Fellowship Match Committee

1
Fellowship Match Committee

• Douglas W. Brown, MD, Chair
• Christopher D. Harner, MD
• Robert E. Hunter, MD
• Peter Jokl, MD
• Michael J. Stuart, MD

2
Fellowship Match Committee

• Chair
• AOSSM rep
• AANA rep
• AOSSM rep
• AANA rep
• Committee chair alternates between AOSSM AANA
  designee for two-year term beginning with AOSSM
  Chair

not involved with Fellowship
not involved with Fellowship
involved with Fellowship
3
Grievance Committee

• AOSSM AANA Presidents
• AOSSM AANA President Elects
• AOSSM AANA Vice Presidents
• AOSSM AANA Treasurers
• AOSSM AANA Secretaries

4
Agenda

• 2009 Match Data
• 43 dropouts
• 14 who didnt match
• 2009 Post-Match Survey
• 2010 Match Agreement Application
• 2010 Match Timeline
• Questions

Where did they go?
DWB
5
2009 Match Data

• Where did the 43 applicant dropouts go?
• 13 Unknown (many foreign medical graduates)
• 12 Different Specialty
• (4) Shoulder (3) Joint (2) Trauma (1) Foot (1)
  Hand (1) Unknown
• 4 - Foreign Med. Grads
• 3 - Military Deferment Denied
• 1 - Scrambled for sports spot
• 2 - Fired/Held back
• 3 - Registered but never applied or applied to
  one program only
• 1 - Personal reasons
• 4 Sports - outside the match

6
2009 Match Data

• Where did the 14 applicants who didnt match go?
• 5 - No reply
• 4 - Still looking for a spot
• 4 - Scrambled secured a spot
• 1 - Decided not to do fellowship

7
2009 Post-Match Survey(Applicants)

• 93/198 47
• Overall, 90 of applicants surveyed their
  experience with the match was good or
  excellent.
• Many suggested that programs could be more
  organized on interview day
• For all the comments on the interview process,
  see the 1 page document in your folder

8
2009 Post-Match Survey(Programs)

• 64/95 67
• 81 Support NO additional materials be requested
  with application
• 84 Support an application deadline of December
  15, 2009 for ALL programs
• 91 Receptive to coordinating interview dates
  with programs in their area

9
2009 Post-Match Survey(Programs)

• 61 - 80 said good or excellent outcome
• Fairness, Transparency, Communication

10
2010 MatchMatch Agreement

• The Fellowship Match Committee is charged with
  monitoring and assuring compliance with the Match
  process. The Fellowship Match Committee will
  monitor communications between fellowship
  programs and residency programs to ensure the
  communication is only related to due diligence
  and not to undermine the integrity of the match
  process.
• (a copy of changes to Appendix A in your folder)

11
2010 MatchMatch Agreement

• Post Interview Communication Programs should
  not communicate (verbally, in writing, or through
  other individuals) with applicants and they
  should not request that applicants communicate
  with them. Communication between fellowship
  programs and an applicants residency program,
  colleague or letter writer can occur if
  performing due diligence regarding a particular
  candidate. Conversations may not include any
  discussion about rank order or intention to rank
  from either party. Throughout the process, and
  regardless of any circumstances of the
  communications between the fellowship program and
  the candidate, including any interested parties
  on either side, the integrity of the blind match
  process must be protected.

12
2010 MatchMatch Agreement

• Thank you letters from applicants to program are
  discouraged. Programs are prohibited from sending
  thank you letters to applicants.
• The Fellowship Match Committee strongly suggests
  each program read aloud the terms of Appendix A
  to all applicants prior to conducting interviews.
• Mention post-interview/pre-match survey
• Committee STRONGLY discourages programs
  requesting supplement material in addition to the
  application, 4 letters of reference, USMLE
  Score Report.

13
2010 MatchApplication

• Now requests an official USMLE score report
• Now requests a 4th letter of recommendation
• Now includes statement on post-interview
  communication
• Modified to remove OITE scores

14
2010 MatchApplication

• Statement on Communication
• Post Interview Communication  Programs should
  not communicate with applicants, and should not
  request or expect that applicants communicate
  with them post interview. While a thank you note
  is generally regarded as a polite gesture, the
  Fellowship Match Committee discourages even these
  types of communications.
• (a copy of the application is in your folder)

15
Letter to Selected Programs (10)

• June 26, 2009
•  
• RE  AANA/AOSSM Fellowship Match
•  
• Dear  ,
•  
• We had a successful first year of the match, and
  we are very pleased with the level of
  participation by programs and applicants, and the
  high degree of compliance with the match rules.
•  
• An area of some ambiguity and concern this past
  year involved post-interview communication with
  applicants.  Our intention going into the match
  was for there to be no communication, but we
  received some reports that some programs
  (directors, faculty, staff or fellows) apparently
  interpreted the rules differently and, in some
  cases, followed up with applicants to determine
  their interest in ranking the program or
  requested that the applicants contact them if
  they were interested in the program.  We view
  these types of communications as inappropriate
  because they potentially compromise the integrity
  of the blind match process. 
•  
• Through anonymous surveys with applicants and
  program directors which we conducted, your
  program was identified as one where some
  post-interview communication with applicants may
  have occurred.  My purpose in writing is not to
  stipulate or investigate this matter further, but
  simply to inform you that going forward any
  post-interview communications will be considered
  a violation of the match agreement.  Going
  forward, the Fellowship Match Committee, which
  was created to oversee the match process, will
  address any issues which are raised, including
  questionable communication, as was the case this
  year.
•  
• Please understand that this letter is strictly
  confidential.  Other Fellowship Match Committee
  and Fellowship Committee members are aware that
  these letters are being written, but they do not
  know to whom they are being written. 
•  
• I hope you appreciate that the sole purpose in
  writing is to insure the integrity of the match
  process in the future by establishing clear
  expectations.  I know I speak for all the
  committee members and AOSSM staff in saying that
  we appreciate your support and your desire to
  build upon the success of this first year.  If
  you have any questions, please do not hesitate to
  contact me directly.
•  
• Sincerely,
•  
• Douglas W. Brown, MD

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2010 Match Dates
On or before - participating programs must
submit 150 August 15, 2009 check signed
agreement to AOSSM - programs register
their program via web link provided
by AOSSM, once their match agreement
has been received processed
Beginning - participating programs
listed on the website Sept 1, 2009 -
application available on SF Match website -
applicants are permitted to sign-up for
match, complete on-line application,
submit to programs of interest
17
2010 Match Dates
October 1, 2009 - advertisements describing
programs listed in AJSM, Arthroscopy,
and Sports Medicine Update
December 15, 2009 deadline for submitting
applications
18
2010 Match Dates
Jan 1, 2010 - interviews may begin
(12 Interview Weeks)
Mar 26, 2010 - interviews end - rank
order lists due - please do
post-interview/pre-match surveys
(2 Weeks)
April 12, 2010 - programs notified if they
filled (Monday) - applicants notified
if did/didnt match
April 13, 2010 - Match Day (Tuesday)
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Thank you!
20
2009 Match Data

• Program Participation
• 95 Programs participated
• 93 submitted rank order lists
• 2 contacted the Society because they had no
  interviews. Are participating in the scramble.
  
• 224 Positions
• 209 Accredited
• 15 Non-Accredited
• 83 of all positions (184) matched.
• 71 of all programs (67) fully matched.

CDH
21
2009 Match Data

• Applicant Participation
• 241 Applicants registered
• 43 withdrew or didnt submit rank list
• 198 Applicants participating
• 184 applicants matched
• 14 applicants did not match

CDH
22
2009 Match Data

• Insight
• Mean number of applicants that a program ranked
  was 8.46 per position
• Median was 7.5
• Programs that fully matched ranked an average of
  9.34 applicants per position. (Median 7.5)
• Programs that did not fully match ranked an
  average of 6.36 applicants per position. (Median
  6.5)
• Programs that did not match any position ranked
  an average of 5.73 applicants per position.
  (Median 4)
• Programs that matched their 1 ranked applicant,
  ranked an average of 8.22 applicants per
  position. (Median 6)

CDH
23
2009 Match Data

• 22 Programs (23) matched 1 applicant
• 7 programs were single position programs
• 15 programs with multiple positions matched
  their first choice applicant
• 4 programs with multiple positions had all of
  their ranked applicants match in order -
  representing a total of 11 positions

CDH
24
2009 Match Data

• There were 9 non-accredited programs in the match
  - representing 15 positions
• 5 of those programs did not fully match
• 6 of the 15 positions did not match
• Of the 9 non-accredited positions that did not
  match, 3 positions were in programs with other
  accredited positions.

CDH