Both the AOA and ACGME Matches?

• When You are Aiming for a Specialty that Has Limited Numbers of Program in the Osteopathic Profession, e.g. Neurology, Anesthesiology, PM&R, Psychiatry, etc.

•When You Want to Maximize your Opportunities for Selection By Being in Two Match Programs Instead of One.

•Weigh Carefully Your Choices in Programs that Offer Categorical and PGY-2 Selection Options, e.g. Anesthesiology, PM&R, Diagnostic Radiology, etc.

When Should I Bypass the AOA Match?

• If you are seeking a residency choice where there are few if any AOA comparable programs, e.g. Med/Peds, Pathology, Occupational Medicine, etc.

•If you feel supremely confident that you can obtain an ACGME residency in a non-surgical specialty.

•If you are interested in a location where there are no AOA-accredited programs in your desired specialty.

•If you are a gambler and want to give up your chances in osteopathic training programs.

When Should I Do Only the AOA Match?

• If You are Seeking Opportunities for a Surgical Specialty

• If You are Satisfied with the Quality of Postdoctoral Programs Within the Osteopathic Profession

• If You Want to Remain in an Osteopathic-Friendly Environment for Your Postdoctoral Training

• If You Have An Interest/Reason to Remain in Locations that Support AOA Postdoctoral Programs in Your Choice of Specialization

Status of Traditional Internships

Professionally Enhancing, Career Limiting

•Extends the Length of Postdoctoral Training

•Internships Are Best for Undecided DOs

•No Parking Zone for Competitive Residencies

•Perhaps Not the Best Choice for Plan B

Analysis of Matching Trends

Two Important Trends in Postdoctoral Education Will Impact Your Choices!!

More Graduates

Limited Residency Slots

COM First-Year Enrollment From 2009 Projected To 2015*

2009 2010 2011 2012 2013 2014 20150.5

1.5

2.5

3.5

4.5

5.5

6.5

Thousands

Public COM

Private COM

Total

Public COM 1.04 1.099 1.14 1.212 1.217 1.217 1.217

Private COM 4.064 4.165 4.502 4.763 4.906 5.054 5.08

Total 5.104 5.264 5.642 5.975 6.122 6.271 6.297

*AACOM Report, Inside OME, Dec-Jan 2010

Need for AOA-Approved Postdoctoral Positions

2005 to 2011

2005 2006 2007 2008 2009 2010 20110.4

1.6

2.8

4

Thousands

COM Grads

Funded Slots

Deficit

COM Grads 2.756 2.707 3.000 3.462 3.724 3.845 4.528

Funded Slots 2.165 2.206 2.189 2.312 2.435 2.443

Deficit 591 501 811 1.150 1.289 1.402

Trends in Osteopathic Matching1988-2010

*Data drawn from AOA Office of Education and the AACOM Annual Report

1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010

0

500

1000

1500

2000

2500

Funded Slots Number Matched

No. of Non-Participants Unfilled Slots

Funded Slots 1515 1701 1799 1676 1877 1878 1814 1989 2147 2206 2312 2443

Number Matched 1369 1257 1145 1385 1255 1353 1314 1291 1205 1196 1353 1473

No. of Non-Participants 661 663 994 1212 1363 1356 1748 1992

Unfilled Slots 146 502 654 291 622 525 500 698 942 1010 959 970

2010 AOA Unfilled Match Slots

Traditional Internships 379

Family Medicine 339

Internal Medicine 174

All Others 78

Totals 970

NRMP PGY-1 Slots 1975-2010Number of USMD and DO Graduates

YearPGY-1 Slots

USMD Grads

DO Grads

1975 15691 12714 809

1980 18055 15135 1151

1985 18535 16400 1560

1990 20101 16179 1534

1995 20751 15892 1932

2000 20598 15714 2510

2005 21454 15761 2707

2010 22809 16427 3845

NRMP Projected PGY-1 Slots 2012-2018(Growth Rate of 1% Annually)

Estimated USMD and DO Graduates

Year PGY-1 Slots USMD Grads DO Grads

2012 23139 18036 4723

2014 23602 18718 5212

2016 24074 19123 5227

2018 ??? ??? ???

IMGs in ACGME Programs1995-2008

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

24

25

26

27

28

29

30Thousands

Number

Number 24,982 24,703 25,531 25,415 25,880

24,707 25,403 25,783 26,577 26,720 27.636 28,176 28,824 29,488

Where DOs Have Limited OpportunitiesNumber of DOs in ACGME Programs (2008)

Specialty Total Number USMDs IMGs DOs

Ortho. Surg. 3303 3187 85 31

Ophthalmology 1220 1119 85 12

Otolaryngology 1372 1319 47 4

Dermatology 1069 1008 43 17

Diag. Radiology 4455 3932 339 172

Urology 1031 971 47 12

Where Does Michigan and the SCS Fit Into the Overall Picture of Osteopathic GME?

SCS Compared to Total AOA Filled PositionsPrimary Care and Specialties

Specialty SCS AOA Nationally

Family Med. 163 1056

Internal Med 180 672

Emer. Med. 235 780

OB/GYN 119 247

Ortho. Surg 116 393

General Surg. 150 435

ENT 50 103

Urology 29 55

Diag. Radiology 62 120

Cardiology 25 84

Final Pieces of Advice

1. Pursue Your Dream of a Residency But… Be Realistic From the Outset

2. Successful Completion of the DO degree Does Not Guarantee You Will Eventually Become An Interventional Radiologist

3. In a Competitive Environment with Limited Supply, Not Everyone Is Going to Obtain His/Her First Choice

4. Have a Plan B, Have a Plan C

If you are confused or have questions, I provide individual help to MSUCOM students in a non-judgmental environment.

Mark Cummings, Ph.D.Associate Dean, SCScummin67@msu.edu East Fee A-336 432-2853

Decoder for Acronyms ACGME Accreditation Council of Graduate Medical Education Approves and accredits allopathic residency programs. www.acgme.org COMLEX Comprehensive Osteopathic Medical Licensing Examination.

A three-part examination taken by osteopathic physicians for licensure. www.nbome.org

GME Graduate Medical Education. Refers to training after medical school, including

internship, residency and fellowship. NMS National Matching Service. The company which administers the AOA and

NRMP Match. Details and important dates are available on their website. www.natmatach.com/aoairp/

NRMP National Resident Matching Program. Allopathic residency match program.

www.nrmp.org OPTI Osteopathic Postgraduate Training Institution. For more information:

www.aoanet.org/PostDoc/optiabout.htm PGY Post Graduate Year. Refers to the year in training following graduation (e.g.

PGY-1 is the first post graduate year). In osteopathic programs, may also be referred to as OGME (osteopathic graduate medical education) year.

SCS Statewide Campus System. This is the Michigan OPTI, and includes Michigan

State University College of Osteopathic Medicine and member hospitals. www.scs.msu.edu

USMLE United States Medical Licensing Examination. Three-part licensing

examination for MD’s and DOs. www.usmle.org

www.scs.msu.edu SCS Website for Copies of these Slides. Listed Under General Information: Downloads

www. do-online.org Opportunities/Application Information onOsteopathic Postdoctoral Programs Under Students

www.nrmp.org Information on the Allopathic Match Program

www.ama-assn.org/go/freida DetailedInformation on Allopathic Residencies included on the

Freida Database

www.sfmatch.org Information on the Specialty College Matches (Allopathic) for Neurosurgery, Ophthalmology, and Plastic Surgery

www.aamc.org/students/eras Electronic Residency Application Service Website for Allopathic Residency Programs

www.natmatch.com/aoairp National Matching Service. Operates the AOA &NRMP Matches and a Source for Process Issues

www.studentdo.com Information on Matching Provided bythe Student Osteopathic Medical Association.

forums.student.doctor.net Expressed Opinions on VariousIssues, including Postdoctoral Education