Survival Guide To Obtaining Residency by MikeJenny

VIEWS: 4 PAGES: 163

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     The Match Participation Agreement does not preclude parties from expressing their interest in the other;
     however, any attempt by either party to request such information is a violation of the Match Participation
     Agreement. Moreover, it is a violation of the Match Participation Agreement for either party to suggest or
     inform the other that placement on a rank order list is contingent upon submission of a verbal or written
        statement indicating ranking intentions. Statements implying a commitment should be avoided. Rank
        order lists take precedence over verbal commitments.


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       - $      &    !        10#) 0>

If you can surf the Web and print from your browser, you should be able to use
NRMP’s interactive Web site. Users must have Internet Explorer version 6.0 or
higher, FireFox version 2.0, or other Mozilla compatible browsers. Either a PC or
Macintosh computer can be used provided the computer has Internet access;
however, the R3 System does not support the use of Safari by Mac users. The
NRMP Registration, Ranking, and Results (R3) System and the release of Match
Week results use such features as Java Script, Java applets, and cookies that must
remain enabled for the systems to work.

                         F!                         0>

System Requirements:

   •   Access to a computer that is able to connect to the World Wide Web
   •   Modem 28.8 bps or faster (or network connection)
   •   16 MB of RAM (or the requirements of the browser you use)
   •   An e-mail address is required.

Browser Requirements: To use the Registration, Ranking, and Results (R3)
System, Internet Explorer version 6.0 (or greater), FireFox version 2.0, or other
Mozilla compatible browsers are required.

The System functions best on Internet Explorer version 6.0. The R3 System uses
features such as JavaScript, Java applets, and cookies, all of which must remain
enabled for the system to work. Either a PC or Macintosh computer can be used
provided the computer has Internet access; however, the R3 System does not
support the use of Safari by Mac users. If you wish to use a Mac, please download
a free version of Firefox for Mac using this link, http://www.mozilla.com/en-
US/firefox/all.html.

JavaScript:

   • You must have JavaScript enabled.

Important usage information for using R3:

   • Please do not use your browser's Back and Forward buttons. Use the navigational
      buttons made available to you on the Web page.
   • It is recommended that you close the web browser after you have logged out of
      R3. R3 will "time out" after a short period of time, but if you work in R3 in a public
      location, someone else may be able to use the Back button to view pages you
      have worked on. They will not be able to do any work in R3, as soon as they


                                                     >
         click any button, there will be a Security Violation error message. However, they
         may be able to view parts of your work. This is a feature of browsers that we can
         not control. Closing your browser when you are done will combat this.

     &      10#) -              4       &&

E-mail is the primary mode of communication used by NRMP, so change your e-
mail address as often as necessary to keep an updated e-mail address on your
personal profile in R3.

To change it, simply log into the R3 System with your AAMC ID and Password,
go to Update My Profile, click Edit, enter the corrected e-mail address, and click
Submit.

          . $          . &          4        10#)

Many e-mail messages from NRMP are sent simultaneously to multiple
applicants. Some e-mail providers use filters to ensure that users do not receive
spam (junk e-mail). In some cases those filters can prevent NRMP e-mails from
getting through to participants.

The good news: the majority of providers that offer such filters generally provide
the user with the option to turn the filter on or off. Other providers make a "junk
mail file" or a "bulk mail folder" that includes all messages, sent to the user but
identifies multiple-addressee e-mails. Our e-mail address, nrmp@aamc.org,
should be added to your personal contact, address book, "Safe", or "People I
Know" (for AOL users) list. For instance, if Hotmail sends an NRMP e-mail
message to your Junk Mail box, you can tell Hotmail to add nrmp@aamc.org to
your Safe List or to send it to your inbox.

If you are not receiving e-mail from NRMP and your provider does not offer such
options, we recommend that you either contact your provider to determine the
best way to access such messages or consider using an additional or replacement
provider during your matching process for your primary e-mail address.

For additional information on spam filtering, please visit the sites below.

   • Yahoo - Someone sent me a message and I haven't received it. What happened?
   • Hotmail - Safe Sender
      After login, go to page Options > Safe and blocked senders > Safe senders. To
      allow nrmp@aamc.org, type it in the box, and then click Add to list.

      &          &                      /
                             ! 1 5 G/0$ $

The applicant has not been determined to be eligible to enter graduate medical
education programs by their medical school official. Verification of eligibility
will begin after the initial registration deadline of December 1st. To be able to
participate in the NRMP match, Credential Status must be VERIFIED by the rank
order list deadline.

        !   !       0>

Each partner of a couple enrolls individually in the Match and indicates in the
NRMP R3 System that they want to be in the Match as part of a couple. The
NRMP allows couples to form pairs of choices on their primary rank order lists,
which are then considered in rank order in the Match. The couple will match to
the most preferred pair of programs on the rank order lists where each partner has
been offered a position. More information about Couples

#!              !   8             .&             -                  B!
                         &    &

Section 4.3 of the Match Participation Agreement signed by NRMP institutional
                                           s
officials requires each of the institution' programs to provide complete and
accurate information to interviewees, including a copy of the contract the
applicant will be expected to sign if matched to the program and the institution'   s
policies on visa status and eligibility for appointment. The information must be
communicated to interviewees prior to the rank order list deadline, and a signed
acknowledgment should be obtained from each interviewee. Recognizing that
many appointment contracts are lengthy and that others may not contain all of the
            s
institution' relevant policies, an acceptable alternative is to post the contract and
                            s
policies on the institution' Web site and notify interviewees where the
information may be found. The signed acknowledgment should include a
statement that the interviewee was notified that the information is posted on the
Web site.

I'm a US senior in an allopathic medical school and I've been offered a
position outside the Match. What should I do?

                             s
If any of a teaching hospital' graduate medical education programs participates in
                                             s
the NRMP’s Main Match, all of the hospital' programs may accept US seniors in
allopathic medical schools only through the NRMP or another national matching
plan. Offering a contract outside the Match is a violation of the Match
Participation Agreement. US allopathic seniors who obtain PGY-2 positions
through another national matching plan must obtain their PGY-1 preliminary
positions through the NRMP’s Main Match.

X
$                        #             !   -                        10#)      " !
    "   &

The NRMP accommodates applicants who wish to be matched as a couple by
allowing two individuals to form pairs of choices on their primary rank order lists,
which are then considered in order of preference when the matching algorithm is



                                                 +
                                                        s
run. However, the algorithm considers only a couple' primary rank order lists
                                                                 s
when attempting to find a match and does NOT treat a couple' supplemental rank
order lists as a unit in the Match. Once a couple has obtained a match from their
primary rank order lists, the algorithm searches each supplemental rank order list
independently and attempts to place applicants in their most preferred program.
Consequently, couples'     supplemental rank order lists should be assigned to
programs on their primary lists based upon the geographic locations of the
programs. For more information about couples, visit the Couples page.

How can I learn whether an institution or program I am in interested in
ranking has been the subject of a violation investigation conducted by the
NRMP?

The NRMP maintains an Institution and Program Violations Report in the
Registration, Ranking, and Results (R3) System that is available to applicants
who register for any NRMP match. The report displays information about
graduate medical education programs and sponsoring institutions that have
violated the Match Participation Agreement. Term limits of any sanction(s)
imposed for the violation are included to identify the length of time the sanction is
in effect

Can I make changes or additions to my rank order list?

The rank order list (ROL) can be entered in one or more sessions. It can be
modified or re-ordered any number of times up until 9:00 p.m. on the deadline
day for rank order list entry. Applicants in the middle of a session at 9:00 p.m.
will not be able to complete their session and will be forced off the server.
Participants are advised not to wait until the last minute to enter their rank order
lists so as to avoid any problems at the deadline.

If you change your rank order list by adding, moving, or deleting a program, the
change is saved and the previous rank order list is deleted from the R3 System.
You must certify your ROL again for it to be used in the Match.

No changes can be made to your rank order list after the rank order list deadline.
The NRMP will not add, delete, or in any way modify your rank order list.

       . ! .                    "   &                 &       0>

Once the currently displayed ROL has been modified online, the previous
versions of the list are not retained in the R3 System, regardless of whether they
were certified. The ROL that is displayed when the participant logs in is the only
version on file with the NRMP. Once the last updates have been made, the
participant must certify the final version by the rank order list deadline in order
for it to be used in the Match.




                                                 2
How often are the applicant and program lists in the R3 System updated?

Applicant and program information is displayed in real time, so users always have
current information.

     $B B                            0 *             B             !B

Yes. Applicants and programs can print a copy of their rank order lists at any step
during the process by using the Web browser print button or the View/Print ROL
link on the My Rank Order List page, which opens a printer-friendly version.

     $                          10#)        . &                    &    "   &

Yes. When you certify your rank order list, NRMP will send to your primary e-
mail address a confirmation that includes the number of programs on your list.

A -&       10#) "      --       X.
                                $           &            "     &

When you have entered all of your ranks, you must certify your rank order list
(ROL). Click the red Certify List button. You will then be asked to enter your
Password. If you make changes to your rank order list, you must recertify it. A
Match Status of CERTIFIED ROL in the header (where your name and AAMC
ID are displayed) is the indication that you have finished your rank order list.

$                       ! B          " $        !B        .             B

Technically, there is no limit. Remember, however, there is a $30 charge per
program ranked for each program over the first 20. For example, a list of 50
would cost an additional $900.

For each partner of a couple, there is $30 charge for each additional program
ranked over the first 30.

                            "   &

You are the only one, other than the NRMP staff, who can access your rank order
list unless you give your AAMC ID and password to someone else. Your rank
order list is limited to need-to-know NRMP Staff.

      &        "        - "             "   &            & &            #

During that time, NRMP takes a number of major steps to assure the accuracy of
both the Match and the subsequent release of Match information. Those steps
include:

    • Checking the integrity and completeness of the data.



                                                     6
  • Transferring the data to the algorithm module, checking it again, and running the
     Match.
  • Verifying the results of the Match and transferring the data into the NRMP
     databases.
  • Creating more than 60,000 individual reports for applicants, programs, and
     schools, and assuring confidentiality of the information. The reports are then
     posted to the Web in accordance with the Match Results schedule.
  • In addition, time is allotted for unmatched applicants and unfilled programs to
     make decisions before Match Day.

A - - $"      -    $ .            &

At 12:00 noon on Monday of Match Week, applicants can learn IF they matched
                                                               s
to a program on their rank order list by logging in to the NRMP' Registration,
Ranking, and Results (R3) System using their AAMC ID and password.
Applicants will be presented with one of the following messages on the Applicant
Options page:

1. Congratulations, you have matched!

This message will be displayed for any applicant who is "fully" matched,
including

  • Applicants who listed and matched to a categorical program.
  • Applicants who listed and matched to preliminary and advanced programs.

Other conditions also apply. Applicants who listed only advanced programs on
their certified rank order lists and did not list any preliminary positions on a
supplemental rank order list will receive this message. Similarly, applicants who
included only preliminary programs on their certified rank order lists will receive
this statement. The matching algorithm considers an applicant "matched" if he/she
lists only one program type on his/her certified rank order list. Applicants who
receive this message will not have access to the Dynamic List of Unfilled
Programs that is posted on Tuesday of Match Week.

2. Congratulations, you have matched to an advanced position but not a first year
position!

This message will be displayed for any applicant who matched to an advanced
position but did not match to a preliminary position listed on a supplemental rank
order list. Applicants who receive this message will have access to the Dynamic
List of Unfilled Programs and are eligible to participate in the post-Match
Scramble for unfilled positions to obtain a preliminary position; however,
applicants may not use the Scramble to obtain a categorical position or a different
advanced position.

3. Congratulations, you have matched to a one year position!



                                                 C
This message will be displayed for any applicant who matched to a preliminary
position but did not match to an advanced position listed on the primary rank
order list. Applicants who receive this message will have access to the Dynamic
List of Unfilled Programs and are eligible to participate in the post-match
Scramble for unfilled positions to obtain an advanced position; however,
applicants may not use the Scramble to obtain a categorical position or a different
preliminary position.

4. We are sorry; you did not match to any position!

This message will be displayed for any applicant who did not match to a program
listed on either a primary or supplemental rank order list. For applicants
participating as a partner of a couple, this statement also may be displayed if the
applicant listed the 999999999 program code on the primary rank order list to
          "No
indicate ' Match". Applicants who receive this message will have access to the
Dynamic List of Unfilled Programs and are eligible to participate in the post-
Match Scramble for any category of unfilled positions.

5. You are NOT matched because you did not submit a certified rank order list!

This message will be displayed for any applicant who registered to participate in
the Match but did not certify a rank order list prior to the rank order list
certification deadline. Applicants who receive this message will have access to
the Dynamic List of Unfilled Programs and are eligible to participate in the post-
Match Scramble for any category of unfilled positions.

6. You are NOT matched because you are withdrawn!

This message will be displayed for any applicant who registered to participate in
the Match but was withdrawn either by the medical school or by the NRMP.
Applicants who were withdrawn by the NRMP because they obtained positions
through another matching service will not have access to the Dynamic List of
Unfilled Programs.

                 $&

Unmatched applicants who submitted a certified rank order list will be given
access to the Dynamic List of Unfilled Programs at 12:00 noon eastern time on
Tuesday of Match Week. Applicants may not contact unfilled programs prior to
12:00 noon that Tuesday.

    $ & ! -                                 &

All applicant results are confidential and are available only to the applicant,
                                                        s
programs that ranked the applicant, and the applicant' medical school.




                                                 7
                  B

The Scramble is the period of time during which unmatched or partially matched
applicants attempt to obtain positions in unfilled programs. The Scramble begins
at noon eastern time on Tuesday of Match Week after the Dynamic List of
Unfilled Programs is posted to the NRMP Web site. Applicants who contact
programs prior to noon eastern time on Tuesday of Match Week are in breach of
the Match Participation Agreement.

                      *      '      &)

At 12:00 noon, Eastern Time, on Tuesday of Match Week, the NRMP releases a
list containing the names of programs that did not fill all of their positions in the
                                                          s
Match. The list, which is accessible through the NRMP' Registration, Ranking,
and Results (R3) System, is updated by the NRMP every hour to reflect the
number of remaining unfilled positions. Qualified applicants will be able to
access the list by logging into the R3 System using their AAMC ID and password
and clicking the "Unfilled Programs" link.

                 $                       &&    &

The Match Participation Agreement to which you affixed your password when
you registered for the Match states that a match between an applicant and a
program creates a binding commitment to accept or offer a position. A decision
not to honor that commitment is a breach of the Agreement and will be
investigated by the NRMP in accordance with the Policies and Procedures for the
Reporting, Investigation, and Disposition of Violations of NRMP Agreements.
Penalties may be levied if a violation is confirmed.

Under certain limited circumstances, the NRMP may grant an applicant or
program a waiver of the match commitment if honoring the Match outcome
would result in undue hardship. Waivers must be requested from, and can be
granted only by, the NRMP. Additional information on the waiver review
process.

                 $ "                     - .             #

The program cannot grant you a waiver from your Match commitment. Program
directors must report all waiver requests to the NRMP, which will investigate to
determine whether the waiver should be granted. If a waiver is not granted by the
NRMP, you will be expected to accept the matched position. If your waiver is
denied and you do not accept the position to which you matched, you may be
prohibited from accepting a position in another NRMP match-participating
program if training would being within one year from the date of the NRMP'  s
decision; in addition, the NRMP will initiate a violation investigation in
accordance with the Policies and Procedures for the Reporting, Investigation, and



                                               +9
Disposition of Violations of NRMP Agreements. If an NRMP match-participating
program offers you a position to begin training during the one-year prohibition,
that program also will be investigated to determine whether it violated the Match
Participation Agreement.

                 $                         &B              %B!        &   & $-
  .                                        &8

The commitment a participant undertakes in the Match Participation Agreement is
to accept the results of the Match. To meet that obligation, you must sign a
residency contract and begin training at the program to which you matched. Your
subsequent obligations are determined by the terms of that residency contract, not
the Match Participation Agreement. However, if the NRMP receives what it
considers to be credible evidence that you did not enter your contract in good
faith and that you began training in the program as a way to circumvent NRMP
policy, the NRMP can initiate a violation investigation of your actions even
though your training already has begun.

What is the process if I'm investigated for a Match violation?

Subsequent to receiving a report of an alleged violation, the NRMP will contact
the applicant and any other individuals with knowledge of the situation and
prepare a Preliminary Report that documents the nature of the allegation.

If the results of the investigation indicate that a material violation has not
occurred, the case will be closed and all parties will be so notified.

If the results of the investigation indicate a material violation occurred, the
Preliminary Report will be distributed to the subject of the investigation, the
individual who reported the violation, and any other parties who provided
information material to the investigation for their review and to correct the
additional information provided to the NRMP.

The Preliminary Report will be reviewed by a Review Panel of the NRMP'            s
Violations Review Committee, which will make the final determination of
whether a violation occurred and, if so, the appropriate penalty. A Review Panel
Report will be issued to the subject of the violation, who will have ten business
days to notify the NRMP of the intent to initiate arbitration. If the subject of the
violation initiates arbitration, the NRMP will note in the Registration, Ranking,
and Results (R3) System that the party is the subject of a "pending action". That
designation will remain in place for the duration of the arbitration process. In
addition, if the subject of the violation initiates arbitration, he/she has thirty days
from receipt of the Review Panel Report to file with the American Health
Lawyers Association. If the subject of the violation does not request arbitration
within ten business days, the Review Panel Report will become the Final Report,
and it will be issued to all parties listed on the Report. All Match registrants



                                                 +
    should review carefully The Policies and Procedures for the Reporting,
    Investigation, and Disposition of Violations of NRMP Agreements.

    What does it mean in the R3 System when it states that an institution or
    program is the subject of "pending action"?

    When a violation investigation of an institution or program results in an adverse
    decision, the institution or program is designated with "pending action" in the R3
    System. The designation remains in place until the institution or program has
    waived or exhausted the opportunity to contest the action pursuant to the
    Violations Policy. Once the Final Report of the investigation has been issued, the
    program will be listed on the Institution and Program Violations Report if the
    NRMP has concluded that there was a breach of the Match Participation
    Agreement.

    The above information is taken from the www.nrmp.org website.



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                                                                       2>
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ERAS 2009 Applicant Timeline


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             !       Applicants may begin applying to ACGME accredited programs.
     "
                     ACGME accredited programs may begin contacting the ERAS
                     PostOffice to download application files.
#        !                #          " #+         !
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*The ERAS PostOffice will open at 8:00 a.m. ET on September 2, 2008, for all
ACGME-accredited residency programs. The ERAS office will be closed on
September 1, 2008, in observance of the Labor Day holiday.

                                                   s
**According to their schedule, your designated dean' office will upload the MSPE
to the ERAS PostOffice. The MSPE (along with other ERAS documents) are
                           s
transmitted from the Dean' Office Workstation (DWS) to the ERAS PostOffice,
and are placed in the programs'mailboxes. Most uploaded files become available
immediately; the MSPEs, however, are held until October 15th for osteopathic
residency programs and November 1st for allopathic residency programs.




                                                    2+
Program Application Deadlines

ERAS does not set program application deadlines as the individual programs set
the deadlines. You should contact programs directly for their deadlines. The ERAS
PostOffice, however, closes on May 31 every year to prepare for the next ERAS
application season. At that time all of our servers are purged of all applications and
supporting documents. ERAS does not maintain records from year to year.

ERAS Fees

ERAS processing fees are based on the number of programs applied to per
specialty. MyERAS automatically calculates your fees and you may pay online.
ERAS fees are the same for all residency and osteopathic applicants although the
fee structure is applied separately for applying to ACGME-accredited and AOA-
accredited programs.

Those applicants applying to both ACGME-accredited and AOA-accredited
programs are charged the processing fees separately. See Example 6.

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Example 1: An applicant applies to 30 emergency medicine programs, fees are
$290. (60 + (10 x $8) + (10 x $15)).

Example 2: An applicant applies to 20 OB/GYN programs, and 10 family practice
programs. The fees are $200. ($140 for OBGYN and $60 for family practice
programs).

Example 3: An applicant applies to 23 internal medicine programs, and 7
radiology programs. The fees are $245 ($185 for internal medicine programs and
$60 for radiology programs).

Example 4: An applicant applies to 12 internal medicine programs, 10 emergency
medicine, and 8 family practice programs. The fees are $196 ($76 for internal
medicine programs, $60 for emergency medicine programs, and $60 also for family
practice programs).

Example 5: A military applicant applies to 5 military family practice programs, 3
military internal medicine programs, 2 military surgery programs, and 7 civilian



                                                  22
pediatrics programs. The fees are $120 ($60 for the 10 programs consolidated
under the military and $60 for the 7 civilian programs).

Other Fees

USMLE Transcript Fees
The National Board of Medical Examiners (NBME) charges a flat $60 fee to US
and Canadian applicants who request transmission of USMLE transcripts to
programs, regardless of the number of transcripts requested. The NBME fee, as
applicable, is included on your invoice and collected by ERAS.

ERAS Use during the Scramble Period

From 12 noon Eastern Time on Tuesday until 12 noon Eastern Time on the
Thursday during Match Week in March each year, there is a "Scramble" period just
before the NRMP Match Day results are released. During this period, applicants
who did not match to a position attempt to fill remaining unfilled positions. ERAS
is available to applicants to apply to a maximum of thirty (30) programs and fifteen
(15) re-apply programs free of charge who meet the following criteria:

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             Published Article
 by Norma E. Wagoner & J. Roberto Suriano

“Program Directors’ Responses to a Survey on
Variables Used to Select Residents in a Time of
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Following Up After Interviews

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         Dear Dr. X:
         I am a fourth year medical student at the University of Medicine and Dentistry of New Jersey - Robert Wood
         ?          Medical School. I learned about your residency program from my faculty advisor (or at a conference,
         etc.) Your residency program in (specialty) is of particular interest to me and I would appreciate being sent
         additional information about the program. Below, please find my return address to which the information can be
         sent. I look forward to learning more about your program.

         Thank you,



/         0               4                           ( '$
Ex. 1:   Dear Dr. “ X “,

         &       %                                                                                   (       -                               %
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Ex. 2:   Dear Dr X,

                       %            %                                                                          D               $       3 &
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         '                                                   <E       F            <                   %                               %

                   =


                                %                %                        $                %
                            $                                                          $

                             Sincerely,

                             1
                             /
                                        [



Ex. 3:   Dear Dr. X,

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        Sincerely,




/           0           +                  ( '$
Letter to a program where you interviewed and also have already done a rotation or sub-I:

        Dear Dr. “X:,

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        Sincerely,

Letter to a program you interviewed at near the end of the interview season:

       Dear Dr X,

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                      Sincerely,

                      1
                      /
                                  [




/       :                          ;$           H   & !         = 8         B!                   I
Ex. 1   Dear Dr X,
         9                    %                                                          (   -                       $



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                          Sincerely,


Ex. 2                                 Dear Dr. X,
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                             2>

								
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