Blog Archives

Residency Applicants, Thinking about How to Create your Rank Order List? Check out this easy advice.

For those of you who are starting to think about your Match rank order list, please make sure you follow this simple strategy: Rank your first choice first, your second second, your third third, etc.

In other words, your most successful approach is to create your list in order of your real preferences. Although the Match algorithm is mathematically quite complicated, because the process always begins with an attempt to match an applicant to the program most preferred on the applicant’s list, you do not want to try to “game” the system. For example, I’ve had applicants tell me that they plan to rank a less preferred institution higher because that program has more residency slots. That’s a no-no. The applicant will actually be harming him/herself with that strategy.

Here’s a video the NRMP created last year to better explain the Match algorithm. Here’s also a less-than-one-minute Guru on the Go© video “NRMP Ranking to Avoid a Spanking” to emphasize your optimal strategy


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Responses from Program Directors are as Valuable as the Email They’re Written On

A strong residency candidate asked me to review an email a program director (PD) had sent him after interview day. The candidate wanted to know if I had any insights to the intent of the PD: Was the PD sending a generic note or was he really interested in the applicant?

I told the applicant honestly, who knows and who cares?

I wasn’t trying to be dismissive. The point is that it is impossible to know what a PD is thinking. Unfortunately, I’ve seen applicants heartbroken by false hope they read into a PD’s comments. More importantly, what a PD says should not affect your rank list anyway. The algorithm requires you to put your first choice first and your second second, etc. (More on that in a future blog post.)

As they say, kisses aren’t contracts and presents aren’t promises. Ignore those PD notes because they don’t guarantee a thing and don’t change management. 

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International Medical Graduate (IMG) 2019 Match Statistics Are Out

The ECFMG® recently published 2019 Match statistics for International Medical Graduates (IMGs). In the 2019 Match, only 59.0% of U.S. citizen IMG participants were matched to first-year positions. Of those IMG participants who were not U.S. citizens, only 58.6% obtained first-year positions (Source: ECFMG®) While the percentage of IMGs matching was slightly better than last year, IMGs still face large challenges in the residency application process despite the US physician shortage.

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Evidence-Based Decision Making Regarding Your Planned Specialty

For those first-, second-, and third-year medical students who are trying to pick a specialty, remember to start with the facts: The NRMP published Charting Outcomes of the Match to give applicants an idea of what characteristics successful 2018 Main Residency Match candidates had. While sobering (the mean Step 2 score for successful radiology U.S. senior applicants was 249), the information is valuable as you approach the decision-making process.

If you’re just starting medical school, you can strategically plan your candidacy for success. If you’re more senior, you can decide whether you have the characteristics necessary to pursue a successful Match process.

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Apply Broadly. Nuff Said.

In their publication Impact of Length of Rank Order List on Main Residency Match Outcome:2002-2018, the NRMP reports that matched applicants consistently have longer rank order lists than unmatched applicants.

What that means to those approaching the residency application process is that candidates should throw a wide net in choosing programs at which to apply. Of course, there is a financial cost to this strategy, and that expense needs to be balanced. However, if you can afford it, starting out with more options usually will provide more opportunities to interview and thus, the ability to create a longer rank order list.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to
stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital.
She was appointed to the Assistant Residency Director position for the Harvard Affiliated
Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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