Results and Data Specialties Matching Service 2014 Appointment Year

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1 Results and Data Specialties Matching Service 214 Appointment Year February 214

2 Requests for permission to use these data as well as questions about the content of this publication or the 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, Executive Director, NRMP, at Suggested Citation National Resident Matching Program, Results and Data: Specialties Matching Service 214 Appointment Year. National Resident Matching Program, Washington, DC Copyright 214 National Resident Matching Program.

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: President, President-Designate, 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 President: Hal B. Jenson, M.D., M.B.A., Founding Dean, Western Michigan University School of Medicine President-Designate: Maria C. Savoia, M.D., Dean for Medical Education, University of California San Diego Secretary/Treasurer: Glenn A. Fosdick, F.A.C.H.E. Executive Director: Mona M. Signer, M.P.H., National Resident Matching Program Board Members, C. Bruce Alexander, M.D., F.A.S.C.P., Professor and Vice Chair, Department of Pathology, University of Alabama at Birmingham Rita K. Cydulka, M.D., M.S., F.A.C.E.P., Professor and Vice Chair, Department of Emergency Medicine MetroHealth Medical Center, Associate Professor, Department of Biostatistics and Epidemiology Case Western University School of Medicine Jane L. Eisen, M.D., Associate Professor 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 & 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 Thomas V. Whalen, M.D., M.M.M., C.P.E., F.A.C.S., F.A.A.P., Chief Medical Officer, Lehigh Valley Hospital Sameer Ather, M.D., Cardiovascular Disease Fellow, University of Alabama at Birmingham Jeremy S. Boyd, M.D., Emergency Medicine Fellow, Vanderbilt University Pavan K. Cheruvu, M.D., Cardiovascular Disease Fellow, University of California at San Francisco 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 William S. Johnson, M.D., candidate University of Minnesota Medical School Results and Data 214 Specialties Matching Service i

4 Glossary Active Applicant Applicant Type Non-ACGME accredited NRMP RC SMS 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 Liaison Committee on Medical Education (LCME) accredited U.S. allopathic school of medicine. Also referred to as U.S. allopathic graduates. Graduates of Canadian medical schools: a graduate of a Committee on Accreditation of Canadian Medical Schools (CACMS) accredited Canadian school of medicine. Also referred to as Canadian graduates. Graduates of osteopathic medical schools: a graduate of an American Osteopathic Association (AOA) accredited school of medicine. 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 gradutes. Non-U.S. citizen graduates of international medical schools. Also referred to as non-u.s. international gradutes. Programs or specialties not accredited by the Accreditation Council for Graduate Medical Education (ACGME) National Resident Matching Program ACGME Review Committee NRMP Specialties Matching Service Results and Data 214 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 214 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, 214 Appointments... 5 Table 2. Fellowship Matches by Specialty and Applicant Type, 214 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, 214 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 Infectious Diseases Pediatric Nephrology Pediatric Pulmonology Pediatric Rehabilitation Medicine Pediatric Rheumatology Pediatric Sports Medicine Pediatric Surgery... 7 Pediatric and Adolescent Gynecology Psychosomatic Medicine Pulmonary Disease Pulmonary Disease and Critical Care Medicine Reproductive Endocrinology Rheumatology Sleep Medicine Sports Medicine Surgical Critical Care Surgical Oncology... 8 Thoracic Surgery Vascular Surgery NRMP Specialties Matching Service: Program Results for 214 Appointments Results and Data 214 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's 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 214 provided services for 55 subspecialties within 27 separate Matches. Three new Matches were added for the 214 appointment year: Geriatric Medicine, Medical Toxicology, and Surgical Oncology. In addition, the original Pediatric Anesthesiology Match and Child and Adolescent Psychiatry Match were expanded with the inclusion of Pain Medicine and Psychosomatic Medicine respectively to become the Anesthesiology Match and Psychiatry Match. Minimally Invasive Gynecologic Surgery joined the Obestetrics and Gynecology Match, and Child Abuse joined the Pediatric Specialties Fall Match. Pediatric Nephrology moved from the Pediatric Specialties Spring Match to the Pediatric Specialties Fall Match. A full list of the specialties participating in the SMS for the 214 appointment year can be found in Figure 1. The specialty Matches occur throughout the year, and each requires its own registration process with the NRMP. Fellowship positions generally begin in July. Because fellowship Matches have appointments that start 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 214 Specialties Matching Service iv

7 Figure 1 Fellowship Match Calendar for 214 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 /9/213 6/19/ /7/213 11/2/ /31/213 12/4/ /5/213 1/9/ /24/213 11/13/ /9/213 5/15/ /3/213 7/31/ /28/213 1/8/ /26/212 2/6/ /24/213 11/13/213 Medical Specialties Matching Program /31/213 12/4/213 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 Neonatal-Perinatal Medicine Obstetrics & Gynecology*** Gynecologic Oncology** Maternal-Fetal Medicine** Minimally Invasive Gynecologic Surgery** Pediatric and Adolescent Gynecology** Reproductive Endocrinology** Pediatric Hematology/Oncology Pediatric Rehabilitation Medicine /7/213 11/2/ /5/213 1/9/ /5/213 1/9/ /28/212 5/1/ /11/213 1/8/214 Pediatric Specialties Fall Match /7/213 11/2/213 Child Abuse Developmental and Behavioral Pediatrics Pediatric Critical Care Medicine Pediatric Emergency Medicine* Pediatric Nephrology Pediatric Rheumatology Pediatric Specialties Spring Match Pediatric Cardiology Pediatric Endocrinology Pediatric Gastroenterology Pediatric Infectious Diseases 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 /23/213 5/29/ /12/212 5/1/ /11/213 1/8/ /11/213 1/8/ /6/213 6/19/ /24/213 11/13/ /5/213 1/9/ /5/213 1/9/ /9/213 6/5/213 Vascular Surgery /12/212 5/15/213 * Programs within the specialty were under the auspices of multiple ACGME review committes and/or not accredited by the ACGME ** Non ACGME accredited *** American Board of Obstetrics and Gynecology (ABOG) accredited Results and Data 214 Specialties Matching Service 1

8 Results and Data 214 Specialties Matching Service 2

9 Introduction This report summarizes all fellowship Matches conducted by the NRMP's Specialties Matching Service (SMS ). Data are provided for Matches conducted in 213 and early 214 for appointments beginning in July 214. Graphs disply 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 214 report includes seven new specialties: Child Abuse, Geriatric Medicine, Medical Toxicology, Minimally Invasive Gynecologic Surgery, Pain Medicine, Psychosomatic Medicine, and Surgical Oncology. The 214 appointment year was the largest in the history of the SMS. The Matches encompassed: 3,552 programs within 55 specialties offering 8,243 fellowship positions Of those positions, 7,246 (87.9%) were filled Of the 3,552 participating programs, 2,824 (79.5%) filled all positions 9,297 applicants participated in at least one of the fellowship Matches and 7,246 (77.9%) obtained a position Numbers of applicants, matched applicants, positions, and programs offering positions between 1993 and 214 are shown in Figure 2 below. Questions about the NRMP's Specialties Matching Service should be directed in writing to: Mona M. Signer, Executive Director National Resident Matching Program 2121 K Street NW Suite 1 Washington, DC 237 Figure 2 Numbers of Applicants and Programs Participating in the Specialties Matching Service (SMS ) by Appointment Year, Number of Applicants Number of Positions Number of Matched Applicants Number of Programs Results and Data 214 Specialties Matching Service 3

10 Results and Data 214 Specialties Matching Service 4

11 Table 1 Table 1 provides a summary of the SMS fellowship Matches for appointment year 214. Using Allergy and Immunology as an example: The first two columns ( No. of Applicants ) show that 125 U.S. allopathic medical school graduates and 179 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 132 positions were offered in this specialty by 81 programs. The No. of Matches columns show that, of the 132 positions offered in Allergy and Immunology, 94 were filled by U.S. allopathic graduates, and 123 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, 71.2 percent were filled by U.S. allopathic graduates and 93.2 percent were filled overall. The Ranked Positions columns show that the 81 Allergy and Immunology programs were ranked 762 times by U.S. allopathic graduates and 1,17 times by all applicants (including U.S. allopathic graduates). The last column ( Unfilled Programs ) indicates that 9 Allergy and Immunology programs had at least 1 unfilled position after the matching algorithm had been processed. Of the 55 participating specialties, 31 filled more than 9 percent of the positions offered and 16 filled less than 75 percent of the positions offered. Nine specialties filled 75 percent or more of the positions offered with graduates of U.S. allopathic medical schools, and 24 specialties filled 5 percent or less of their positions with U.S. allopathic graduates. Results and Data 214 Specialties Matching Service 5

12 Table 1 Specialty Fellowship Match Summary, 214 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 ,17 9 Anesthesiology Pain Medicine ,25 1,722 4 Pediatric Anesthesiology Emergency Medicine Medical Toxicology* Family Medicine Sports Medicine* ,521 8 Internal Medicine Cardiovascular Disease 487 1, ,859 6,981 3 Endocrinology, Diabetes, and Metabolism , Gastroenterology ,877 4,239 8 Geriatric Medicine* Hematology Hematology and Oncology ,34 3,979 9 Infectious Disease , Interventional Pulmonology** Nephrology , Oncology Pulmonary Disease Pulmonary Disease and Critical Care ,773 3,832 2 Medicine Rheumatology , Laryngology Laryngology** Medical Genetics Medical Genetics Obstetrics and Gynecology *** Female Pelvic Medicine and Reconstructive Surgery* Gynecologic Oncology** Maternal-Fetal Medicine** ,8 4 Minimally Invasive Gynecologic Surgery** Pediatric and Adolescent Gynecology** Reproductive Endocrinology** Pediatrics Adolescent Medicine Child Abuse Developmental and Behavioral Pediatrics Neonatal-Perinatal Medicine ,595 9 Pediatric Cardiology ,169 7 Pediatric Critical Care Medicine ,15 1 Pediatric Emergency Medicine* ,31 6 Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology/Oncology ,66 6 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 ,593 2,29 8 Neuroradiology ,42 32 Sleep Medicine Sleep Medicine Unfilled Pgms Results and Data 214 Specialties Matching Service 6

13 Table 1 Specialty Fellowship Match Summary, 214 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 ,341 Hand Surgery* ,91 2,135 6 Pediatric Surgery* ,13 Surgical Critical Care Surgical Oncology* Thoracic Surgery Vascular Surgery ,294 1 TOTAL 5,144 9,756 8,243 3,552 4,348 7, ,199 59, Unfilled Pgms * In most cases specialties are grouped by 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, OB/GYN, and non-acgme accredited 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 and non-acgme accredited Sports Medicine: Family Medicine, Emergency Medicine and PM&R Surgical Oncology: Surgery and non-acgme accredited ** Non-ACGME accredited *** American Board of Obstetrics and Gynecology (ABOG) accredited + 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 Results and Data 214 Specialties Matching Service 7

14 Results and Data 214 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 with U.S. allopathic graduates (98.1%) and Nephrology had the lowest (29.4%). The specialties that filled 8 percent or more of their positions with graduates of U.S. allopathic medical schools are Gynecologic Oncology (98.1%), Pediatric Surgery (92.1%), Hand Surgery (87.7%), Interventional Radiology (86.3%), Maternal-Fetal Medicine (84.%), Reproductive Endocrinology (81.4%), Colon and Rectal Surgery (8.4%), and Medical Toxicology (8.%). The top five specialties in the percentage of positions filled by osteopathic graduates are Primary Care Sports Medicine (26.4%), Surgical Critical Care (15.1%), Medical Toxicology (15.%), Adolescent Medicine (14.3%), and Child and Adolescent Psychiatry (13.9%). The top five specialties in the percentage of positions filled by U.S. international medical graduates are Medical Genetics (21.7%), Geriatric Medicine (21.6%), Sleep Medicine (19.6%), Nephrology (19.3%), and Primary Care Sports Medicine (16.2%). The top five specialties in the percentage of positions filled by Non-U.S. international medical graduates are Abdominal Transplant Surgery (55.8%), Nephrology (43.8%), Rheumatology (4.2%), Sleep Medicine (4.2%), and Endocrinology, Diabetes, and Metabolism (39.9%). Results and Data 214 Specialties Matching Service 9

16 Table 2 Fellowship Matches by Specialty and Applicant Type, 214 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 % % 1.8 %. % % 9 7.3% 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 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 214 Specialties Matching Service 1

17 Table 2 Fellowship Matches by Specialty and Applicant Type, 214 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** %. % %. % % % Colon and Rectal Surgery Hand Surgery* Pediatric Surgery* Surgical Critical Care Surgical Oncology* Thoracic Surgery Vascular Surgery TOTAL 8,243 7,246 4, ,58 * In most cases specialties are grouped by 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, OB/GYN, and non-acgme accredited 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 and non-acgme accredited Sports Medicine: Family Medicine, Emergency Medicine and PM&R Surgical Oncology: Surgery and non-acgme accredited ** Non-ACGME accredited *** American Board of Obstetrics and Gynecology (ABOG) accredited Results and Data 214 Specialties Matching Service 11

18 Table 3 The ratios of fellowship positions to active applicants are provided in Table 3 for years 21 through 214 and shown graphically in Figure 3 for years between 22 and 214. 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 assumed an upward trend starting in 29, reaching 1.65 positions per active U.S. allopathic graduate in 214. 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 also experienced a slight but steady increase between 21 and 214, up from.79 positions per applicant to.89 positions per applicant. Results and Data 214 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 21 6,2 3,867 7, ,276 3,848 7, ,799 4,169 8, ,245 4,423 8, ,243 4,985 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 214 Specialties Matching Service 13

20 Table 4 Table 4 provides a summary of the applicants in the SMS fellowship Matches between 21 and 214 by applicant type. 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 214 appointment year was 9,92, an increase of 733 or 8. percent over 213. The number of graduates of U.S. allopathic medical schools increased 11.3 percent in 214 to 5,185 compared to 213. The number of non-u.s. citizen graduates of international medical schools declined for the second year in a row, and is down more than 2 applicants since 212. With the exception of non-u.s. citizen graduates of international medical schools and graduates of graduates from Fifth Pathway programs, registration numbers of all applicant types increased from 213 to 214. An active applicant is one who submits a certified rank order list of programs. Between 21 and 214, 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 (74.9% increase). Active applicant groups that increased faster than the overall rate of 21.9 percent between 21 and 214 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 214 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 4, , , , ,867 1 Matched 4, , , , , Unmatched Withdrew No Rank List Total 5, ,63 1 4, ,43 1 4,77 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, ,468 1 Matched 1, , , , , Unmatched , , Withdrew No Rank List Total 2,69 1 2, , , ,783 1 Total Applicants Active Applicants 9, , , , ,627 1 Matched 7, , , , , Unmatched 2, , , , , Withdrew No Rank List Total 9,92 1 9, , , ,311 1 Denotes that the percentage increase in active applicants for this group was greater than the overall increase of 21.9% for all active applicants between 21 and Results and Data 214 Specialties Matching Service 15

22 Results and Data 214 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, ,2 1, , 2,5 2, 1,5 1, 5 3,867 3,848 4,169 4,423 4, Graduates of Osteopathic Medical Schools U.S. Citizen Graduates of International Medical Schools ,129 1, Non-U.S. Citizen Graduates of International Medical Schools 2,468 2,459 2,51 2,46 2, % 6% 4% 2% % 1% 8% 6% 4% 2% % 1% 8% 6% 4% 2% % 1% 8% 6% 4% 2% % Results and Data 214 Specialties Matching Service 17

24 Results and Data 214 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 multiple specialty Matches (bottom half of table) they are slightly more complicated. Single Specialty Matches Using Allergy and Immunology as an example, 123 of 179 applicants matched. Of the 179 applicants, 41.9 percent matched to the program that was listed first on their rank order list, 12.3 percent matched to their second choice, 5.6 percent to their third choice, and 8.9 percent to a choice lower on their list. Fifty-six applicants in the Allergy and Immunology Fellowship Match did not match, representing 31.3 percent of the total. Combined Specialties Matches To count unique applicants for the combined 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 36 applicants who ranked Endocrinology, Diabetes, and Metabolism, 295 ranked it first. Overall, 238 applicants matched to Endocrinology, Diabetes, and Metabolism; of those who matched, 236 listed it as the preferred specialty. Of the 36 applicants who ranked Endocrinology, Diabetes, and Metabolism, 47.1 percent matched to the program that was listed first on the rank order list, 16. percent matched to the second choice, 4.9 percent to the third choice, 9.8 percent to a choice lower on their list, and 3.9 percent matched to another specialty within the MSMP. Of the 36 applicants who ranked Endocrinology, Diabetes, and Metabolism, 56 (18.3%) failed to match. Results and Data 214 Specialties Matching Service 19

26 Table 5 Fellowship Matches by Specialty and Applicant Choice, 214 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 179 n/a 123 n/a % % % % n/a n/a % Emergency Medicine Medical Toxicology* 24 n/a 2 n/a n/a n/a Internal Medicine Geriatric Medicine* 132 n/a 125 n/a n/a n/a Laryngology Laryngology** 15 n/a 14 n/a n/a n/a Medical Genetics Medical Genetics 25 n/a 23 n/a n/a n/a 2 8. Obstetrics and Gynecology *** Female Pelvic Medicine and Reconstructive 61 n/a 5 n/a n/a n/a Surgery* Pediatrics Adolescent Medicine 22 n/a 21 n/a n/a n/a Neonatal-Perinatal Medicine 248 n/a 229 n/a n/a n/a Pediatric Hematology/Oncology 178 n/a 151 n/a n/a n/a Physical Medicine and Rehabilitation Pediatric Rehabilitation Medicine 11 n/a 1 n/a n/a n/a Sleep Medicine Sleep Medicine 15 n/a 97 n/a n/a n/a Surgery Abdominal Transplant Surgery** 98 n/a 52 n/a n/a n/a Colon and Rectal Surgery 128 n/a 92 n/a n/a n/a Hand Surgery* 25 n/a 154 n/a n/a n/a Pediatric Surgery* 71 n/a 38 n/a n/a n/a Surgical Critical Care 157 n/a 139 n/a n/a n/a Surgical Oncology* 13 n/a 56 n/a n/a n/a Thoracic Surgery 92 n/a 85 n/a n/a n/a Vascular Surgery 114 n/a 13 n/a n/a n/a Combined Specialties Matches+ Anesthesiology Pain Medicine Pediatric Anesthesiology Family Medicine Sports Medicine* Internal Medicine Cardiovascular Disease 1,16 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 Pediatric Cardiology Pediatric Critical Care Medicine Pediatric Emergency Medicine* Pediatric Endocrinology Pediatric Gastroenterology Pediatric Infectious Diseases Pediatric Nephrology Pediatric Pulmonology Pediatric Rheumatology Pediatric Sports Medicine Results and Data 214 Specialties Matching Service 2

27 Table 5 Fellowship Matches by Specialty and Applicant Choice, 214 Appointments Number of Applicants Number Matches by Rank Choice Ranking Specialty Matched Matched in Preferred Preferred 1st 2nd 3rd Greater Than Another Specialty Total Specialty Total Specialty Choice Choice Choice 3rd Choice Specialty Unmatched Psychiatry Child and Adolescent Psychiatry % % % % % Psychosomatic Medicine Radiology Interventional Radiology Neuroradiology * In most cases specialties are grouped by 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, OB/GYN, and non-acgme accredited 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 and non-acgme accredited Sports Medicine: Family Medicine, Emergency Medicine and PM&R Surgical Oncology: Surgery and non-acgme accredited ** Non-ACGME accredited *** American Board of Obstetrics and Gynecology (ABOG) accredited + Applicants can rank multiple specialties within the combined specialties Matches. Results and Data 214 Specialties Matching Service 21

28 Results and Data 214 Specialties Matching Service 22

29 Table 6 Table 6 displays trends between 21 and 214 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 five-year trends for each specialty listed in Table 6 can be found on the following pages. Results and Data 214 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 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 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 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 214 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 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, OB/GYN, and non-acgme accredited 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 and non-acgme accredited Sports Medicine: Family Medicine, Emergency Medicine and PM&R Surgical Oncology: Surgery and non-acgme accredited ** Non-ACGME accredited *** American Board of Obstetrics and Gynecology (ABOG) accredited Results and Data 214 Specialties Matching Service 25

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