It's Academic

April 2016 

Results of Largest Match on Record

The National Resident Matching Program® (NRMP®) announced the results of the 2016 Main Residency Match, the system through which U.S. medical school seniors, physicians, as well as international medical school graduates obtain residency positions in U.S. accredited allopathic training programs. The 2016 Main Residency Match was the largest on record, encompassing 42,370 registered applicants and 30,750 positions. The number of U.S. allopathic medical school senior students grew by 221 (1.2 percent) to 18,668, and the number of available first-year (PGY-1) positions rose to 27,860, an increase of 567 (2.1 percent) from last year.

Results of the Match are predictive of future changes in the physician workforce. Of the 27,860 PGY-1 positions, 13,744 (49.3 percent) were in primary care specialties. Of those, 13,484 (98.1 percent) were filled, and U.S. allopathic seniors filled 7,160 (52.1 percent) positions. 

Since 2012, the number of primary care positions has grown by 2,512, a 22.4-percent increase. 

This year, 18,668 U.S. allopathic seniors registered for the Match, a 10.6-percent increase since 2012. Of those, 18,187 submitted program choices, and 17,057 matched to PGY-1 positions, for an overall match rate of 93.8 percent. The number of matched seniors, 125 more than last year, is an all-time high. Of the U.S. seniors who matched, 53 percent obtained their first choice for training, and 79.2 percent obtained one of their top three choices.

The number of students/graduates of U.S. osteopathic medical schools submitting program preferences increased to 2,982, an all-time record. They earned a record-high match rate of 80.3 percent. The number of U.S. citizen students/graduates of international medical schools (USIMGs) who submitted program preferences was 5,323, an increase of 309 over 2015 and a record high. 

Since 2012, the number of USIMGs has risen by almost 25 percent. The number of non-U.S. citizen IMGs (IMGs) increased by 94 to 7,460. The 2016 match rates for both groups rose approximately one percentage point to 53.9 percent for USIMGs and 50.5 percent for IMGs.

The NRMP allows any two applicants to participate in the Match as a couple by linking their preference lists so they can match to a suitable pair of programs. A record high of 1,046 couples participated in the 2016 Match, 11 more than last year, and 95.7 percent matched to PGY-1 positions.

Applicants who did not match to a residency position participated in the NRMP Match Week Supplemental Offer and Acceptance Program® (SOAP®). During SOAP, the NRMP makes available the locations of unfilled positions so unmatched applicants can apply for them using the Association of American Medical Colleges Electronic Residency Application Service®. This year, 1,097 of the 1,178 unfilled positions were offered during SOAP. These results will be available in May.

Match Highlights  

  • Internal medicine programs offered 7,024 positions, 254 or 3.8 percent more than in 2015. Nearly 99 percent of positions filled, and U.S. seniors filled 3,291 (46.9 percent).
  • Family medicine programs offered 3,238 positions, 43 or 1.3 percent more than in 2015. Ninety-five percent of positions filled, and U.S. seniors filled 1,467 (45.3 percent).
  • Pediatrics programs offered 2,689 positions, 21 or 0.8 percent more than in 2015. Ninety-nine percent of positions filled, and U.S. seniors filled 1,829 (68 percent).
  • Dermatology, orthopedic surgery, radiation-oncology, and vascular surgery filled all available PGY-1 positions.
  • Emergency medicine offered 1,895 first-year positions, an increase of 74 or 4.1 percent, and filled all but one.
  • Neurological surgery, otolaryngology, general surgery, and integrated plastic surgery each had fewer than five unfilled PGY-1 positions. 

2016 Match results for Texas will be available in late spring and will be reported in It’s Academic.  

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 Students Sign Petition to Eliminate Step 2 Clinical Skills Test

As reported in a March 11 Stat News article, “more than 6,000 students, residents, and faculty at 130 medical schools have signed a petition calling for the National Board of Medical Examiners” to eliminate the Step 2 Clinical Skills, which tests students’ patient care skills.  

Opponents of the test says it’s pricey ($1,275 to register) and unnecessary. Proponents of the test, according to the article, say the test allows for an assessment of students’ physical exam aptitude and helps to ensure medical schools are teaching patient care skills.  

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 Fort Worth Allopathic Med School Picks Founding Dean

Texas Christian University (TCU) and the University of North Texas Health Science Center (UNTHSC) selected Stuart D. Flynn, MD, dean of the University of Arizona College of Medicine-Phoenix, as the founding dean of the new allopathic medical school the two institutions are establishing in Fort Worth. 

Dr. Flynn, who led a medical school in Arizona that started as a partnership between two universities, will begin his new duties in April. The schools say he will oversee the development of “an innovative education model focused on teamwork that benefits patients and shapes the future practice and business of medicine in North Texas and beyond.” 

“TCU, the University of North Texas Health Science Center, and Fort Worth offer all the ingredients needed to develop a cutting-edge MD school with national aspirations,” Dr. Flynn said. “I am excited to build this school with valued colleagues, including a nationally recognized osteopathic medical school, a renowned and forward-looking nursing program, excellent pharmacy and public health schools, and several other high-caliber colleges at both universities.”  

As founding dean of the Phoenix medical school since 2008, Dr. Flynn oversaw development of the curriculum and guided the school through the accreditation process, growing the program from an initial student class of 24 to the current class size of 80. Each graduating class has had a 100-percent match rate for residencies, and more than half chose to pursue primary care disciplines. 

Dr. Flynn says he believes in graduating physicians with the highest levels of medical knowledge and technical abilities who possess empathy, respect, and the quality of servant leadership. 

The allopathic medical school will establish Fort Worth as home to one of the nation’s most comprehensive health care institutions located on one campus. UNTHSC has an osteopathic medical school and graduate schools for pharmacists, physician assistants, physical therapists, public health experts, and biomedical scientists. 

“Dr. Flynn’s leadership style will fit seamlessly into the values-based culture we are building at the Health Science Center,” UNTHSC President Michael R. Williams, DO, MD, said. “His vision for the future of medical education will create more adaptive, high-quality physicians prepared to meet the changing health care needs of Texas.” 

TCU and UNTHSC announced plans to create the allopathic medical school in July 2015. The school will use existing facilities and resources on both campuses. It will require accreditation from the Southern Association of Colleges and Schools Commission on Colleges and the Liaison Committee on Medical Education.

Dr. Flynn received his medical degree and residency training at the University of Michigan. He completed his fellowship in oncologic pathology at Stanford University and served as a professor of pathology and surgery at the Yale University School of Medicine before taking the Phoenix post. 

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Initiative Aims to Transform Medical Training Environments

A March 15 AMA Wire article outlines how the Accreditation Council for Graduate Medical Education’s (ACGME’s) Pursuing Excellence in Clinical Learning Environments initiative plans to facilitate medical training improvements and transform training environments. The article lists the initiatives four main themes:  

  1. When it comes to training in patient safety and quality, residents need hands-on experience. 
  2. Educational goals for GME activities need to be in alignment with strategic planning around patient care. 
  3. Faculty need more advanced training in patient safety to train residents at the high level needed. 
  4. Medical training needs to be integrated with other clinical professions.    

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This Month in Texas Medicine

The April issue of Texas Medicine features a cover story on new funding and a streamlined state approach to women’s health that could improve access to screenings and family planning services for low-income women and girls. In the issue you’ll also find information on The University of Texas at Austin Dell Medical School’s course that teaches residents some of the business and job-hunting basics they’ll need; mining electronic health record data to improve patient care; the two prestigious speakers TMA has secured to headline the TexMed 2016 General Sessions; Teladoc’s lawsuit against the Texas Medical Board; and the first set of new national standardized quality measures. 

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It's Academic is for physicians in academic settings. For more information about TMA’s efforts on behalf of medical education and academic physicians, visit the TMA Council on Medical Education’s Subcommittee for Academic Physicians page and Advocacy page on the TMA website.

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    The State legislature is unable to support the existing medical schools adequately. Another institution, no matter where it is located, would put more unnecessary strain on already stretched finances. Find the money to treat the ones you have better before straining draining resources.
    William E. Powell, M.D.

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