Blog Archives

Fellowship Match Data is Out

Take a peek at the NRMP’s recently-published Results and Data: Specialty Matching Service. This information is not as granular or useful as Charting Outcomes of the Match (focused on the residency Match), but it’s still helpful to see what percentage of a subspecialty goes unfilled. (Geriatrics had 77% unfilled in the most recent cycle. Gastroenterology had 1.5%.) The trends year over year are also instructive. 

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Welcome to Match Week

This is Match Week:

Monday: Programs find out if they filled; applicants find out if they matched; SOAP begins. Here’s a 2025 primer on SOAP.
Tuesday through Thursday: SOAP process in play.
Friday: Match Day.

If you were one of my residency clients this year, I’d appreciate hearing from you when you have a moment to update me. I’m sending everyone the best of wishes.

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Match Results 2023: Why Did Emergency Medicine Do So Badly?

Emergency medicine has had its ups and downs over the years with regard to desirability. Soon after the show “ER” became popular, emergency medicine programs also were suddenly in vogue. Over the interim years, the field’s cachet has declined and increased, but up until recent years, emergency medicine programs routinely filled 99% of their available spots in the Match.

The fact that 554 emergency spots went unfilled in this past Match was particularly distasteful to many emergency physicians, accordingly.

The reasons for this plummeting interest in the field is well described in a recent piece in ACEP Now. (ACEP stands for the American College of Emergency Physicians.) The authors note multiple issues, including burnout, decreasing remuneration, and systemic problems in the emergency healthcare system that frustrate clinicians. 

Of note, these issues have driven out many middle-aged emergency physicians, as well.

Even if you are not interested in becoming an emergency doctor, take a look at the piece here, keeping in mind that certain factors may soon adversely affect other specialties as well.

(I’d like to give a shout out to my old friend Jonathan Fisher MD MPH who was one of the reporters on this article.) 

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Match Schedule 2022-3

Here are some important upcoming dates for those applying for the Match:

January

Jan. 31, 2023: The registration deadline for the NRMP Match is at 11:59 pm EST on this date. After this time, applicants will incur a $50 late fee. (The process is expensive enough; no need to pay more.)

February

Feb. 1, 2023: Rank order list entry opens at 12 pm EST.

March

March 1, 2023: Rank order list deadline. Candidates must have their rank order lists certified by 9 pm EST.

March 13, 2023: NRMP Match Week starts. SOAP applicants can begin preparing applications in the ERAS® system.

March 16, 2023: SOAP rounds 1-4.

March 17, 2023: NRMP Match Day. Match results are available at 12 pm EST.

Over the course of this month and next, I’ll be blogging with tips on how to create your best Match list.

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Your Match Rank Order List Should Be Completely Uncoupled from Institutional Feedback

I’ve recently received some email asking about how Match rank order lists should be affected by positive feedback applicants receive from interviewers and/or program directors. The answer is not at all. Because of the way the Match algorithm works, what programs think of you should have zero bearing on how you make your rank order list. See this recent blog that covers mistakes to avoid when making your list.

It’s really impossible to know about the program’s interest in you anyway. Even if a program tells you straight up that you will be ranked to Match, that isn’t a promise. I’ve known applicants who were “promised” a ranking to Match that never happened. 

Bottom line: It doesn’t matter what the programs think of you; it’s all about what you want. Here’s a good video about the Match algorithm if you’d like to understand the process more granularly. 

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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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Listen to Dr. Finkel’s interview on The Visible Voices podcast: 

 

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