IMGs in the 2012 Match

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    IMGs in the 2012 Match

    A resource of the:

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    Throughout June 2012 we asked visitors to the ECHO website, What kind of data on IMGs in U.S. graduate medical education (GME) would you like to see?

    You told us that you want to learn more about IMGs in the 2012 Match, and we listened. Heres a look at some data from the 2012 Match, as reported bythe National Resident Matching Program (NRMP, or The Match) and IMGs who participated in the process.

    Source: National Resident Matching Program, Results and Data: 2012 Main Residency Match. National Resident Matching Program, Washington, DC. 2012.

    In 2012, The Match experienced record high numbers for both first-year positions offered and total active applicants 24,034 and 31,355 respectively.Of the 4,279 U.S. citizen IMGs who participated in this Match, 2,102 (49.1%) were matched to first-year positions; this was the ninth consecutive year

    that the number of U.S. IMGs matching to first-year positions increased. Of the 6,828 non-U.S. citizen IMG participants, 2,775 (40.6%) obtained first-year

    positions; this marked an increase over 2011, after declines in the two previous years.

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    Positions Offered Total Active Applicants

    U.S. Citizen IMG Applicants U.S. Citizen IMGs Matched

    Non-U.S. Citizen IMG Applicants Non-U.S. Citizen IMGs Matched

    IMGs in the Match, 2008 - 2012

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    Source: National Resident Matching Program, Results and Data: 2012 Main Residency Match. National Resident Matching Program, Washington, DC. 2012.

    IMGs in the 2012 Match matched to 34 different specialties. This chart shows the top 10 specialties to which IMGs matched, broken down by U.S. citizen

    IMGs and non-U.S. citizen IMGs. The top specialty for both U.S. citizen IMGs and non-U.S. citizen IMGs was Internal Medicine. Approximately 28% of the

    2,102 U.S. citizen matched IMGs and 45% of the 2,775 non-U.S. citizen matched IMGs matched to Internal Medicine.

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    Top 10 Specialties for Matched IMGs, 2012 Match

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    In April and May 2012,ERAS Support Services at ECFMGsurveyed IMGs who participated in the 2012 ERAS Season. More than 5,000 IMGs responded tothe survey, providing insight into their experiences with the ERAS application and Match processes. Respondents were asked to describe the results of

    their 2012 Match participation. These self-reported outcomes are used to categorize answers from other items in the survey, allowing you to identify andcompare answers of successful candidates.

    Source: 2012 IMG Post-Match Survey. ERAS Support Services at ECFMG. Philadelphia, PA. 2012

    * Each year, a significant number of IMG applicants obtain positions outside of The Match. For example, more than 2,300 of the 7,023 IMGs in PGY-1 forthe 2010-2011 academic year obtained their positions outside of The Match. For the 2013 Match, the NRMP is implementing an All-in policy that

    requires any program participating in The Match to attempt to fill all of its position through The Match or another national matching plan. This means

    that these programs will not be able to offer positions to IMGs prior to The Match. In the coming months look for an ECHO resource focused on the All-

    in policy. In the meantime, more information can be found on the NRMPs website athttp://www.nrmp.org/.

    I obtained a

    position throughThe Match.

    43%

    I obtained a

    position through

    the Supplemental

    Offer and

    Acceptance

    Program (SOAP).

    2%

    I obtained a

    position outside

    of The Match.*

    14%

    I did not obtain aposition.

    41%

    Which of the following statements best describes the result of your 2012

    Match participation?

    http://www.ecfmg.org/eras/index.htmlhttp://www.ecfmg.org/eras/index.htmlhttp://www.ecfmg.org/eras/index.htmlhttp://www.nrmp.org/http://www.nrmp.org/http://www.nrmp.org/http://www.nrmp.org/http://www.ecfmg.org/eras/index.html
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    Source: 2012 IMG Post-Match Survey. ERAS Support Services at ECFMG. Philadelphia, PA. 2012

    For every category except those who obtained a position through SOAP, the highest percentage of respondents reported they applied to 101 to 250programs in preparation for The Match.

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    Fewer than 50

    programs

    50 to 100 programs 101 to 250 programs More than 250

    programs

    How many GME programs did you apply to through ERAS for the 2012 Match?

    Obtained a position through The Match

    Obtained a position through SOAP

    Obtained a position outside of The Match

    Did not obtain a position

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    Source: 2012 IMG Post-Match Survey. ERAS Support Services at ECFMG. Philadelphia, PA. 2012

    Overall, only 2.4% of respondents reported applying to more than 4 disciplines in preparation for The Match.

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    1 clinical discipline Between 2 and 4 disciplines More than 4 disciplines

    How many clinical disciplines (specialties) did you apply to

    (e.g., Internal Medicine, Family Medicine, Pediatrics, General Surgery, etc.)

    through ERAS for the 2012 Match?

    Obtained a position through The Match

    Obtained a position through SOAP

    Obtained a position outside of The Match

    Did not obtain a position

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    Source: 2012 IMG Post-Match Survey. ERAS Support Services at ECFMG. Philadelphia, PA. 2012

    Among all respondents, interview requests from 1 to 5 programs was the average, with candidates who were successful both in and out of The Match

    receiving the highest number of interview invitations.

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    None 1 to 5 programs 6 to 15 programs More than 15

    programs

    How many programs invited you for an interview?

    Obtained a position through The Match

    Obtained a position through SOAP

    Obtained a position outside of The Match

    Did not obtain a position

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    Source: 2012 IMG Post-Match Survey. ERAS Support Services at ECFMG. Philadelphia, PA. 2012

    Nearly all survey respondents reported that they were able to obtain at least one letter of recommendation from a U.S. physician.

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    Yes No

    Were you able to obtain a letter of recommendation from a

    physician practicing medicine in the United States?

    Obtained a position through The Match

    Obtained a position through SOAP

    Obtained a position outside of The Match

    Did not obtain a position

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    Source: 2012 IMG Post-Match Survey. ERAS Support Services at ECFMG. Philadelphia, PA. 2012

    Nearly all of our survey respondents reported that they were able to participate in at least one U.S. clinical experience.

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    Yes No

    Before applying for a residency position, did you have any clinical experiences

    (i.e., observership, clerkship rotation, medical research position) in the United States?

    Obtained a position through The Match

    Obtained a position through SOAP

    Obtained a position outside of The Match

    Did not obtain a position

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    Source: 2012 IMG Post-Match Survey. ERAS Support Services at ECFMG. Philadelphia, PA. 2012

    Among candidates who were successful in The Match, clerkship rotations were the most common form of U.S. clinical experience. A clerkship rotation is

    a hands-on clinical experience, typically done during your third or fourth year of medical school. Foreign national IMGs must be aware of visa

    restrictions that may limit hands-on clinical activities in the United States.

    As part of this question, respondents were given the option to enter other types of U.S. clinical experiences in an open text field. Other types of

    experience reported by successful Match participants include internships, externships, volunteering at community health clinics, and working at a U.S.

    hospital in other roles such as medical assistant and technician.

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    Please indicate which of the following U.S. experiences you had based on the options below.

    Obtained a position through The Match

    Obtained a position through SOAP

    Obtained a position outside of The Match

    Did not obtain a position

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    Source: 2012 IMG Post-Match Survey. ERAS Support Services at ECFMG. Philadelphia, PA. 2012

    These clinical experiences were helpful for respondents who obtained a position through The Match, as more than 70% were matched to an institution

    with which they had previous clinical experience.

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    Yes No

    Were you able to secure a residency position at the U.S. institution where

    you engaged in a clinical experience (e.g., observership, clerkship, medical research)?

    Obtained a position through The Match

    Obtained a position through SOAP

    Obtained a position outside of The Match

    Did not obtain a position

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    Source: 2012 IMG Post-Match Survey. ERAS Support Services at ECFMG. Philadelphia, PA. 2012

    For survey respondents, directly contacting a teaching hospital, personal contacts, and their own medical schools were the most effective ways to obtain

    U.S. clinical experiences.

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    How did you obtain your U.S. clinical experience?

    Obtained a position through The Match

    Obtained a position through SOAP

    Obtained a position outside of The Match

    Did not obtain a position

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    Source: 2012 IMG Post-Match Survey. ERAS Support Services at ECFMG. Philadelphia, PA. 2012

    Individual program requirements, the interview process, and personal statements were the topics that posed the most problems for surveyrespondents. To learn more about individual program requirements, including minimum eligibility criteria, ERAS application deadlines, licensure

    requirements, and institutional policies about visas, visit the programs website, where much of this information can be found, or contact the program

    directly. Another resource on program information is the American Medical AssociationsFREIDA Online, a database of more than 9,000 GME programs.

    TheAccreditation Council for Graduate Medical Education (ACGME) websitecan help you research your programs/institutions of interest. Though it

    does not provide specific eligibility criteria, licensure requirements, or policies about visas, this website can connect you with contact information

    necessary to research your programs of interest and confirm the accreditation status of the program(s). To search for accredited programs on the

    ACGME website, click "Search Programs & Sponsors" in the left-hand menu. Then click "Accredited Programs" in the left-hand menu of the new page.

    Here you can search by ACGME program number, by specialty or subspecialty, or by state.

    To learn more about the residency application process, visit the Resources section of ECHO. In July, we publishedPersonal Statement Dos and

    DontsandAsking for a Letter of Recommendation. In September, we will be posting a new resource about the residency interview process.

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    Looking back on the application process,

    which topics would you have liked more information about?

    All respondents

    http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.page?http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.page?http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.page?http://www.acgme.org/http://www.acgme.org/http://www.acgme.org/http://www.ecfmg.org/echo/personal-statements.htmlhttp://www.ecfmg.org/echo/personal-statements.htmlhttp://www.ecfmg.org/echo/personal-statements.htmlhttp://www.ecfmg.org/echo/personal-statements.htmlhttp://www.ecfmg.org/echo/asking-for-lor.htmlhttp://www.ecfmg.org/echo/asking-for-lor.htmlhttp://www.ecfmg.org/echo/asking-for-lor.htmlhttp://www.ecfmg.org/echo/asking-for-lor.htmlhttp://www.ecfmg.org/echo/personal-statements.htmlhttp://www.ecfmg.org/echo/personal-statements.htmlhttp://www.acgme.org/http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.page?
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    Additional Data on The Match

    Each year, ECFMG publishes asummaryof IMG performance in The Match throughThe ECFMG Reporter. NRMP publishes a variety of reports on The Match, all of which are available on theData and Reportspage of the NRMP website. Data published

    as of August for the 2012 Match include:

    Results and Data: 2012 Main Residency Match 2012 Match Results by State, Specialty, and Applicant Type Program Results, 2008-2012

    Each September,The Journal of the Association of American Medical Colleges (JAMA) publishes an article on residents in U.S. GME during thepreceding academic year. IMG data in this article includes the number of IMGs in U.S. GME programs; number of IMGs in each specialty and

    subspecialty; citizenship status of first-year IMGs by specialty; and citizenship/visa status of all IMG residents.

    This resource is available in the ECHO section of the ECFMG website atwww.ecfmg.org/echo.

    Copyright 2012 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

    Rev. August 6, 2012

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