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Thread: Match Day Reveals Slow Upward Creep in Primary Care Slots

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    Match Day Reveals Slow Upward Creep in Primary Care Slots

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    Medscape Medical News:


    Match Day Reveals Slow Upward Creep in Primary Care Slots

    Residency Match Day on March 18 came and went with the usual splash of big numbers. Almost 94% of seniors in US allopathic medical schools who submitted program preferences matched to a first-year (PGY-1) position. In all, a record number of 42,370 physicians in training competed for 30,750 positions divided among PGY-1 and PGY-2 positions at more than 4800 programs.

    What might escape notice, however, is the continued slow rise in the number of PGY-1 primary care slots.

    Of the 27,860 PGY-1 positions available this year, 13,744, or 49%, were in the primary care specialties of family medicine, internal medicine, and pediatrics, according to the National Resident Matching Program (NRMP). The number of these primary care slots has grown 22.4% since 2012, compared with 16% growth for all first-year slots. However, most of the increase in primary care slots came in 2013, when the number rose 13.2%. Since then, the annual growth rate for primary care positions has been between 2% and 3%.

    Still, slow growth is better than no growth in a sector of medicine considered short-handed.



    Growth in PGY-1 Positions in Primary Care Residency Programs


    Programs
    Total Positions
    Increase Over 2015
    Percentage Filled
    Filled by US Allopathic Medical-School Seniors
    Family medicine
    3238
    43
    95.2%
    1467
    Internal medicine
    7024
    254
    98.8%
    3291
    Pediatrics
    2689
    21
    99.5%
    1829
    Medicine-Pediatrics
    386
    6
    99.5%
    329
    Designated primary care positions in internal medicine and pediatrics
    407
    -8
    99.3%
    244
    Total
    13,477
    316
    98.1%
    7160
    Source: NRMP


    US Medical School Students and Grads Fill 75% of PGY-1 Positions

    Current students and graduates of both allopathic and osteopathic medical schools in the United States matched to roughly 75% of all PGY-1 positions this year, a repeat of 2015, 2014, and 2013. The remainder of the slots were filled by graduates of international medical schools, including those in Canada.

    Of 6638 graduates of international medical schools outside of Canada who filled first-year residency positions in 2016, 43% were US citizens and 57% were non-US citizens.

    Some specialties enjoyed remarkable success in filling their PGY-1 slots, according to the NRMP. Dermatology, orthopedic surgery, radiation-oncology, and vascular surgery had a total of 809 slots, and each one had a match. Emergency medicine fell one short of filling its 1895 slots. In contrast, of the 3238 PGY-1 slots available in family medicine, 73 went empty. Internal medicine saw 26 of its 7024 slots missing in action.

    More information on the results of Match Day 2016 are available on the NRMP website.

    This article was written by Medscape Medical News Journalist, Robert Lowes, on March 18, 2016.
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    Thank you for posting this; this is very informative. So, if I understand correctly IMGs and FMGs are still matching at a fairly acceptable rate? On SDN, they make it seem like nobody matched this year. I got worried as I am starting at Saba in May.

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    Quote Originally Posted by Medrock View Post
    Thank you for posting this; this is very informative. So, if I understand correctly IMGs and FMGs are still matching at a fairly acceptable rate? On SDN, they make it seem like nobody matched this year. I got worried as I am starting at Saba in May.
    Medrock:

    Just to note, the article above focuses on Primary Care Residencies (FM, IM, Peds, IM-Peds). However, according to the NRMP, the overall 2016 match rates for both USIMGs (53.9%) and non-U.S. citizen IMGs (50.5%) increased by about 1% even though they both had a record number of applicants.

    I'm not going to speculate what these numbers mean or what is considered "fairly acceptable". I'm simply providing the objective info from credible sources and will allow others to discuss what they might mean.

    Best of luck in your studies!
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    Thank you for that. I know you are just providing the facts and that is very helpful. At the very least, it shows that " the big dark era" of squeezing out IMGs is not there yet.

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    It's hard to tell if this "slow growth" is actual growth. Since the NRMP has demanded programs include all their slots in the match and other programs that never used to participate in the match are now participating, one has to wonder if the actual number of slots has increased overall in the USA? NRMP certainly likes to toot its horn that there are more slots but there are also equally less pre-matches and less non participating programs! In other words, there are more programs and participants that are compelled to use the match system!
    Last edited by leadsled; 03-19-2016 at 03:14 PM.
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