April 24th, 2014
Each spring thousands of seniors at medical and osteopathic schools and other physicians apply for positions in graduate medical education (GME) training programs; simultaneously, thousands of training programs rank their preferred candidates. Based on the preferences of the medical student/physician applicants and the training programs, the two are matched by a sophisticated computer program. Since GME is a prerequisite to becoming licensed and practicing medicine in the US, this is a critical juncture in the education – training pipeline and provides a spotlight on the future physician workforce.
There are two matching systems: one administered by the National Residency Match Program (NRMP) for allopathic training positions, accredited by the Accreditation Council for Graduate Medical Education (ACGME), that matches medical doctors (MDs), doctors of osteopathic medicine (DOs) and graduates of schools outside of the US, known as international medical school graduates (IMGs); and one for GME programs accredited by the American Osteopathic Association (AOA) that is limited to DOs. The following are among the highlights of the results of this year’s matches.
First year positions (PGY 1 positions) for entrants into GME reached an all-time high and the number continues to grow. This year, a record 26,678 first year positions were offered by the NRMP and an additional 2,988 first year positions were offered in the AOA sponsored match, for a total of 29,666 positions offered in 2014. (See Note 1) This represents an overall increase of 2.2 percent from 2013. (See Note 2) However, some of the NRMP increase may reflect the “all in” policy instituted by the NRMP effective in 2013. (See Note 3)
Entry level GME positions far outnumber the number of US medical and osteopathic graduates seeking a residency position. Despite a lot of rhetoric and fear that new US graduates are facing a lack of training slots, overall, there were about 22,300 US MD and DO seniors competing for the 29,666 first year positions.Read the rest of this entry »