Everything You Ever Wanted to Know About the Match*

(*But Were Afraid to Ask)

Or, the World According to JoMo, the Program Director

Jon B. Morris, M.D.Associate Dean for Student AffairsProfessor of Surgery

The Process (April-Nov. 2013)

April May June July Aug. Sept. Oct. Nov.

JoMo Meetings – Reality Therapy

Letters of Recommendation

Class Meeting #1

MSPE Released

Oct. 1

Class Meeting #2

Interview Workshop

Class Meeting

MSPE Crafted by OSA

The Process (Nov. – March 2014)

October November

December January February March

Advocacy Call Interviews

Rank List Deadline(Applicants &

Programs) Match Day

Rank Order List Strategy: Getting to the Top                                                                                                                                                                                                                                                                                                                                                                                                                       

10 20 30 40 50 60 70 80 90 100                                                                                                                                                                                                                                                                   

• Assume a program takes 10 categorical residents.• Assume the program interviews 100 applicants.• The advocacy call has its greatest impact on the bubble group.

Take Group(3 cycles)

Bubble DNR

Ranked to Match

Anatomy of the MSPE

• Identifying Information• Unique Characteristics (Two 125 word paragraphs)• Academic History (matriculation, graduation, combined degree, repeat/remediate,

adverse actions, gaps, leaves of absence)• Academic Progress (the “cut and paste”)

• Preclinical Basic Science• Core Clinical • Electives

• Combined Degree Summary • MD/PhD Summary• Masters Degree Summary

• Summary Paragraph • Bottom Line

• Appendices (Module 2 and Module 4 bar graph)

Appendix A: Basic Science Performance – 2010 Appendix B: Clerkship Performance – 2011

Appendices

MSPE Bottom Line Distribution 

Class of 2010

Class of 2011

Class of 2012

Class of 2013

Top of the Class 3% 4% 6% 5%

Outstanding 27% 29% 31% 38%

Excellent-Outstanding 19% 25% 33% 22%

Excellent 46% 37% 27% 32%

Very Good to Excellent 5% 3% 3% 3%

 Very Good - 2% 0 0

Good - - - -

2013 Match  Emerg Med Fam Med Medicine Neurology OBGYN Pediatrics Psychiatry Surgery

Mod 2

Top of Class H 100% 100% 100% 100% 100% 100% 100% 100% 100%

 HP                  

  P                

Outstanding H 80% 59% 76% 95% 75% 85% 80% 93% 68%

 HP 20% 41% 24% 5% 25% 15% 20% 7%  

  P               32%Excellent to Outstanding H 59% 53% 38% 71% 59% 35% 50% 71% 51%

 HP 41% 47% 59% 29% 38% 65% 50% 29%  

  P   3%   3%       49%

Excellent H 28% 24% 4% 46% 24% 12% 30% 32% 26%

 HP 72% 72% 90% 54% 74% 82% 70% 68%  

  P 4% 6% 2% 6%     74%Very Good to Excellent H 25 25%   25%     25% 22%

 HP 50% 50% 75% 50% 100% 100% 75%  

  P 25% 75% 50%   50%   78%

2013 Match # Applying Step 1 Avg TOC O E to O E VG to E % Matching

Medicine +5% 39 249 10% 45% 15% 30% 100%

Pediatrics (-3%) 16 241   44% 25% 31%   100%

Emergency Medicine +2% 12 238 8% 25% 42% 17% 8% 100%

Psychiatry +1% 9 232 10% 10% 30% 50%   100%

Surgery (-3%) 9 247   22% 11% 56% 11% 89%

Anesthesia (-2%) 8 239   25% 38% 25% 13% 100%

Orthopaedic Surgery +2% 8 245   25% 25% 50%   100%

Dermatology nc 7 254 29% 43% 14% 14%   100%

Family Practice nc 5 221       80% 20% 100%

OBGYN +1% 5 221   40% 40% 20%   100%

Pathology +2% 5 246   40% 40% 20%   100%

Ophthalmology nc 4 249   50% 25% 25%   100%

Radiology (-1%) 4 250   25% 25% 25% 25% 100%

Neurology (-1%) 3 245   100%       100%

Neurosurgery nc 3 256   100%       100%

Otorhinolaryngology (-2%) 3 257   67%   33%   100%

Pediatric Neurology ---- 3 248   33%   67%   100%

Plastic Surgery +1% 3 241 33% 33% 33%     100%

MED/PEDS (-1%) 2 235   50%   50%   100%

Radiation Oncology (-4%) 2 251   50%   50%   100%

Urology nc 2 237   50%   50%   100%

Medicine/Dermatology nc 1         100%

Peds/Psych/Child Psych ---- 1 100%

Penn Med Residency Match Data

2012 2013Total graduates 139 160Total residency placements

137 157

Matching at University Program

137/139 = 99% 149/157 = 94%

Matching at Penn, 2013Number of Students

% of Students Matching

Total 41 26% ( 8%) 2013 vs. 2012

HUP 29 18%

CHOP 10 6%

Scheie 1 1%

Penn Hospital 1 1%

Matches at Other Premier Institutions: Class of 2013Institution Number of Students Matched

Harvard Brigham and Women’s Children’s Hospital Boston Massachusetts Eye & Ear Massachusetts General Beth Israel Deaconess

25 total(10)(2)(1)(11)(1)

NYU 11University of California San Francisco 7University of California Los Angeles 6Johns Hopkins 5Barnes Jewish/Washington University 4NYP Hospital Weill Cornell 4

Stanford 4Temple University 4

Duke 3Northwestern 3

University of Washington 3

Matches at Other Premier Institutions for the Class of 2013

Institution Number of Students Matched

Yale 3

Columbia 2

University of Michigan 2University of Pittsburgh 2

Specialty Trends2010 2011 2012 2013

Primary Care (Internal Medicine, Pediatrics, Family Medicine, Medicine/Pediatrics)

41.5% 31.5% 37% 39%

Surgical(General Surgery, Neurosurgery, Ophthalmology, OMF, Orthopedics, Otolaryngology, Plastics, Urology)

22.5% 21% 21% 21%

Competitive Subspecialties (Dermatology, Ophthalmology,Radiation Oncology, Radiology) 14.3% 28% 17% 11%

SOAP 2013Supplemental Offer and Acceptance Program• 3 participated in SOAP in 2013:

• 2 students matched• 1 student deferred

Why Some Don’t Match

• Applied to inadequate number of programs• Disconnect between academic record and career choice• Interview Performance• Bad luck