Pediatric Nephrology Match Issues 4.11.08

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Pediatric Nephrology MatchIssues4.11.08

• Pediatric Nephrology
• Program Directors Sub-Committee

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Why do a Match?

• Will make the process of fellows joining
  fellowship programs more orderly
• Most pediatric subspecialties are now doing NRMP
• Applicants (residents) know and desire this
  process
• Pediatric Nephrology fellows support a Match

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Specialty Matches - NRMP (4/08)

• Abdominal Transplant Surgery
• Allergy/Immunology
• Child and Adolescent Psychiatry
• Colon and Rectal Surgery
• Combined Musculoskeletal Matching Program (CMMP)
• Pediatric Surgery
• Medical Specialties Matching Program (MSMP)
• Primary Sports Care Medicine
• Minimally Invasive and Gastrointestinal Surgery
• Radiology
• Obstetrics / Gynecology (OB/GYN)
• Surgical Critical Care
• Ophthalmic Plastic and Reconstructive Surgery
• Thoracic Surgery
• Vascular Surgery

• Neonatal-Perinatal Medicine
• Pediatric Cardiology
• Pediatric Critical Care Medicine
• Pediatric Emergency Medicine
• Pediatric Gastroenterology
• Pediatric Hematology / Oncology
• Pediatric Rheumatology

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Medical Specialties Matching Program (MSMP)

• Card
• Endo (2008)
• GI
• Hem
• Hem/Onc
• ID
• Med Onc
• Neph (2008)
• Pulm
• Rheum

• Schedule
• Registration opens 1/2/08
• Rank list submitted 4/9/08
• MATCH DAY 6/18/08

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Pediatric Programs - NRMP

• Program Open/Match day
• Neonatal-Perinatal Medicine 5/08 - 10/08
• Pediatric Cardiology 1/08 - 6/08
• Pediatric Critical Care Medicine 7/08 - 11/08
• Pediatric Emergency Medicine 8/08 - 12/08
• Pediatric Gastroenterology 1/08 - 6/08
• Pediatric Hematology / Oncology 11/07- 5/08
• Pediatric Rheumatology 12/07-5/08

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Pediatric Rheumatology NRMP Match Day April
25, 2007Appointment Year 2008

• Program Statistics Number
  Percent
• Enrolled Programs 14
• Withdrawn Programs 1
• Certified Programs 13
• Programs Filled 10 77  
• Programs Unfilled 3 23
• Certified Positions 16  
• Positions Filled 12 75  
• Positions Unfilled 4 25  
• Applicant Statistics Number
  Percent
• Enrolled Applicants 18  
• Withdrawn Applicants 2  
• Applicants w/out Cert ROL1  
• Certified Applicants 15   
• Matched Applicants 12 80  
• Unmatched Applicants 3 20

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Match Pros // Cons

• Pros
• Desired by applicants (present day residents)
• Transparent process
• Allows applicants to interview and consider
  multiple programs
• Should promote better match of candidates with
  programs
• May attract more candidates
• Waivers can be obtained for couples, special
  situations

• Cons
• Requires cooperation of more than 75 of programs
• Match violations may occur and undermine faith in
  system
• Special situations will require specific waiver
• Unclear if there is an advantage to a Spring
  Match (13-14 months pre start) vrs Fall Match
  (7-8 months pre start)

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NRMP Rules

• 75 rule
• Beginning in July 2001 and each year thereafter,
  in order for matching services to be provided,
  each specialty is requested to
• verify that at least 75 of the programs with
  available positions in a given year will be
  registered for the match,
• encourage programs to actively participate by
  submitting a rank order list, and
• have at least 75 of the available positions
  within the specialty registered with the NRMP.
• Waivers possible for special circumstances
  (couples, Med-Peds, Research track, etc)
• Violations
• Applicant
• Program

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Implementation Issues

• Timing
• Spring (13-14 months before starting)
• Fall (7-8 months before starting)
• Need for more education about NRMP for Programs
  and PDs
• Participation needs to be widespread (75 rule)