Results and Data Specialties Matching Service 2015 Appointment Year

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1 Results and Data Specialties Matching Service 215 Appointment Year February 215

2 Requests for permission to use these data, as well as questions about the content of this publication or any National Resident Matching Program data, may be directed to Mei Liang, Director of Research, NRMP, at Questions about the NRMP should be directed to Mona M. Signer, President and CEO, NRMP, at Suggested Citation National Resident Matching Program, Results and Data: Specialties Matching Service 215 Appointment Year. National Resident Matching Program, Washington, DC Copyright 215 National Resident Matching Program, 2121 K Street, NW, Suite 1, Washington, DC 237 USA. All rights reserved. Permission to use, copy and/or distribute any documentation and/or related images from this publication shall be expressly obtained from the NRMP

3 NRMP Board of Directors NATIONAL RESIDENT MATCHING PROGRAM 2121 K Street, NW Suite 1 Washington, DC 237 The NRMP is governed by a 19-member Board of Directors, including: Chair, Chair-Elect, and Secretary/Treasurer Two graduate medical education program directors Three medical students Three resident physicians, one of whom is an international medical graduate One public member Officers Chair: Hal B. Jenson, M.D., M.B.A., Founding Dean, Western Michigan University School of Medicine Chair Elect: Maria C. Savoia, M.D., Dean for Medical Education, University of California San Diego Secretary/Treasurer: Glenn A. Fosdick, F.A.C.H.E., Former President/Chief Executive Officer, The Nebraska Medical Center President and Chief Executive Officer: Mona M. Signer, M.P.H., National Resident Matching Program Board Members, Sameer Ather, M.D., Cardiovascular Disease Fellow, University of Alabama at Birmingham C. Bruce Alexander, M.D., F.A.S.C.P., Professor and Vice Chair, Department of Pathology, University of Alabama at Birmingham Maya A. Babu, M.D., Neurological Surgery Resident, Mayo Clinic Carol D. Berkowitz, M.D., F.A.A.P., F.A.C.E.P., Executive Vice Chair, Department of Pediatrics, UCLA-Harbor Medical Center; Distinguished Professor of Pediatrics, David Geffen School of Medicine at University of California at Los Angeles Pavan K. Cheruvu, M.D., Cardiovascular Disease Fellow, University of California at San Francisco Rita K. Cydulka, M.D., M.S., F.A.C.E.P., Former Professor and Vice Chair, Department of Emergency Medicine, MetroHealth Medical Center; Associate Professor, Department of Biostatistics and Epidemiology Case Western University School of Medicine Francis Deng, M.D. candidate, Washington University School of Medicine John DePaolo, M.D./Ph.D. candidate, Louisiana State University School of Medicine Michael H. Duyzend, M.D./Ph.D. candidate, University of Washington School of Medicine Jane L. Eisen, M.D., Associate Professor and Vice Chair for Academic Affairs, Department of Psychiatry and Human Behavior, Brown University Susan Guralnick, M.D., Director of Graduate Medical Education, Winthrop University Hospital Marc J. Kahn, M.D., M.B.A., F.A.C.P., Senior Associate Dean for Admissions and Student Affairs, Tulane University School of Medicine Mahendr Kochar, M.D., M.S., M.B.A., J.D., Associate Dean of Graduate Medical Education, University of California at Riverside Daniel S. Morrissey, O.P., Public Member Steven J. Scheinman, M.D., President and Dean, The Commonwealth Medical College Kenneth B. Simons, M.D., Associate Dean for Graduate Medical Education and Accreditation, Medical College of Wisconsin Results and Data 215 Specialties Matching Service i

4 Glossary ACGME Active Applicant Applicant Type NRMP RC SMS Accreditation Council for Graduate Medical Education (ACGME) An active applicant is one who submits a certified rank order list of programs. The NRMP classifies SMS applicants into 6 types: Graduates of U.S. allopathic medical schools: a graduate of a U.S. allopathic school of medicine accredited by the Liaison Committee on Medical Education (LCME). Also referred to as U.S. allopathic graduates. Graduates of Canadian medical schools: a graduate of a Canadian school of medicine accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS). Also referred to as Canadian graduates. Graduates of osteopathic medical schools: a graduate of a medical school accredited by the Association of n American Colleges of Osteopathic Medicine (AACOM). Also referred to as osteopathic graduates. Graduates of Fifth Pathway programs. Also referred to as Fifth Pathway graduates. U.S. citizen graduates of international medical schools. Also referred to as U.S. international graduates. Non-U.S. citizen graduates of international medical schools. Also referred to as non-u.s. international graduates. National Resident Matching Program ACGME Review Committee NRMP Specialties Matching Service Results and Data 215 Specialties Matching Service ii

5 Table of Contents Board of Directors... i Glossary... ii About the Specialties Matching Service... iv Figure 1. Fellowship Match Calendar for 215 Appointment Year... 1 Introduction... 3 Figure 2. Numbers of Applicants and Programs Participating in the Specialties Matching Service (SMS) by Appointment Year, Table 1. Fellowship Match Summary, 215 Appointments... 5 Table 2. Fellowship Matches by Specialty and Applicant Type, 215 Appointments... 9 Table 3. Number of Positions per Active Applicant, Figure 3. Positions per All Active and Active U.S. Allopathic Graduate Applicants, Table 4. Fellowship Applicants by Applicant Type and Appointment Year, Figure 4. Number of Active Applicants and Percent Matched, Table 5. Fellowship Matches by Specialty and Applicant Choice, 215 Appointments Table 6. Number of Positions Offered and Percent Filled by Graduates of U.S. Allopathic Medical Schools and All Applicants, Fellowship Match Trends by Specialty and Appointment Year Abdominal Transplant Surgery Adolescent Medicine Allergy and Immunology Cardiovascular Disease... 3 Child Abuse Child and Adolescent Psychiatry Colon and Rectal Surgery Developmental and Behavioral Pediatrics Endocrinology, Diabetes, and Metabolism Female Pelvic Medicine and Reconstructive Surgery Gastroenterology Geriatric Medicine Gynecologic Oncology Hand Surgery... 4 Hematology Hematology and Oncology Infectious Disease Interventional Pulmonology Interventional Radiology Laryngology Maternal-Fetal Medicine Medical Genetics Medical Toxicology Minimally Invasive Gynecological Surgery... 5 Neonatal-Perinatal Medicine Nephrology Neuroradiology Oncology Ophthalmic Plastic & Reconstructive Surgery Pain Medicine Pediatric Anesthesiology Pediatric Cardiology Pediatric Critical Care Medicine Pediatric Emergency Medicine... 6 Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology/Oncology Pediatric Hospital Medicine Pediatric Infectious Diseases Pediatric Nephrology Pediatric Pulmonology Pediatric Rehabilitation Medicine Pediatric Rheumatology Pediatric Sports Medicine... 7 Pediatric Surgery Pediatric and Adolescent Gynecology Psychosomatic Medicine Pulmonary Disease Pulmonary Disease and Critical Care Medicine Reproductive Endocrinology Rheumatology Sleep Medicine Sports Medicine Surgical Critical Care... 8 Surgical Oncology Thoracic Surgery Vascular Surgery NRMP Specialties Matching Service: Program Results for 215 Appointments Results and Data 215 Specialties Matching Service iii

6 About the Specialties Matching Service The National Resident Matching Program (NRMP) is a private, not-for-profit corporation established in 1952 to optimize the rank-ordered choices of applicants and program directors. The NRMP is not an application processing service; rather, it provides an impartial venue for matching applicants' and program directors' preferences for each other consistently. The NRMP Specialties Matching Service (SMS ) conducts Matches for advanced residency and fellowship positions. The NRMP conducted its first Fellowship Match in 1984 for Colon and Rectal Surgery, and in 215 provided services for 56 subspecialties within 25 separate Matches. For the 215 appointment year, the Pediatric Matches experienced addition and regrouping: the Pediatric Specialties Fall Match was expanded with the addition of Pediatric Hospital Medicine, Neonatal Perinatal Medicine (originally a single-specialty Match), and Pediatric Infectious Diseases (originally in the Pediatric Specialties Spring Match). Also, the Pediatric Hematology/Oncology Match joined the Pediatric Specialties Spring Match. A complete list of the subspecialties participating in the SMS for the 215 appointment year can be found in Figure 1. The Fellowship Matches occur throughout the year, and each requires its own registration process with the NRMP. Fellowship positions generally begin in July. Because Fellowship Match appointments may begin anywhere from 6 to 17 months after their Match Days, data are reported for the appointment year instead of the Match Year. For more information about the NRMP's Specialties Matching Service, please visit: Data and reports for the NRMP's Main Residency Match can be found at: Instructions on how to request additional data also are provided. Results and Data 215 Specialties Matching Service iv

7 Figure 1 Fellowship Match Calendar for 215 Appointment Year Match/Specialty Match Year Abdominal Transplant Surgery Adolescent Medicine Allergy and Immunology Anesthesiology Pain Medicine Pediatric Anesthesiology Colon and Rectal Surgery Combined Musculoskeletal Matching Program Hand Surgery* Female Pelvic Medicine & Reconstructive Surgery* Geriatric Medicine* Laryngology Medical Genetics Appointment Year Match Opens Match Day /5/214 5/28/ /6/214 11/19/ /3/214 12/3/ /4/214 1/8/ /23/214 11/12/ /5/214 5/28/ /5/214 6/18/ /1/214 1/7/ /9/213 2/5/ /23/214 11/12/214 Medical Specialties Matching Program /3/214 12/3/214 Cardiovascular Disease Endocrinology, Diabetes, and Metabolism Gastroenterology Hematology Hematology and Oncology Infectious Disease Interventional Pulmonology** Nephrology Oncology Pulmonary Disease Pulmonary Disease and Critical Care Medicine Rheumatology Medical Toxicology Obstetrics & Gynecology*** Gynecologic Oncology** Maternal-Fetal Medicine** Minimally Invasive Gynecologic Surgery** Pediatric and Adolescent Gynecology** Reproductive Endocrinology** Pediatric Rehabilitation Medicine /6/214 11/19/ /4/214 1/8/ /1/214 1/7/215 Pediatric Specialties Fall Match /27/214 12/17/214 Child Abuse Developmental and Behavioral Pediatrics Neonatal-Perinatal Medicine Pediatric Critical Care Medicine Pediatric Emergency Medicine* Pediatric Hospital Medicine** Pediatric Infectious Diseases Pediatric Nephrology Pediatric Rheumatology Pediatric Specialties Spring Match Pediatric Cardiology* Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology/Oncology Pediatric Pulmonology Pediatric Surgery* Primary Care Sports Medicine Pediatric Sports Medicine Sports Medicine* Psychiatry Child and Adolescent Psychiatry Psychosomatic Medicine Radiology Interventional Radiology Neuroradiology Sleep Medicine Surgical Critical Care Surgical Oncology Thoracic Surgery /5/214 5/28/ /22/214 5/21/ /1/214 1/7/ /1/214 1/7/ /5/214 6/18/ /23/214 11/12/ /4/214 1/8/ /23/214 11/12/ /5/214 5/28/214 Vascular Surgery /22/214 5/21/214 * Programs within the specialty were under the auspices of multiple ACGME Review Committees and/or not accredited by the ACGME ** Not accredited by the ACGME *** Accreditd by the American Board of Obstetrics and Gynecology (ABOG) Results and Data 215 Specialties Matching Service 1

8 Results and Data 215 Specialties Matching Service 2

9 Introduction This report summarizes all Fellowship Matches conducted by the NRMP Specialties Matching Service (SMS ). Data are provided for Matches conducted in 214 and early 215 for appointments beginning in July 215. Graphs display five-year trend data by specialty on numbers of programs, positions, and applicants as well as match rates. Numbers of positions offered and filled for each participating program are listed at the end of this report. The 215 report includes one new specialty: Pediatric Hospital Medicine. The 215 appointment year was the largest in the history of the SMS. The Matches encompassed: 3,674 programs within 56 subspecialties offering 8,53 fellowship positions Of those positions, 7,469 (87.8%) were filled Of the 3,674 participating programs, 2,938 (8.%) filled all positions 9,538 applicants participated in at least one of the Fellowship Matches and 7,469 (78.3%) obtained a position Numbers of applicants, matched applicants, positions, and programs offering positions between 1993 and 215 are shown in Figure 2 below. Questions about the Specialties Matching Service should be directed in writing to: Mona M. Signer, President and CEO National Resident Matching Program 2121 K Street NW Suite 1 Washington, DC 237 Figure 2 1 Numbers of Applicants and Programs Participating in the Specialties Matching Service (SMS ) by Appointment Year, Number of Applicants Number of Positions 7 Number of Matched Applicants Number of Programs Results and Data 215 Specialties Matching Service 3

10 Results and Data 215 Specialties Matching Service 4

11 Table 1 Table 1 provides a summary of the SMS Fellowship Matches for appointment year 215. Using Allergy and Immunology as an example: The first two columns ( No. of Applicants ) show that 15 U.S. allopathic medical school graduates and 155 total applicants ranked at least one Allergy and Immunology program. The next two columns ( Positions Offered and No. of Programs ) show that a total of 126 positions were offered in this specialty by 82 programs. The No. of Matches columns show that, of the 126 positions offered in Allergy and Immunology, 9 were filled by U.S. allopathic graduates, and 117 were filled overall. The percent of positions filled (calculated as No. of Matches divided by Positions Offered ) can be found in the % Filled columns. Of the fellowship positions offered in Allergy and Immunology, 71.4 percent were filled by U.S. allopathic graduates and 92.9 percent were filled overall. The Ranked Positions columns show that the 82 Allergy and Immunology programs were ranked 731 times by U.S. allopathic graduates and 1,71 times by all applicants (including U.S. allopathic graduates). The last column ( Unfilled Programs ) indicates that 8 Allergy and Immunology programs had at least 1 unfilled position after the matching algorithm had been processed. Of the 56 participating subspecialties, 35 filled more than 9 percent of the positions offered and 16 filled less than 75 percent of the positions offered. Eight specialties filled 75 percent or more of their positions with graduates of U.S. allopathic medical schools, and 23 specialties filled 5 percent or less of their positions with U.S. allopathic graduates. Results and Data 215 Specialties Matching Service 5

12 Table 1 Specialty Fellowship Match Summary, 215 Appointments No. of Applicants+ U.S. All Grads++ Apps Positions Offered No. of Pgms No. of Matches U.S. All Grads Apps % Filled U.S. Grads All Apps Ranked Positions U.S. All Grads Apps Allergy and Immunology Allergy and Immunology ,71 8 Anesthesiology Pain Medicine ,347 2,17 Pediatric Anesthesiology Emergency Medicine Medical Toxicology* Family Medicine Sports Medicine* , Internal Medicine Cardiovascular Disease 472 1, ,934 7,511 8 Endocrinology, Diabetes, and Metabolism ,92 15 Gastroenterology ,94 4,66 6 Geriatric Medicine* Hematology Hematology and Oncology ,277 4,318 7 Infectious Disease ,752 7 Interventional Pulmonology** Nephrology , Oncology Pulmonary Disease Pulmonary Disease and Critical Care ,941 4,282 5 Medicine Rheumatology , Laryngology Laryngology** Medical Genetics Medical Genetics Obstetrics and Gynecology *** Female Pelvic Medicine and Reconstructive Surgery* Gynecologic Oncology** Maternal-Fetal Medicine** ,13 3 Minimally Invasive Gynecologic Surgery** Pediatric and Adolescent Gynecology** Reproductive Endocrinology** Pediatrics Adolescent Medicine Child Abuse Developmental and Behavioral Pediatrics Neonatal-Perinatal Medicine ,888 4 Pediatric Cardiology* ,17 3 Pediatric Critical Care Medicine ,321 5 Pediatric Emergency Medicine* ,34 3 Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology/Oncology ,26 7 Pediatric Hospital Medicine** Pediatric Infectious Diseases Pediatric Nephrology Pediatric Pulmonology Pediatric Rheumatology Pediatric Sports Medicine Physical Medicine and Rehabilitation Pediatric Rehabilitation Medicine Psychiatry Child and Adolescent Psychiatry , Psychosomatic Medicine Radiology Interventional Radiology ,92 2,218 4 Neuroradiology , Sleep Medicine Sleep Medicine Unfilled Pgms Results and Data 215 Specialties Matching Service 6

13 Table 1 Specialty Fellowship Match Summary, 215 Appointments No. of Applicants+ U.S. All Grads++ Apps Positions Offered No. of Pgms No. of Matches U.S. All Grads Apps % Filled U.S. Grads All Apps Ranked Positions U.S. All Grads Apps Surgery Abdominal Transplant Surgery** Colon and Rectal Surgery ,189 Hand Surgery* ,853 2,6 7 Pediatric Surgery* ,194 1,329 Surgical Critical Care , Surgical Oncology* Thoracic Surgery ,129 4 Vascular Surgery ,152 9 TOTAL 5,322 1,32 8,53 3,674 4,486 7, ,65 62, * In most cases specialties are grouped by the ACGME Review Committees (RCs). Some specialties are under the auspices of multiple RCs and some specialties (or programs within a specialty) are not accredited by the ACGME. In those cases the fellowship programs are grouped under one specialty deemed appropriate. The grouped specialties and their RCs are: Female Pelvic Medicine and Reconstructive Surgery: Urology and OB/GYN. Also includes programs that are not accredited by the ACGME Geriatric Medicine: Family Medicine and Internal Medicine Hand Surgery: Osteopathic Surgery, Surgery, and Plastic Surgery Medical Toxicology: Emergency Medicine and Preventive Medicine Pediatric Emergency Medicine: Pediatrics and Emergency Medicine Pediatric Surgery: Surgery. Also includes programs that are not accredited by the ACGME Sports Medicine: Family Medicine, Emergency Medicine and Physical Medicine & Rehabilitation Surgical Oncology: Surgery. Also includes programs that are not accredited by the ACGME ** Not accredited by the ACGME *** Accredited by the American Board of Obstetrics and Gynecology (ABOG) + Applicants can rank multiple specialties within the combined specialties Matches. In addition, a small number of applicants participate in more than one Fellowship Match within a single appointment year. ++ Graduates of U.S. allopathic medical schools Unfilled Pgms Results and Data 215 Specialties Matching Service 7

14 Results and Data 215 Specialties Matching Service 8

15 Table 2 Table 2 shows the number and percent of matches in each specialty by applicant type. Of the specialties offering at least 3 positions: Gynecologic Oncology had the highest proportion filled by U.S. allopathic medical school graduates (92.2%) and Nephrology had the lowest (31.1%). The top five specialties in the percentage of positions filled by graduates of U.S. allopathic medical schools are Gynecologic Oncology (92.2%), Pediatric Surgery (89.6%), Hand Surgery (89.3%), Interventional Radiology (85.2%), and Neuroradiology (84.3%). The top five specialties in the percentage of positions filled by osteopathic medical school graduates are Primary Care Sports Medicine (31.2%), Developmental and Behavioral Pediatrics (2.%), Child and Adolescent Psychiatry (17.%), Pediatric Hematology/Oncology (16.3%), and Pain Medicine (14.3%). The top five specialties in the percentage of positions filled by U.S. international medical graduates are Sleep Medicine (2.2%), Developmental and Behavioral Pediatrics (2.%), Child and Adolescent Psychiatry (18.3%), Primary Care Sports Medicine (17.6%), and Nephrology (17.3%). The top five specialties in the percentage of positions filled by Non-U.S. international medical graduates are Abdominal Transplant Surgery (45.6%), Nephrology (42.1%), Endocrinology, Diabetes, and Metabolism (39.7%), Rheumatology (37.4%), and Pediatric Nephrology (33.3%). Results and Data 215 Specialties Matching Service 9

16 Table 2 Fellowship Matches by Specialty and Applicant Type, 215 Appointments Specialty Allergy and Immunology Number of Positions Number Filled U.S. Allopathic Graduates Osteopathic Graduates Applicant Type Canadian Graduates 5th Pathway Graduates U.S. International Graduates Non-U.S. International Graduates Allergy and Immunology % % 1.9 %. % 7 6. % % Anesthesiology Pain Medicine Pediatric Anesthesiology Emergency Medicine Medical Toxicology* Family Medicine Sports Medicine* Internal Medicine Cardiovascular Disease Endocrinology, Diabetes, and Metabolism Gastroenterology Geriatric Medicine* Hematology Hematology and Oncology Infectious Disease Interventional Pulmonology** Nephrology Oncology Pulmonary Disease Pulmonary Disease and Critical Care Medicine Rheumatology Laryngology Laryngology** Medical Genetics Medical Genetics Obstetrics and Gynecology*** Female Pelvic Medicine and Reconstructive Surgery* Gynecologic Oncology** Maternal-Fetal Medicine** Minimally Invasive Gynecologic Surgery** Pediatric and Adolescent Gynecology** Reproductive Endocrinology** Pediatrics Adolescent Medicine Child Abuse Developmental and Behavioral Pediatrics Neonatal-Perinatal Medicine Pediatric Cardiology* Pediatric Critical Care Medicine Pediatric Emergency Medicine* Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology/Oncology Pediatric Hospital Medicine** Pediatric Infectious Diseases Pediatric Nephrology Pediatric Pulmonology Pediatric Rheumatology Pediatric Sports Medicine Physical Medicine and Rehabilitation Pediatric Rehabilitation Medicine Psychiatry Child and Adolescent Psychiatry Psychosomatic Medicine Radiology Interventional Radiology Neuroradiology Sleep Medicine Sleep Medicine Results and Data 215 Specialties Matching Service 1

17 Table 2 Fellowship Matches by Specialty and Applicant Type, 215 Appointments Specialty Surgery Number of Positions Number Filled U.S. Allopathic Graduates Osteopathic Graduates Applicant Type Canadian Graduates 5th Pathway Graduates U.S. International Graduates Non-U.S. International Graduates Abdominal Transplant Surgery** %. % 4 7. %. % % % Colon and Rectal Surgery Hand Surgery* Pediatric Surgery* Surgical Critical Care Surgical Oncology* Thoracic Surgery Vascular Surgery TOTAL 8,53 7,469 4, ,53 * In most cases specialties are grouped by the ACGME Review Committees (RCs). Some specialties are under the auspices of multiple RCs and some specialties (or programs within a specialty) are not accredited by the ACGME. In those cases the fellowship programs are grouped under one specialty deemed appropriate. The grouped specialties and their RCs are: Female Pelvic Medicine and Reconstructive Surgery: Urology and OB/GYN. Also includes programs that are not accredited by the ACGME Geriatric Medicine: Family Medicine and Internal Medicine Hand Surgery: Osteopathic Surgery, Surgery, and Plastic Surgery Medical Toxicology: Emergency Medicine and Preventive Medicine Pediatric Emergency Medicine: Pediatrics and Emergency Medicine Pediatric Surgery: Surgery. Also includes programs that are not accredited by the ACGME Sports Medicine: Family Medicine, Emergency Medicine and Physical Medicine & Rehabilitation Surgical Oncology: Surgery. Also includes programs that are not accredited by the ACGME ** Not accredited by the ACGME *** Accredited by the American Board of Obstetrics and Gynecology (ABOG) Results and Data 215 Specialties Matching Service 11

18 Table 3 The ratios of fellowship positions to active applicants are provided in Table 3 for years 211 through 215 and shown graphically in Figure 3 for years between 22 and 215. Active applicants are defined as those who submitted certified rank order lists of programs. The red line in Figure 3 indicates the point at which there are equal numbers of positions and applicants. The number of fellowship positions per active U.S. allopathic graduate was 1.64 in 215. Across all five years, there were more fellowship positions offered than there were U.S. allopathic graduate applicants. The ratio of fellowship positions to all active applicants was.89 for the 215 appointment year, the same as in 214. Results and Data 215 Specialties Matching Service 12

19 Table 3 Number of Positions per Active Applicant, Active Applicants Positions Per Active Applicant Year Number of Positions U.S. Allopathic Graduates All U.S. Allopathic Graduates All 211 6,276 3,848 7, ,799 4,169 8, ,245 4,423 8, ,243 4,985 9, ,53 5,172 9, Note: Applicants who withdrew or did not rank programs are excluded. Figure 3 Positions per All Active and Active U.S. Allopathic Graduate Applicants, U.S. Allopathic Graduates 1..5 All Active Applicants Results and Data 215 Specialties Matching Service 13

20 Table 4 Table 4 displays applicants by applicant type in the SMS Fellowship Matches between 211 and 215. Applicants are grouped based on citizenship and medical school of graduation. For example, U.S. allopathic graduates are prior graduates of U.S. allopathic medical schools regardless of citizenship. U.S. international medical graduates are defined as U.S. citizens who are graduates of international medical schools, and non-u.s. international medical graduates are non-u.s. citizen graduates of international medical schools. The total number of registrants for the 215 appointment year was 1,36, an increase of 116 or 1.2 percent over 214. The number of graduates of U.S. allopathic medical schools rose to 5,343 in 215, a 3. percent increase. The number of non-u.s. citizen graduates of international medical schools declined for the third year in a row, and is down more than 4 applicants since 212. With the exception of non U.S. citizen graduates of international medical schools and graduates of Fifth Pathway programs, registration numbers for all applicant types increased from 214 to 215. An active applicant is one who submits a certified rank order list of programs. Between 211 and 215, the number of active applicants rose for graduates of U.S. allopathic medical schools, U.S. citizen graduates of international medical schools, and most notably for graduates of osteopathic medical schools (68.4% increase). Active applicant groups that increased faster than the overall rate of 22.7 percent between 211 and 215 are identified in Table 4 with green arrows. The trends in the numbers of active applicants and their match rates can be seen graphically in Figure 4. Results and Data 215 Specialties Matching Service 14

21 Table 4 Fellowship Applicants by Applicant Type and Appointment Year, Applicant No. % No. % No. % No. % No. % Graduates of U.S. Allopathic Medical Schools Active Applicants 5, , , , ,848 1 Matched 4, , , , , Unmatched Withdrew No Rank List Total 5, , ,63 1 4, ,43 1 Graduates of Osteopathic Medical Schools Active Applicants Matched Unmatched Withdrew No Rank List Total Graduates of Canadian Medical Schools Active Applicants Matched Unmatched Withdrew No Rank List Total Graduates of Fifth Pathway Programs Active Applicants Matched Unmatched Withdrew No Rank List Total U.S. Citizen Graduates of International Medical Schools Active Applicants 1, , , Matched Unmatched Withdrew No Rank List Total 1, , ,23 1 1, Non-U.S. Citizen Graduates of International Medical Schools Active Applicants 2, , ,46 1 2,51 1 2,459 1 Matched 1, , , , , Unmatched , Withdrew No Rank List Total 2, ,69 1 2, , ,698 1 Total Applicants Active Applicants 9, , , , ,774 1 Matched 7, , , , , Unmatched 2, , , , , Withdrew No Rank List Total 1,36 1 9,92 1 9, , ,338 1 Denotes that the percentage increase in active applicants for this group was greater than the overall increase of 22.7% for all active applicants between 211 and Results and Data 215 Specialties Matching Service 15

22 Results and Data 215 Specialties Matching Service 16

23 Figure 4 Number of Active Applicants and Percent Matched, , 8, 6, 4, 2, All Applicants 1% 8% 6% 4% 2% Graduates of U.S. Allopathic Medical Schools 6, % 1% 5, 4, 3, 2, 1, 1, ,848 4,169 4,423 4,985 5, Graduates of Osteopathic Medical Schools 8% 6% 4% 2% % 1% 8% 6% 4% U.S. Citizen Graduates of International Medical Schools 1,4 1,2 1, ,129 1,121 1, Non-U.S. Citizen Graduates of International Medical Schools 3, 2% % 1% 8% 6% 4% 2% % 1% 2,5 2, 1,5 1, 5 2,459 2,51 2,46 2,379 2, % 6% 4% 2% % Results and Data 215 Specialties Matching Service 17

24 Results and Data 215 Specialties Matching Service 18

25 Table 5 Table 5 displays Fellowship Match results by specialty and applicant preferred choice. Applicant choice is determined by the placement of programs on applicants' rank order lists. Preferred specialty is defined as the specialty ranked first on the applicant's rank order list. For single-specialty Matches (top half of table), the data presentation and interpretation are straightforward. For multi-specialty Matches (bottom half of table) they are slightly more complicated. Single Specialty Matches Using Allergy and Immunology as an example, 117 of 155 applicants matched. Of the 155 matched applicants, 43.2 percent matched to the program that was listed first on their rank order list, 14.2 percent matched to their second choice, 5.8 percent to their third choice, and 12.3 percent to a choice lower on their list. Thirty-eight applicants in the Allergy and Immunology Fellowship Match did not match, representing 24.5 percent of the total. Combined Specialties Matches To count unique applicants for the multi-specialty Matches, each applicant is included in the counts for the specialty ranked first on the rank order list (preferred specialty). Because applicants can match to other specialties within the same Match, "Matched in Another Specialty" data also are provided. For example, Endocrinology, Diabetes, and Metabolism participated with 11 other specialties in the Medical Specialties Matching Program (MSMP). Of the 324 applicants who ranked Endocrinology, Diabetes, and Metabolism, 33 ranked it first. Overall, 252 applicants matched to Endocrinology, Diabetes, and Metabolism; of those who matched, 244 listed it as the preferred specialty. Of the 324 applicants who ranked Endocrinology, Diabetes, and Metabolism, 143 (44.1%) matched to the program that was listed first on the rank order list, 45 (13.9%) matched to the second choice, 23 (7.1%) to the third choice, 41 (12.7%) to a choice lower on their list, and 9 (2.8%) matched to another specialty within the MSMP. Of the 324 applicants who ranked Endocrinology, Diabetes, and Metabolism, 63 (19.4%) failed to match. Results and Data 215 Specialties Matching Service 19

26 Table 5 Fellowship Matches by Specialty and Applicant Choice, 215 Appointments Specialty Number of Applicants Ranking Specialty Preferred Total Specialty Number Matched Preferred Total Specialty 1st Choice Matches by Rank Choice 2nd Choice 3rd Choice Greater Than 3rd Choice Matched in Another Specialty Unmatched Single Specialty Matches Allergy and Immunology Allergy and Immunology 155 n/a 117 n/a % % % % n/a n/a % Emergency Medicine Medical Toxicology* 35 n/a 28 n/a n/a n/a 7 2. Internal Medicine Geriatric Medicine* 163 n/a 155 n/a n/a n/a Laryngology Laryngology** 17 n/a 16 n/a n/a n/a Medical Genetics Medical Genetics 34 n/a 29 n/a n/a n/a Obstetrics and Gynecology*** Female Pelvic Medicine and Reconstructive 77 n/a 57 n/a n/a n/a Surgery* Pediatrics Adolescent Medicine 31 n/a 28 n/a n/a n/a Physical Medicine and Rehabilitation Pediatric Rehabilitation Medicine 12 n/a 12 n/a n/a n/a. Sleep Medicine Sleep Medicine 12 n/a 94 n/a n/a n/a Surgery Abdominal Transplant Surgery** 81 n/a 57 n/a n/a n/a Colon and Rectal Surgery 11 n/a 93 n/a n/a n/a Hand Surgery* 173 n/a 159 n/a n/a n/a Pediatric Surgery* 83 n/a 48 n/a n/a n/a Surgical Critical Care 187 n/a 17 n/a n/a n/a Surgical Oncology* 85 n/a 56 n/a n/a n/a Thoracic Surgery 114 n/a 83 n/a n/a n/a Vascular Surgery 111 n/a 14 n/a n/a n/a Combined Specialties Matches+ Anesthesiology Pain Medicine Pediatric Anesthesiology Family Medicine Sports Medicine* Internal Medicine Cardiovascular Disease 1,142 1, Endocrinology, Diabetes, and Metabolism Gastroenterology Hematology Hematology and Oncology Infectious Disease Interventional Pulmonology** Nephrology Oncology Pulmonary Disease Pulmonary Disease and Critical Care Medicine Rheumatology Obstetrics and Gynecology*** Gynecologic Oncology** Maternal-Fetal Medicine** Minimally Invasive Gynecologic Surgery** Pediatric and Adolescent Gynecology** Reproductive Endocrinology** Pediatrics Child Abuse Developmental and Behavioral Pediatrics Neonatal-Perinatal Medicine Pediatric Cardiology* Pediatric Critical Care Medicine Pediatric Emergency Medicine* Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology/Oncology Pediatric Hospital Medicine** Pediatric Infectious Diseases Pediatric Nephrology Pediatric Pulmonology Pediatric Rheumatology Pediatric Sports Medicine Results and Data 215 Specialties Matching Service 2

27 Table 5 Specialty Fellowship Matches by Specialty and Applicant Choice, 215 Appointments Number of Applicants Ranking Specialty Preferred Total Specialty Number Matched Preferred Total Specialty 1st Choice Matches by Rank Choice 2nd Choice 3rd Choice Greater Than 3rd Choice Matched in Another Specialty Unmatched Psychiatry Child and Adolescent Psychiatry % % % % % Psychosomatic Medicine Radiology Interventional Radiology Neuroradiology * In most cases specialties are grouped by the ACGME Review Committees (RCs). Some specialties are under the auspices of multiple RCs and some specialties (or programs within a specialty) are not accredited by the ACGME. In those cases the fellowship programs are grouped under one specialty deemed appropriate. The grouped specialties and their RCs are: Female Pelvic Medicine and Reconstructive Surgery: Urology and OB/GYN. Also includes programs that are not accredited by the ACGME Geriatric Medicine: Family Medicine and Internal Medicine Hand Surgery: Osteopathic Surgery, Surgery, and Plastic Surgery Medical Toxicology: Emergency Medicine and Preventive Medicine Pediatric Emergency Medicine: Pediatrics and Emergency Medicine Pediatric Surgery: Surgery. Also includes programs that are not accredited by the ACGME Sports Medicine: Family Medicine, Emergency Medicine and Physical Medicine & Rehabilitation Surgical Oncology: Surgery. Also includes programs that are not accredited by the ACGME ** Not accredited by the ACGME *** Accredited by the American Board of Obstetrics and Gynecology (ABOG) + Applicants can rank multiple specialties within the combined specialties Matches. In addition, a small number of applicants participate in more than one Fellowship Match within a single appointment year. Results and Data 215 Specialties Matching Service 21

28 Results and Data 215 Specialties Matching Service 22

29 Table 6 Table 6 displays data between 211 and 215 in the numbers of positions offered by specialty, as well as the percent filled by U.S. allopathic medical school graduates and by all applicants. To provide a complete picture, the table includes all specialties that participated during the five-year period regardless of when they joined and whether they remained in the SMS. The data in Table 6 are calculated as a percentage of positions filled by applicant type, whereas the data in Table 2 are calculated as a percentage of matches by applicant type. A graphical summary of the data for each specialty listed in Table 6 can be found on the following pages. Results and Data 215 Specialties Matching Service 23

30 Table 6 Specialty Number of Positions Offered and Percent Filled by Graduates of U.S. Allopathic Medical Schools and All Applicants, No. of Pos % Filled No. of % Filled No. of % Filled No. of % Filled No. of % Filled U.S. Tot Pos. U.S. Tot Pos. U.S. Tot Pos. U.S. Tot Pos. U.S. Tot Allergy and Immunology Allergy and Immunology Anesthesiology Pain Medicine Pediatric Anesthesiology Emergency Medicine Medical Toxicology* Family Medicine Sports Medicine* Internal Medicine Cardiovascular Disease Endocrinology, Diabetes, and Metabolism Gastroenterology Geriatric Medicine* Hematology Hematology and Oncology Infectious Disease Interventional Pulmonology** Nephrology Oncology Pulmonary Disease Pulmonary Disease and Critical Care Medicine Rheumatology Laryngology Laryngology** Medical Genetics Medical Genetics Obstetrics and Gynecology *** Female Pelvic Medicine and Reconstructive Surgery* Gynecologic Oncology** Maternal-Fetal Medicine** Minimally Invasive Gynecologic Surgery** Pediatric and Adolescent Gynecology** Reproductive Endocrinology** Pediatrics Adolescent Medicine Child Abuse Developmental and Behavioral Pediatrics Neonatal-Perinatal Medicine Pediatric Cardiology* Pediatric Critical Care Medicine Pediatric Emergency Medicine* Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology/Oncology Pediatric Hospital Medicine** Pediatric Infectious Diseases Pediatric Nephrology Pediatric Pulmonology Pediatric Rheumatology Pediatric Sports Medicine Physical Medicine and Rehabilitation Pediatric Rehabilitation Medicine Psychiatry Child and Adolescent Psychiatry Psychosomatic Medicine Radiology Interventional Radiology Neuroradiology Sleep Medicine Sleep Medicine Results and Data 215 Specialties Matching Service 24

31 Table 6 Specialty Number of Positions Offered and Percent Filled by Graduates of U.S. Allopathic Medical Schools and All Applicants, No. of Pos % Filled U.S. Tot No. of Pos. % Filled U.S. Tot No. of Pos. % Filled U.S. Tot No. of Pos. % Filled U.S. Tot No. of Pos. % Filled U.S. Tot Surgery Abdominal Transplant Surgery** Colon and Rectal Surgery Hand Surgery* Ophthalmic Plastic & Reconstructive Surgery* Pediatric Surgery* Surgical Critical Care Surgical Oncology* Thoracic Surgery Vascular Surgery TOTAL 8, , , , , * In most cases specialties are grouped by the ACGME Review Committees (RCs). Some specialties are under the auspices of multiple RCs and some specialties (or programs within a specialty) are not accredited by the ACGME. In those cases the fellowship programs are grouped under one specialty deemed appropriate. The grouped specialties and their RCs are: Female Pelvic Medicine and Reconstructive Surgery: Urology and OB/GYN. Also includes programs that are not accredited by the ACGME Geriatric Medicine: Family Medicine and Internal Medicine Hand Surgery: Osteopathic Surgery, Surgery, and Plastic Surgery Medical Toxicology: Emergency Medicine and Preventive Medicine Pediatric Emergency Medicine: Pediatrics and Emergency Medicine Pediatric Surgery: Surgery. Also includes programs that are not accredited by the ACGME Sports Medicine: Family Medicine, Emergency Medicine and Physical Medicine & Rehabilitation Surgical Oncology: Surgery. Also includes programs that are not accredited by the ACGME ** Not accredited by the ACGME *** Accredited by the American Board of Obstetrics and Gynecology (ABOG) Results and Data 215 Specialties Matching Service 25

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