NRMP -'All In' - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > IMG Residency Match Forum

IMG Residency Match Forum International Medical Graduates (IMGs) discussing the residency matching process.

Thread Tools Search this Thread Display Modes
Old 07-06-2012
USMLE Forums Scout
Steps History: Not yet
Posts: 16
Threads: 3
Thanked 11 Times in 7 Posts
Reputation: 21
Arrow NRMP -'All In'

I dont knw if this has been posted earlier, but i thought this was important.

The National Resident Matching Program had for years allowed residencies to use the “match” to fill some of their PGY 1 resident positions while also using pre-match contracts for eligible applicants. Many hospitals had successfully filled first year classes with a mix of pre-match and match residents. US MD students from LCME schools are required to use the match in their graduation year, so specialties are popular among US grads. Residencies at med schools were already using “All In” due to the NRMP obligation of their students graduating. Family Medicine and Internal Medicine residencies at community hospitals were the main beneficiaries of the pre-match contract. It was a strategy that seemed to allow them to bring in a higher caliber of applicant from the pool of IMG and DO students.
FM and IM residencies were increasingly considering this way of filling because their fill rates using NRMP from 2000 – 2010 had a steady decline.
The reason NRMP allowed the pre-match contract process was to let IMGs with difficult immigration paperwork get their papers finished on time. Many, many IMGs are US citizens so this has not been a big issue of late for starting residency on time.
The pre-match and match processes seemed to complement each other and residencies that could not fill using the Match were reporting signing good students who really wanted to be in the specialty.
Well, all that will end in 2013. NRMP will switch to the “All In” format. The only way to use NRMP as a residency is to list all of your spots in the NRMP.
Whether they believe they can successfully fill with all LCME US grads, few residencies can say that they do not want any LCME US grads. So I believe almost all residencies will use the match for all PGY-1 hiring next year.
What are the implications of “All In” for applicants? For MD US grads, it may improve their match statistics. For the last 3 years there were 800-900 USGs who were unmatched. This meant that there were more than 5% of US grads with no job on match day. Even worse, there were very few unfilled programs on scramble day. By the end of scramble week as many as 500 US grads had no job in medicine. The number of unmatched programs was so few in part because of the pre-match signing trend. So one group who may be happy about “All in” are US grads who get forced into scramble.
For IMGs with very good applications, loss of pre-match offers means an increase in uncertainty. Even if there is a residency in your home town that likes you there will be no more guarantees in the form of a contract. However, these candidates will still likely get jobs through the match.
For IMGs with average applications the “All In” era will not be trouble at first. After all, there are in excess of 6000 more PGY-1 spots now than there are DO and MD US grads. America still expects nearly a quarter of its physician workforce to be trained overseas.
Trouble is coming later. Medicare funding is not going to increase. The number of PGY-1 positions will hold fast at current levels or decline (now around 25,000). The number of US medical school grads is increasing. After a twenty year period with no new schools opening there has been a flurry of new school activity. As many as 3000 more US grads per year are expected by 2013 (as compared to 2007). Each new US grad will displace an IMG. So the statistical chances of matching as an IMG will decline each year. Will the new US med school slots go to US students who were considering training overseas?
In addition to “All In” for 2013, the scramble process was redesigned in 2012 to remove chaos and yet reviews from some programs that scrambled this year were mixed.
So for IMGs and USGs big changes are coming in recruitment, match and scramble, and at the same time chances of getting into a US medical school residency will drop.
Each year hundreds of US grads and thousands of IMG grads who have hopes to become a US residency trained doctor do not get a training spot. From this point on this number of unemployed med school grads may grow every year. Many have huge educational loans and no way to pay them back. We do not need another debt bubble to pop.
Reply With Quote Quick reply to this message
The above post was thanked by:
Dr. Mexito (09-25-2013)

Old 07-07-2012
USMLE Forums Master
Steps History: 1+CK+CS+3
Posts: 3,318
Threads: 170
Thanked 4,848 Times in 1,808 Posts
Reputation: 4901

Yes. This has been posted in our USMLE News section more than a year ago, here's the link
No More Prematches starting 2013!

Reply With Quote Quick reply to this message


NRMP-, Pre-Match

Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads
Thread Thread Starter Forum Replies Last Post
Two Questions about NRMP Rookie IMG Residency Match Forum 1 06-13-2012 05:31 AM
certification and NRMP gargabhi2 IMG Residency Match Forum 1 11-09-2011 05:58 AM
When to register to NRMP? Androide89 IMG Residency Match Forum 1 08-14-2011 06:30 AM
IMG Participation in NRMP patelMD IMG/FMG Forum 3 06-01-2011 11:24 AM
NRMP Notice IMG-Girl IMG Residency Match Forum 1 09-08-2010 03:00 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2016 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)