Scrambling is not an Option or a backup plan

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Scrambling is not an Option(or a backup plan)
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AAMC Press Release

• More than 94 percent of seniors who applied
  through the National Resident Matching Program
  (NRMP) were matched - highest percentage in more
  than three decades.
• 84.6 percent of those seniors matched to one of
  their top three program choices.
• The 2008 Match was also the largest ever.
• 28,737 applicants vied for one of 22,240
  first-year residency positions-the most
  applicants in history.
• A record-high 15, 242 of those applicants were
  U.S. medical school seniors.
• Notable increases this year as well in the number
  of Match applicants from international medical
  schools and osteopathic schools.
• More than 10,300 graduates of non-U.S. medical
  schools applied for U.S. residency positions
  through the Match and roughly 4,650 (about 45
  percent) matched to a first-year position.
• Nearly 1,900 osteopathic students and graduates
  applied to the Match this year and 71.6 matched
  to a position.
• Following the Match this year
• 1,300 unfilled first-year residency positions
  were available for participants in the scramble.
• The NRMP estimates that 12,000-13,000 people
  attempted to secure an open position.
• Among the residency-seekers were
• 7,800 applicants who did not match to a program
  (883 of whom are U.S. medical school seniors)
• 5,000 additional individuals who registered for
  the Match but did not complete all of the steps
  required for participation.

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Match Results 2000-2008Categories of applicants
in 2008 53.0 US Seniors, 0.13 Canadians, 4.1
US Physicians, 6.5 D.O., 0.3 5th Pathway, 10.3
US-IMG, 25.5 Non US-IMG

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2008 Unfilled Positions

• Anesthesiology 17 PGY1 and 19 PGY2 (16
  programs)
• Dermatology 0
• Emergency Medicine 19 PGY1 and 1 PGY2 (12
  programs)
• Neurological Surgery 3 PGY1 (2 programs)
• Neurology 11 PGY1 and 27 PGY2 (19 programs)
• OB/GYN 10 PGY1 (6 programs)
• Ophthalmology (early match) 0
• Orthopaedic Surgery 1 PGY1
• Otolaryngology 4 PGY1 (3 programs)
• Plastic Surgery 0
• Radiation Oncology 0
• Rehabilitation Medicine 3 unfilled positions (3
  programs)
• Surgery 2 PGY1 (1 program)
• Transitional 20 PGY1 (7 programs)
• Urology 3 PGY2 (1 program)

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Program Directors interviewing and ranking more
IMG and Osteopathic seniors

• Family Medicine 90.6 filled
• Pediatrics 96.3 filled
• Internal Medicine (categorical) 97.8 filled
• Medicine-Preliminary - 93.3 filled
• Medicine/Pediatrics 90.1 filled
• Transitional 97.8 filled
• OB/GYN 99 filled
• Anesthesiology 97.4 filled
• Radiology 98.1 filled

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• I dont want to be a
• Scramble statistic !!
• What do I need to do?

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How Important is Step 1?
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Step 1 Score Matters
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How Important is Step 2 CK?
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Step 2 CK Score Matters
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How Important is AOA?
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How Important is Research?
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Ranks vs Match Success
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What Can I Do?

• Find out how competitive you are?
• Apply to plenty of residency programs
• Obtain strong letters of recommendation
• Grades and Class Rank matter
• Prepare well for Step 2 CK and CS
• Have a backup plan
• Rank all acceptable programs