RESIDENCY TRAINING IN THE US Residency Training in US 1. 2. 3. 4. Eligibility Difference in Canadian vs US Training USMLE Match in US a) NRMP b) ERAS c) San Francisco match d) Urology match Residency Training in the US 5. Unmatched US - SOAP ( Supplemental Offer and Acceptance Program) - FindAResident 6. Information Sources - Careers in Medicine AAMC - AMA FREIDA 1. Eligibility: US citizenship Married to US citizen 2. Difference in Training Canada vs US: a) Length US: 3 years - Family Medicine - Pediatrics - Internal Medicine Canada: 2 years 4 years - Family Medicine - Pediatrics - Internal Medicine 2. Difference in Training Canada vs US: b) Quality University Board certified 3. USMLE: Step 1: Step 2: *CK: *CS: - End of 2nd year medical school - 4th year of medical school - Clinical knowledge (*CK) - Clinical skills (*CS) - MCQ - Standardized patients - Information gathering - Physical examination - Communication of findings 3. USMLE: Part 1, Part 2 Used in application Resource: - Charting outcomes in the match - AAMC - NRMP 4. Match in US: CaRMS match date first NRMP match date second 4. Match in US: NRMP - Not application service or job placement service - Must apply directly to residency programs in addition to register for match 4. Match in US: b) ERAS (Electronic Residency Application Service) Register with both NRMP, ERAS Through NRMP in 2013: - 16,390 US MD - Over 40,000 applicants in total compete for 25,463 positions 4. Match in US: c) San Francisco Match Ophthalmology Some plastic surgery Neurotology (subspecialty of ENT) 4. Match in US: d) Urology Match e) All specialties except: Dermatology Neurosurgery Orthopedics ENT Plastic surgery 4. Match in US: Have enough positions for US seniors who prefer that specialty As medical school numbers increase, this will not continue 4. Match in US: Difference: Canada vs. US PGYI/transition year is not automatically included in US match position Must find own PGYI/transition year 4. Match in US: Preliminary: 1 or 2 year position provides training for advanced programs Categorical (c): Begin PGY1 and for entire training to board exams Categorical (m): Mixed in Internal Medicine and Pediatrics Advanced: Begin in PGY2 after prerequisite training 4. Match in US: Charting outcomes in the match: Who was successful Rank more programs within preferred specialty US seniors Have higher USMLE 1 and 2 Members AOA (Alpha Omega Alpha) Match Results 2013 Overall US Seniors 95% matched Canadian medical schools: 21 applicants, 14 matched (66.7%) US citizens in IMG schools 49% Non-US IMG’s 40.6% Canadians in 2012 17 applicants with 12 matched (70.6%) 4. Match in US: Advice: Rank all programs you really want Mix of highly competitive and less competitive within your specialty Rank most preferred programs in alternate specialty 5. Unmatched US: NRMP match day 3rd Thursday in March Monday of match week – notified if matched or not If unmatched: - SOAP ( Supplemental Offer and Acceptance Program) - FindAResident (positions outside of ERAS and NRMP) 6. Information Sources Careers in Medicine AAMC AMA - FREIDA - Fellowship and Residency - Electronic Interactive Database Access