A Unified Match System for AGP Fellowship Programs

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A Unified Match System for AGP Fellowship Programs

  1. 1. A Unified Match System for AGP Fellowship Programs Fellowship Training Special Interest Group May 4, 2008
  2. 2. CoPS fellowship application process <ul><li>Task Force Recommendations: </li></ul><ul><li>In order to simplify the process for the applicants, we would recommend that all Pediatric Subspecialties utilize ERAS: </li></ul><ul><li>In order to allow flexibility for subspecialties and enhance fairness to the applicants, we recommend utilizing a match, but suggest two match dates from which subspecialties could choose. These dates would be in the late spring and late fall. </li></ul>
  3. 3. APA VOTED YES
  4. 4. Benefits of a match <ul><li>Allows applicants and programs to consider all options before making decisions </li></ul><ul><li>Creates an impartial venue for matching programs’ and applicants’ preferences </li></ul><ul><li>Establishes a uniform date for appointment </li></ul><ul><li>Produces a “stable marriage” </li></ul>
  5. 5. Benefits of a match <ul><li>Professionalizes recruitment process </li></ul><ul><li>Eliminates undue pressure on trainees to decide on program before all interview are complete </li></ul><ul><li>Levels the playing field among programs </li></ul><ul><ul><li>Programs can interview more quality applicants </li></ul></ul><ul><ul><li>Eliminates undue pressure on programs </li></ul></ul><ul><ul><ul><li>To select applicants before all interviews are complete </li></ul></ul></ul><ul><ul><ul><li>To make appointments earlier and earlier each year </li></ul></ul></ul>
  6. 6. NRMP Match Commitment <ul><li>“ The listing of an applicant by a program on its certified rank order list or of a program by an applicant on the applicant’s certified rank order list establishes a binding commitment to offer or to accept an appointment if a match results. </li></ul><ul><li>Failure to honor this commitment by either party will be a material breach of this Agreement an may result in penalties to the breaching program or applicant …” </li></ul>
  7. 7. NRMP – Match Waivers <ul><li>Applicants </li></ul><ul><li>Hardship </li></ul><ul><li>Change of specialty: must be requested by January 15 </li></ul><ul><li>Completion of residency postponed </li></ul><ul><li>Programs </li></ul><ul><li>Loss of funding </li></ul><ul><li>Loss of accreditation </li></ul><ul><li>Hardship </li></ul>
  8. 8. NRMP – Participation Criteria <ul><li>Programs must meet one of the following criteria: </li></ul><ul><li>Accredited by the ACGME </li></ul><ul><li>Affiliated with an ACGME-accredited program in the core discipline </li></ul><ul><li>Lead to specialty certification or oversight by an ABMS recognized certifying board </li></ul>
  9. 9. NRMP – Fellowship Sponsor Agreement <ul><li>At least 75% of programs with available positions will be registered in the match </li></ul><ul><li>These programs will actively participate by submitting rank order lists </li></ul><ul><li>At least 75% of the available positions within the subspecialty will be in the match </li></ul>
  10. 10. NRMP Cost <ul><li>Programs </li></ul><ul><ul><li>$100 institution fee </li></ul></ul><ul><ul><li>$20 per program (really track) </li></ul></ul><ul><ul><li>$20 per matched applicant </li></ul></ul><ul><li>Applicants </li></ul><ul><ul><li>$40 registration fee </li></ul></ul><ul><ul><li>$15/partner couple fee </li></ul></ul>
  11. 11. ERAS <ul><li>Advantages for applicants - they are familiar with this process </li></ul><ul><ul><li>Complete 1 application </li></ul></ul><ul><ul><li>Request 1 set of documents </li></ul></ul><ul><ul><li>Reduces certified mail expenses </li></ul></ul><ul><ul><li>Tracks status of application materials </li></ul></ul><ul><ul><li>Makes locating, researching, applying to accredited pediatric fellowship programs convenient and easy </li></ul></ul>
  12. 12. ERAS <ul><li>Disadvantages to applicants </li></ul><ul><ul><li>Cost but saves time </li></ul></ul><ul><ul><li>More applications/greater competition </li></ul></ul><ul><ul><li>Cost to applicants </li></ul></ul>
  13. 13. ERAS <ul><li>Advantages for Pediatric Fellowship Programs </li></ul><ul><ul><li>Bring greater diversity to applicant pool </li></ul></ul><ul><ul><li>Electronic process streamlines recruitment </li></ul></ul><ul><ul><ul><li>Reduces processing time </li></ul></ul></ul><ul><ul><li>Applications more timely, consistent and easier to manage and review </li></ul></ul><ul><ul><li>Supporting documents from source </li></ul></ul><ul><ul><ul><li>More reliable data </li></ul></ul></ul><ul><ul><li>ERAS data exportable </li></ul></ul><ul><ul><ul><li>To trainee tracking systems </li></ul></ul></ul><ul><ul><ul><li>For grant writing purposes </li></ul></ul></ul><ul><ul><ul><li>To GME offices </li></ul></ul></ul><ul><ul><li>Applicant behavior data - compare national and local characteristics </li></ul></ul><ul><ul><li>No fee to use ERAS Fellowships </li></ul></ul>
  14. 14. ERAS Cost <ul><li>Program </li></ul><ul><ul><li>No cost </li></ul></ul><ul><li>Applicant </li></ul><ul><ul><li>1-10 applications = $100 </li></ul></ul><ul><ul><li>11-20 = $10/each </li></ul></ul><ul><ul><li>21-30 = $15/each </li></ul></ul><ul><ul><li>31+ = $25/each </li></ul></ul><ul><ul><li>USMLE/COMLEX </li></ul></ul><ul><ul><ul><li>Transcripts $60 unlimited </li></ul></ul></ul><ul><ul><li>Processing fee = $75 </li></ul></ul><ul><ul><li>75+60+100 = 235 so $235 total first 10 applications </li></ul></ul>
  15. 15. ERAS implementation <ul><ul><li>At least 75-80% participation of programs </li></ul></ul><ul><ul><li>Decision to join ERAS Fellowships is required by Nov 1, preceding year </li></ul></ul><ul><ul><li>Registration of programs in Feb </li></ul></ul><ul><ul><li>Application cycle begins upcoming July or Dec </li></ul></ul>
  16. 16. NRMP Fellowship <ul><li>Neonatology </li></ul><ul><li>Critical Care </li></ul><ul><li>Emergency Medine </li></ul><ul><li>GI </li></ul><ul><li>Hematology/Oncology </li></ul><ul><li>Rheumatology </li></ul><ul><li>Cardiology </li></ul><ul><li>Nephrology (soon) </li></ul>
  17. 17. ERAS Fellowship <ul><li>Neonatology </li></ul><ul><li>Emergency Medicine </li></ul><ul><li>GI </li></ul><ul><li>Rheumatology </li></ul><ul><li>Cardiology </li></ul><ul><li>Nephrology </li></ul>
  18. 18. DISCUSSION …

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