Most residency positions are offered through the Electronic Residency Application Service, or ERAS. Now, this all happens in a medical student’s 4th year – for all students, equally - coming to a head on Match Day. The Nobel prize winning matching algorithm was created in the early 1950s to standardize and bring equity to pairing up applicants and programs. Spots were already filled by a chosen few medical students, even those years away from residency. But many medical students who may not have been “standout” applicants right away struggled to get into residency programs they desired. Hospitals were the main beneficiaries of this chaotic system, connecting with their preferred students as early as possible. As the process became more competitive, it also became less fair. Prior to the Match, hospitals would reach out, extending offers to medical students as early as their 2nd and 3rd years of medical school. This algorithm-driven process was invented to alleviate some pressure on residency program directors trying to fill their programs. To learn more about how the matching algorithm works from the NRMP, check out this helpful video. Tentative matches become final after the entire matching algorithm process has been completed. In the latter case, the algorithm will attempt to match the bumped applicant to another program. A tentative match can happen when a program has an unfilled position, or if the program is filled, but the program prefers a new tentative match over a current match. How it works: the program will attempt to place an applicant into a program until it finds a tentative match. The algorithm attempts to pair these together as best possible, taking every applicant into consideration at the same time. The Match is an algorithm that takes the applicants’ rank order list (ROL) of preferred programs and compares them to the rank order lists the programs have created to rank the applicants. We’ve created this guide to applying and matching to help medical students understand how to apply to residency training programs and get matched. It’s also a key step in obtaining a medical license - you need to attend a postgraduate residency program accredited by the Accreditation Council for Graduate Medical Education (ACGME). The months leading up to medical school graduation are an exciting time, but also the beginning of the next chapter: The Match.Īpplying to a medical residency through the match process requires plenty of forethought and planning.
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