Medical Residency

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Medical residency basic information

To join an internship or residency, you should have the standard ECFMG certificate and apply to medical residency programs in the U.S. Most residency programs participate in the Electronic Residency Application System - ERAS. ERAS is a simple and pain-free way of applying to several residency programs, in different residency specialties, with the click of a mouse from your home computer. This is an excellent service for medical residency applicants. ERAS website for medical residency applicants.

You will be required to upload your CV, Personal statement and other information from your computer to the ERAS website. Medical school transcripts and letters of recommendation (reference letters) should be mailed to the ERAS office. These will be scanned and uploaded by ERAS staff. You will then have to select the residency specialty and specific residency programs that you wish to apply. Once this is done and the fee is paid to ERAS / NRMP, the application and supporting documents are sent electronically to the residency programs you designated. You will have to register with both, ERAS and NRMP by paying separate fees.

The residency program directors (in reality tehri secretary) will now screen your application and determine whether to call you for a residency interview. If you are chosen, you will be informed either by e-mail or Postal mail. If you wish to take part in the residency interview, you should call the residency program secretary and arrange for a mutually convenient time for the residency interview. You will then have to make your own travel arrangements (at your own expense) and attend the residency interview.

You can, and should plan to attend as many residency interviews as you can. This gives you more choice in selecting a residency program and increases your chances of a successful ERAS / NRMP match. The residency interview season comes to an end by January. You will then be required to submit a rank order list to ERAS / NRMP for the match. This is your final ranking of the residency programs, in your order of preference.

Residency programs will also rank the residency applicants according to their preference and submit it to ERAS / NRMP. Now the National Residency Matching program - NRMP takes over. NRMP computers will now match individual residency program’s preferences with the prospective resident's (your) preferences and come up with the final list. NRMP website for medical residency applicants.

2010 NRMP Residency Match:

2010 Residency Match Summary and Analysis The information in this report is based on data from the National Resident Matching Program (NRMP) Advanced Data Tables for 2010. The information provided includes the number of applicants to graduate medical programs for the 2010-11 academic year, specialty choice, and trends in specialty selection. This information will be useful to advocates of family medicine—including family medicine departments and residency programs—as well as legislators who are interested in trends predicting the primary care workforce of the future.

2010 NRMP Residncy Match results and data (100 page report) This report contains statistical tables and graphs for the Main Residency Match and lists by state and teaching hospital every participating program, the number of positions offered, and the number filled

2010 Resiency Match Results by State, Specialty, and Applicant Type(11 page report) Provides a summary of the number of positions offered and filled by state, specialty, and applicant type for the 2010 Main Residency Match.

NRMP Residency Program Results, 2006-2010 (PDF, 118 pages) Provides program quotas and number of positions filled for all programs participating in the Main Residency Match between 2006 and 2010.

NRMP Historical Prior years Residency Match results and data

Fellowship Match Data

Fellowship Match Results and Data: Specialties Matching Service 2010 This report summarizes all fellowship matches conducted by the NRMP's Specialties Matching Service (SMS). Specifically, data is provided for matches conducted in 2009 and early 2010 for appointments beginning in July 2010. In addition, trend data over the past five years show the numbers of programs and positions as well as match rates by specialty. Lastly, the numbers of positions offered and filled for each participating program is presented at the end of this report.

NRMP Program Results 2006-2010: Fellowship Specialties Matching Service This report shows the numbers of positions offered and filled for every program participating in the fellowship matches.

2011 ERAS NRMP Residency Match schedule

  • Aug 15, 2010: Match application process starts
  • Nov 30, 2010: Deadline to register for the NRMP match. If you do not register, you will not be able to participate in the match. After this date, you can still register by paying a late registration fee of $ 50 until Feb 23, 2011.
  • Jan 15, 2011 to Feb 23, 2011: Rank order list submission
  • Quota change deadline: Residency programs must submit the final number of residency spots that they will be putting into the NRMP system for a computer match by January 31,2011

[Total number of residency spots = Pre-matched residency spots + Number matched through NRMP].

  • Quota change deadline: Make sure you look at this information before putting in your rank order lists. For example: Residency program A has 10 spots and you are strongly considering ranking it as # 1 on your rank order list. If this program filled 9 of its spots through Prematch and now has only one spot that it is putting into the NRMP system for a computer match, then your chances of getting this one spot decreases. So, you are better off, ranking another program (with several spots) as your # 1 choice.
  • Feb 23, 2011: 9 PM ET. Rank order list certification deadline
  • March 14, 2011: Applicants get to know if they matched or not. Information will be posted to the NRMP Web site at 12:00 noon eastern time.
  • March 15, 2011: Programs get to know if they filled their residency spots or not. Information will be posted to the Web site at 11:30 am eastern time. Locations of all unfilled positions are released at 12:00 noon eastern time. Unmatched applicants may begin contacting unfilled programs at 12:00 noon eastern time.
  • March 17, 2011: Match Day! Match results(names of residency programs) for applicants are posted to Web site at 1:00 pm eastern time.
  • March 18, 2011: Hospitals send letters of appointment to matched applicants after this date.

After the NRMP residency match -joining your residency program

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  • The residency program that you matched in will contact you. They will give you details on their intern orientation, ACLS course, Visa processing, and the state medical license application.
  • The NRMP residency contract also needs to be signed by you and the residency program director.
  • Most residency programs start their Intern orientation in the third week of June. You should be prepared to move to your new place by the second week of June. This will give you adequate time to get used to the new city, furnish your apartment, get settled in and the best part - meet the outgoing graduating residents who usually have a lot of good free advice to offer. This should be your single most important mission to meet the graduating residents and talk about fellowship opportunities and network etc..
  • Network with the third year residents (PGY 3) to find out about specific apartments and houses. Remember that they are preparing to leave, and may be trying to sell their furniture, house and medical books. You can get a great deal on these, besides a lot of free advice on your residency.

Residency Match & Data - 2010 residency match data analysis

International Medical Graduate IMG PERFORMANCE IN THE 2010 MATCH

For the eighth consecutive year, the number of first-year (PGY-1) residency positions offered through the Match increased. A total of 22,809 first-year positions were offered in the 2010 Match, held earlier this month. This represents an increase of 382 positions compared to last year and an increase of more than 2,200 positions since 2002.

The number of IMGs, including Fifth Pathway participants, who matched to first-year positions decreased by 110 compared to 2009. Of the 11,048 IMGs who participated in the 2010 Match, 4,686 (42.4%) matched. In the 2009 Match, 4,796 (43.7%) IMGs were matched to first-year positions.

Of the 7,246 IMG participants who were not U.S. citizens, 2,881 (39.8%) obtained first-year positions. The number of non-U.S. citizen IMGs who obtained positions in 2010 decreased by 231 compared to last year.

Of the 3,695 U.S. citizen IMG participants, 1,749 (47.3%) were matched to first-year positions, an increase of 130 over last year. This is the seventh consecutive year that there has been an increase in the number of U.S. citizen IMGs matching to first-year positions.

Of the 107 Fifth Pathway participants in the Match, 56 (52.3%) were matched to first-year positions, a decrease of 9 from last year.

It is important to note that the total number of IMGs, including Fifth Pathway participants, who will fill PGY-1 positions for the 2010-2011 academic year will be higher than the number obtaining positions through the 2010 Match. Although the majority of PGY-1 positions in the United States are filled through the Match, a significant number of IMG applicants obtain positions outside of the Match. For example, while 4,698 IMGs obtained PGY-1 positions through the 2008 Match, 7,276 IMGs entered PGY-1 for the 2008-2009 academic year.

The 7,276 IMGs entering PGY-1 for the 2008-2009 academic year is an increase of 51 over the prior year and an increase of 1,203 since the 2002-2003 academic year.


The annual NRMP Match is the system by which applicants are matched with available residency positions in U.S. programs of graduate medical education (GME). Participants submit to the NRMP a list of residency programs, in order of preference. Ranked lists of preferred residency candidates are likewise submitted by U.S. GME programs with available positions. The matching of applicants to available positions is performed by computer algorithm. The Match results announced in March of each year are typically for GME programs beginning the following July.


The preceding data are taken from the Advance Data Tables for the 2010 Main Residency Match compiled by the NRMP. These tables provide detailed information on the positions offered and filled by the Match in 2010 and prior years. To access these tables, or to obtain further information on the NRMP, visit http://www.nrmp.org.

The June issue of Academic Medicine, the journal of the Association of American Medical Colleges, usually offers an analysis of Match results from the preceding March. For more information, visit your medical school's library or http://www.academicmedicine.org.

The September issue of JAMA: The Journal of the American Medical Association traditionally provides an in-depth analysis of graduate medical education in the United States. This analysis includes the number of IMGs entering and continuing in U.S. GME programs and a breakdown of IMG resident physicians by specialty and subspecialty. Visit your medical school's library or http://jama.ama-assn.org.

Graduating US Medical Students Who Do Not Obtain a PGY-1 Training Position

JAMA Journal of the American Medical Association article The number of graduating US medical students is increasing more rapidly than the number of postgraduate training positions. 1 The National Resident Matching Program (NRMP) has experienced a decrease in the number of unfilled positions for first postgraduate year (PGY-1) training while the number of unmatched seniors in US allopathic medical schools (US MDs) has remained stable. 2 After the 2010 NRMP, there were for the first time more unmatched US MD seniors (1078) than available PGY-1 positions (1060). 2 Applicants who fail to match either through the NRMP or the programs occurring earlier each winter (the Department of Defense Match and the San Francisco Match) scramble for the remaining PGY-1 positions after the NRMP match. Because this process is unmonitored, it has been unclear how many qualified US MD students fail to acquire a PGY-1 position through the matching programs and the subsequent scramble.

Medical resident work hours: the 80 hour work week

Medical residency is a tough period with long hours in the hospital. Sometimes as long as 36 or more hours of consecutive patient management duties. The work week can run into 100+ hours. Such conditions can lead to sleep deprivation, medical errors and even road traffic accidents.

On November 1, 2002, the 80-hour work limit went into effect in residencies accredited by the American Osteopathic Association (AOA). In brief...

1) The trainee shall not be assigned to work physically on duty in excess of 80 hours per week averaged over a 4-week period, inclusive of in-house night call. 2) The trainee shall not work in excess of 24 consecutive hours inclusive of morning and noon educational programs. Allowances for inpatient and outpatient continuity, transfer of care, educational debriefing and formal didactic activities may occur, but may not exceed 6 hours. Residents may not assume responsibility for a new patient after working 24 hours. 3) The trainee shall have on alternate weeks 48-hour periods off, or at least one 24-hour period off each week. 4) Upon conclusion of a 24-hour duty shift, trainees shall have a minimum of 12 hours off before being required to be on duty again. Upon completing a lesser hour duty period, adequate time for rest and personal activity must be provided. 5) All off-duty time must be totally free from assignment to clinical or educational activity. 6) Rotations in which trainee is assigned to Emergency Department duty shall ensure that trainees work no longer than 12 hour shifts. 7) The trainee and training institution must always remember the patient care responsibility is not precluded by the work hour policy. In cases where a trainee is engaged in patient responsibility which cannot be interrupted, additional coverage should be provided as soon as possible to relieve the resident involved. 8) The trainee may not be assigned to call more often than every third night averaged over any consecutive four-week period.

Detailed article on Medical residency work hours

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