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Specialties Matching Service
Match Participation Agreement
For All Matches Opening After
June 30, 2008
Terms and Conditions of the Specialties Matching Service Match Participation
Agreement Among Applicants, the NRMP, and Participating Programs
These are the terms and conditions of the Match Participation
Agreement for the Specialties Matching Services ("SMS") that each applicant
and program enters into by indicating acceptance of these terms and conditions
through clicking on the I Accept button on the Registration screen of this web
site (the "Match Site"). This SMS Match Participation Agreement is not binding
on any party indicating such acceptance, however, until the National Resident
Matching Program ("NRMP") has accepted such party's registration. Upon the NRMP's
acceptance of the registration, these terms and conditions will be a binding
agreement between such party and the NRMP, as well as between such party and
any other party who executes this SMS Match Participation Agreement in registering
for the same SMS Match and whose registration is accepted by the NRMP.
If the NRMP accepts the registration of the applicant or program in question,
the NRMP will register the applicant or program, as the case may be, in the
SMS Matching Program, as described briefly in Section 1.0
below. In consideration of this registration, each applicant and program agrees
to comply with all of the terms and conditions of this SMS Match Participation
Agreement (also referred to in these terms and conditions as "this Agreement").
Table of Contents
1.0 Introduction to the SMS Matching Program
2.0 Applicants
2.1 Eligibility
2.2 Couples
2.3 Withdrawals
2.3.1
Withdrawal by the Applicant
2.3.2 Withdrawal of Applicants by the NRMP
2.3.3 Withdrawal Deadlines/Fee Refunds
2.4 Waiver of the Match Results
2.4.1 Waiver Approvals: Applicants
2.4.2 Waiver Denials: Applicants
3.0 Programs
3.1 Eligibility
3.2 Withdrawals / Fee Refunds
3.3 Waiver of the Match Results:
Programs
3.3.1 Waiver Approvals: Programs
3.3.2 Waiver Denials: Programs
3.4 Program Closures and Reductions
in Resident Complement
4.0 Communications
4.1 Among Programs, Program Directors Groups, and the NRMP
4.2 Schedules and Deadlines
4.3 Completeness and Accuracy
of Information
4.4 Confidentiality
5.0 Matching and Appointing Rules
5.1 Match Commitment
5.2 Rank Order List Certification
5.3 Program Changes
6.0 Restrictions on Persuasion
7.0 Match Violations
7.1 NRMP Violations Policies
and Procedures
7.2 Consequences of Confirmed
Violations
7.2.1 Applicants
7.2.2 Programs
8.0 Fees and Fee Refunds
8.1 Applicant Fees
8.1.1 Applicant Registration Fee
8.1.2 Couples' Fee
8.2 Program Fees
8.3 Fee Payment Procedures
8.4 Fee Refunds; Overdue Fees
9.0 Use of Information
10.0 Representations and Warranties
11.0 Disclaimers
12.0 Limitation of Liability
13.0 Notices
14.0 Dispute Resolution
15.0 Limitation of Action
16.0 General
1.0 Introduction to the SMS Matching Program
The Specialties Matching Service is a system for the confidential ranking and
selection of applicants to advanced residency and fellowship positions. The
SMS Matching Program is provided by the NRMP to program directors' groups (i.e.,
associations of training program directors) whose programs offer entry level
positions only to applicants who have completed two or more years of graduate
medical education. To qualify for participation in the SMS, the program directors'
group representing the programs in a particular specialty must designate a specialty
representative to be responsible for overseeing the SMS match process and to
be the group's official representative to the NRMP on all matters regarding
the group's programs that register for the SMS
Matching Program. Each group participating in the SMS is expected to identify
eligible programs and to assist the NRMP in communicating with such programs.
The NRMP requires the program directors' group of each specialty participating
in the SMS to execute annually an "NRMP Program Directors' Annual Participation
Agreement" that commits active participation of at least 75 percent of the group's
eligible programs and a minimum of 75 percent of all available positions in
the specialty for that year. If a group fails to register 75 percent of its
eligible programs and/or positions, the NRMP, at its discretion, may discontinue
such group's participation in matches managed by the NRMP.
Positions may be offered through the SMS Matching Program to physician graduates
of medical schools in the United States and elsewhere who meet the eligibility
requirements set forth by the NRMP. Only applicants and programs that have
registered with the NRMP and agreed to abide by the terms of this Agreement
may participate in the SMS Matching Program.
The parties acknowledge that (a) the NRMP does not provide application services
to applicants or programs; (b) applicants must apply directly to the programs
with which they desire to match in addition to registering with the SMS Matching
Program and listing such programs on their certified rank order lists; and (c)
the NRMP is not involved in establishing the terms of any residency or fellowship
agreement and has no responsibility for providing applicants with any information
concerning such agreements.
The purpose of the SMS Matching Program is to provide a uniform time for both
applicants and programs to make their selections without pressure. A match between
an applicant and a program constitutes a binding commitment between the two
parties in accordance with the terms of this Agreement. Any breach of that commitment
may result in penalties to the breaching applicant or program, as described
in Section 7.0.
The NRMP maintains the highest professional standards in the conduct of the
SMS Matching Program and in its interactions with all participants: applicants,
program directors, and institutional officials. The NRMP expects all participants
in the SMS Matching Program to conduct their affairs in an ethical and professionally
responsible manner and to respect the right of applicants to freely investigate
program options prior to submission of a final rank order list.
2.0 Applicants
2.1 Eligibility
To participate in the SMS Matching Program, prior to the scheduled start
date of the position for which the applicant is applying, the applicant must
have completed all of the training required for such position and must meet
all of the requirements for entry into graduate medical education as prescribed
by the Accreditation Council for Graduate Medical Education ("ACGME") in Section
II of the ACGME Institutional Requirements, Residents, which are incorporated
into this Agreement by reference. Each applicant executing this Agreement
hereby affirms that he or she will meet those requirements prior to the applicable
program start date.
Each sponsoring institution (e.g., a teaching hospital) may have additional
requirements for eligibility for its programs. The NRMP is not responsible
for ensuring that any or all of the requirements have or will have been met
by an applicant prior to the scheduled beginning of the term of the position
to which the applicant matched or for communicating such requirements to applicants.
2.2 Couples
To review the NRMP procedures with respect to individuals who wish to seek
positions as a couple, click here. Applicants
registered as a couple are treated by the SMS Matching Program only as a couple.
If two applicants who registered as a couple do not obtain a match as a couple,
the SMS Matching Program will not try to find a separate match for either
of them individually.
2.3 Withdrawals
2.3.1 Withdrawal by the Applicant
Applicants may withdraw from the SMS Matching Program under certain conditions,
but only if the NRMP receives the withdrawal request prior to the applicable
rank order list certification deadline through
the Match Site Withdrawal screen for the SMS Matching Program. Applicants
who have accepted a position through any other national matching service
or by agreement outside the SMS Matching Program shall withdraw from the
Matching Program prior to the rank order certification deadline. Failure
to withdraw from the Matching Program prior to the rank order certification
deadline shall be a breach of this Agreement and may subject the applicant
to the penalties described in Section 7.0
of this Agreement. Applicants in the Matching Program are prohibited from
accepting a position through any other national matching service or by agreement
outside the Matching Program after the rank order
list certification deadline.
2.3.2 Withdrawal of Applicants by
the NRMP
At any time, the NRMP may withdraw from the SMS Matching Program any applicant
who falls into one or more of the following categories:
(a) Applicants with unpaid NRMP fees. The applicant registration procedure
requires that all fees be paid in U.S. dollars by credit card or by bank
checking account through the Match Site at the time of registration. The
applicant will be allowed to register only after credit card or checking
account information is entered through the Match Site and processed successfully.
(b) Applicants for whom the NRMP believes it has received credible evidence
that they have violated the terms of this Agreement. Upon withdrawing
an applicant from the Matching Program, the NRMP shall note in the Registration,
Ranking, and Results System that the applicant is the subject of a "pending
action". The designation shall remain in place until the applicant has
waived or exhausted the opportunity to contest the action pursuant to
the Violations Policy.
2.3.3 Withdrawal Deadlines / Fee
Refunds
Applicants may not withdraw from the SMS Matching Program after the applicable
rank order list certification deadline. Applicants
who are withdrawn from the SMS Matching Program, either by their choice
or by the NRMP, will not have their fees refunded.
2.4 Waiver of the Match Results: Applicants
Applicants and programs are not authorized to release each other from their
binding match commitment. A decision to grant or deny a waiver is at the sole
discretion of the NRMP and is not subject to arbitration. The NRMP recommends
that each applicant and program read carefully the Policies
and Procedures for Waiver Requests ("Waiver Policy") that shall govern
the NRMP's handling of waivers and which are incorporated by reference in
and are an integral part of this Agreement.
Any participant in the SMS Matching Program shall promptly notify the NRMP
of any waiver requests he/she/it receives directly from any other participant.
The NRMP, in its discretion, may grant to an applicant a waiver of his/her
binding commitment to a program if the NRMP determines that the fulfillment
of his/her commitment would cause serious hardship. An applicant who matched
to a fellowship position also may request a waiver if the applicant has elected
to change specialties, provided the waiver is requested no later than the
January 15 prior to the start of training. The applicant must request the
waiver in writing and must send the request to the NRMP with a copy to the
program to which the applicant matched. The NRMP will investigate the waiver
request to determine whether or not the waiver shall be granted.
If, following initiation of the waiver review process by the NRMP, the applicant
notifies the NRMP in writing that he/she will not accept the matched position
if the waiver is not granted, the NRMP may grant an immediate waiver to the
program so that it can recruit another qualified candidate for the matched
position.
Applicants shall not discuss or accept a position in another program prior
to or during the course of a waiver investigation. If the NRMP receives information
that an applicant has discussed or accepted a concurrent year position in
another program prior to receiving a waiver from the NRMP, the NRMP will initiate
an investigation to determine whether the applicant or program has violated
the terms of this Agreement.
Upon completing its investigation, the NRMP, in its sole discretion, may
grant a waiver to the applicant releasing him/her from the commitment to the
program, or it may deny the waiver request. Programs are not authorized to
recruit another candidate for the matched position until so notified by the
NRMP.
2.4.1 Waiver Approvals: Applicants
If the waiver is granted to the applicant by the NRMP, the applicant may
accept a position in another graduate medical education program and the
matched program may offer the vacant position to another qualified applicant.
2.4.2 Waiver Denials: Applicants
If the waiver is not granted to the applicant by the NRMP, the applicant
will be expected to accept the matched position. If the applicant does not
accept the matched position, the NRMP will initiate an investigation to
determine whether the applicant has violated the terms of this Agreement.
If the waiver is not granted to the applicant by the NRMP and the applicant
notifies the NRMP in writing that he/she will not accept the matched position,
the NRMP will grant a waiver to the matched program so that it can recruit
another qualified applicant for the matched position.
An applicant whose waiver request has been denied and who does not accept
the matched position may be barred from accepting a position in another
NRMP match-participating program that has a start date within one year from
the date of the NRMP's decision. If any NRMP match-participating program
offers a position to that applicant to commence training during the one-year
period, or if the applicant accepts such a position, the NRMP will initiate
an investigation to determine whether the applicant and/or the program has
violated the terms of this Agreement.
If the NRMP initiates a violation investigation of the applicant or program,
it will follow the procedures set forth in Section
7.0 of this Agreement.
3.0 Programs
3.1 Eligibility
The NRMP may, in accordance with the policies and advice of the sponsoring
program directors' group, be selective in determining which programs are eligible
to participate in the SMS Matching Program for that specialty. Only programs
in a specialty for which an SMS Match is being conducted may offer positions
through the SMS. Positions are titled "residency" or "fellowship" depending
upon the specialty for which the SMS Match is being conducted.
To be eligible to offer positions through an SMS Match, as of the rank
order list certification deadline for such SMS Match a program must be
either (a) accredited by the ACGME, or (b) affiliated with an ACGME-accredited
program in the primary discipline, or (c) lead to certification or endorsement
and oversight by a board recognized by the American Board of Medical Specialties.
Each program executing this Agreement hereby affirms that it will meet one
of those requirements by the rank order list certification deadline.
3.2 Withdrawals / Fee Refunds
Programs may withdraw entirely from an SMS Match or may withdraw positions
provided they do so before the quota change deadline for such SMS Match. Programs
may not withdraw from, or change the number of positions offered, in any SMS
Match after the quota change deadline for such
SMS Match except for situations beyond the control of the program, as determined
by the NRMP.
At any time, the NRMP may withdraw from the SMS Matching Program any program
that falls into one or more of the following categories:
(a) Programs that do not have the required accreditation
or meet the eligibility requirements set forth in Section 3.1 of this Agreement
(b) Programs for which the NRMP believes it has received credible evidence
that the program has violated the terms of the Agreement. Upon withdrawing
a program from the SMS Matching Program, the NRMP shall note in the Registration,
Ranking, and Results System that the program is the subject of a "pending
action". The designation shall remain in place until the program has waived
or exhausted the opportunity to contest the action pursuant to the Violations
Policy.
Further, all programs with unpaid NRMP fees will be withdrawn from the SMS Matching
Program if such fees are not remitted to the NRMP prior to the scheduled
opening of the Match Site for registration. Institutions and programs that
are withdrawn from the SMS Matching Program, either by their choice or by the
NRMP, will not have their fees refunded or waived.
3.3 Waiver of the Match Results: Programs
Programs and applicants are not authorized to release each other from their
binding match commitment. A decision to grant or deny a waiver is at the sole
discretion of the NRMP and is not subject to arbitration. The NRMP recommends
that each program and applicant read carefully the Policies
and Procedures for Waiver Requests ("Waiver Policy") that shall govern the
NRMP's handling of waivers and which are incorporated by reference in and are
an integral part of this Agreement.
Any participant in the SMS Matching Program shall promptly notify the NRMP
of any waiver requests he/she/it receives directly from any other participant.
Programs are expected to use the Applicant Match History in the Match Site
to determine the match status of any applicant considered for appointment to
the program.
The NRMP, in its discretion, may grant to a program a waiver of its binding
commitment to an applicant if the NRMP determines that fulfillment of a program's
commitment to the results of the SMS Matching Program would cause serious and
extreme hardship for the program. The waiver request must (a) be made in writing
by the program director or the NRMP institutional official with a copy to each
applicant whose position is included in the waiver request; (b) specify each
such applicant; and (c) specify the method the program will employ to assist
each such applicant to secure another residency position in the event the waiver
request is the result of program closure or a change in program complement.
The NRMP will investigate the waiver request to determine whether or not the
waiver is appropriate.
Programs shall not discuss or offer the matched position to another candidate
prior to or during the course of a waiver investigation. If the NRMP receives
information that a match-participating program has discussed or offered the
matched position to another applicant prior to receiving a waiver from the NRMP,
the NRMP will initiate an investigation to determine whether the program or
applicant has violated the terms of this Agreement.
Upon completing its investigation, the NRMP, in its sole discretion, may grant
a waiver to the program releasing it from the commitment to one or more of the
applicants whose positions were included in the waiver request, or it may deny
the request. Programs are not authorized to recruit another candidate for the
matched position until so notified by the NRMP.
3.3.1 Waiver Approvals: Programs
If the waiver is granted to the program by the NRMP, the applicant may accept
a position in another graduate medical education program and the matched program
may offer the vacant position to another qualified applicant, unless the waiver
request was based on financial hardship, a reduction in resident complement,
or loss of accreditation.
3.3.2 Waiver Denials: Programs
If the waiver is not granted to the program by the NRMP, the program will
be expected to offer the matched position(s) to the applicant(s) included
in the program's waiver request. If the program does not offer the matched
position(s), the NRMP will initiate an investigation to determine whether
the program has violated the terms of this Agreement.
If an applicant requests a waiver from the NRMP and/or the matched program,
the program shall not discuss or offer the position to any other candidate
until either (a) the matched applicant has informed the NRMP in writing that
he/she will not accept the matched position if his/her waiver request is denied
by the NRMP and the program has been notified by the NRMP that it has been
granted a waiver, or (b) the waiver is granted by the NRMP. If the NRMP receives
information that the program has discussed or offered the position to another
candidate before it has been notified by the NRMP that either of the foregoing
conditions has occurred, the NRMP will initiate an investigation to determine
whether the program has violated the terms of this Agreement.
An NRMP match-participating program is prohibited from offering a position
to an applicant who is ineligible to accept a position in an NRMP-match participating
program because his/her waiver request was denied by the NRMP. Such prohibition
applies to all positions which have a start date within one year from the
date of the NRMP's decision. If an NRMP match-participating program offers
a position to a matched applicant whose waiver was denied and training would
commence during the one-year period, or if the applicant accepts such a position,
the NRMP will initiate an investigation to determine whether the applicant
or the program has violated the terms of this Agreement.
If the NRMP initiates an investigation to determine whether a program or
applicant has violated the terms of this Agreement, the NRMP will follow the
procedures set forth in Section 7.0 of this
Agreement.
3.4 Program Closures and Reductions in Resident
Complement
If a program has reason to close and/or reduce the number of fellows, it
must follow the procedures specified in Section II of the ACGME Institutional
Requirements, as amended from time to time, or any successor requirements.
The program must notify the NRMP of the method it will employ to assist each
matched applicant in securing another graduate medical education position.
Failure to adhere to those requirements will be a breach of this Agreement.
4.0 Communications
4.1 Among Programs, Program Directors' Groups,
and the NRMP
Complete, timely, and accurate exchanges of information are essential to
the fellowship application and matching process.
All changes made by a program concerning positions must be approved by the
NRMP institutional official responsible for that program. The NRMP institutional
official is the person designated by the institution (e.g., a teaching hospital)
that sponsors the program to be responsible for overseeing the match process
and to be the institution's official spokesperson to the NRMP on all matters
regarding the institution's registered programs.
The program directors' group representing the programs in a particular specialty
desiring to participate in the SMS must designate a "specialty representative"
to be responsible for overseeing the match process and to be the group's official
representative to the NRMP on all matters regarding the group's programs that
register for the SMS Matching Program. The specialty representative will be
responsible for negotiating the terms of the services to be provided for the
specialty by the NRMP, and must have the authority to execute the "NRMP Program
Directors' Annual Participation Agreement" on behalf of the group and to commit
to the NRMP the active participation in the SMS Matching Program of 75 percent
of the programs in such specialty and 75 percent of the available positions
in a given year.
4.2 Schedules and Deadlines
An annual Schedule of Dates is published by
the NRMP and is incorporated in this Agreement by reference. Time is of the
essence in this Agreement and adherence to those dates is essential. All information
must be received by the NRMP by the published deadlines.
The teaching hospitals and their programs set their own application deadlines.
Applicants must comply with individual program schedules.
4.3 Completeness and Accuracy of Information
Applicants are responsible for the completeness, timeliness, and accuracy
of the information provided to programs. The submission of information by
an applicant during the interview and/or matching process that is false, misleading,
incomplete, or plagiarized from another source will be considered a violation
of this Agreement.
Programs are expected to provide complete, timely, and accurate information
to interviewees. Programs shall provide a copy of the contract the applicant
will be expected to sign if matched to the program if such contract is available,
or a copy of the contract currently in use. Programs also must provide all
institutional policies regarding eligibility for appointment to a residency
or fellowship position. The contract and all other information must be communicated
to interviewees in writing prior to the applicable rank
order list certification deadline.
The NRMP is not responsible for ensuring the accuracy of information exchanged
between applicants and programs. However, if the NRMP believes it has received
credible evidence that an applicant or program has violated the terms of this
Agreement, the NRMP is authorized to take appropriate action, as described
in Section 7.0 including, but not limited to,
withdrawing the applicant or program from the SMS Matching Program and reporting
the violation by the applicant or program to the ABMS, the ACGME, and/or the
program directors' group, in accordance with Section
7.0.
4.4 Confidentiality
The information submitted to the NRMP on both applicant and program rank
order lists is confidential. It is the policy of the NRMP not to disclose
such information in any manner that permits individual identification of either
applicants or programs.
5.0 Matching and Appointing Rules
5.1 Match Commitment
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. Each such appointment is subject to the official policies of
the appointing institution in effect on the date the program submits its rank
order list and is contingent upon the matching applicant meeting all eligibility
requirements imposed by those policies. Those requirements must be communicated
to applicants in writing prior to the applicable rank
order list certification deadline. It is recommended that each program
obtain a signed acknowledgment of such communication from each applicant who
interviews with such program.
Failure to honor this commitment by either party participating in a match
will be a breach of this Agreement and may result in penalties to the breaching
program or applicant, as described in Section 7.0.
Any program that discusses or offers a position to an applicant who matched
to a concurrent year position in another program and who has not been granted
a waiver by the NRMP will be in breach of this Agreement and may be subject
to the penalties described in Section 7.0.
Programs shall not interview or discuss with an applicant any potential position
unless the program has first determined that the applicant is eligible for
appointment. Programs shall determine the applicant's eligibility by verifying
the applicant's match status in the Applicant Match History that is available
in the Match Site and/or by calling the NRMP to obtain that information.
After the general announcement of match results, each program will forward
letters of appointment to all applicants who have matched with that program.
Applicants are expected to return one copy of the letter of acceptance to
the program before the deadline stated in the letter.
5.2 Rank Order List Certification
To participate in the SMS Matching Program, programs and applicants must
(a) register with the SMS Matching Program and (b) submit certified rank order
lists electronically using the Match Site. Use of the Match Site requires
Internet access using common browser programs, as described in the User
Guide. Rank order lists cannot be submitted by mail or in any way other
than through the Match Site.
Access to the Match Site is limited to registered programs and applicants
and other authorized users. Each authorized user must enter a unique code
and password.
The rank order list ("ROL") can be entered in more than one session and can
be modified multiple times prior to the ROL certification
deadline. Parties are encouraged to finish this process at least a week
before the ROL certification deadline, prior to the peak utilization period
when the Match Site may be less accessible. THE NRMP DOES NOT GUARANTEE
THE AVAILABILITY OF THE MATCH SITE AND WILL NOT MODIFY IN ANY WAY THE RANK
ORDER LISTS OF APPLICANTS OR PROGRAMS.
5.3 Program Changes
Programs may make quota changes, additions, withdrawals, and other changes
in the positions they desire to fill through the Matching Program. Such changes
must be approved by the institutional official responsible for the program
making the change as described in Section 4.1, and
must be made on the Match Site by the quota change
deadline for the SMS Match in question. Exceptions to this deadline may
be requested by the program director institutional official for cases of extreme
emergency, such as loss of funding or accreditation. In such cases, a written
request for relief should be made to the NRMP.
6.0 Restrictions on Persuasion
One of the purposes of the SMS Matching Program is to allow both applicants
and programs to make selection decisions on a uniform schedule and without coercion
or undue or unwarranted pressure. Both applicants and programs may express their
interest in each other; however, they shall not solicit verbal or written statements
implying a commitment. It is a breach of the applicable Match Participation
Agreement for either party to suggest or inform the other that placement on
a rank order list is contingent upon submission of a verbal or written statement
indicating ranking intentions. In addition, it is a breach of this Agreement
for a participant in the SMS Matching Program to make any verbal or written
contract for appointment to a concurrent year residency or fellowship position
prior to the SMS Matching Program. Only the final preferences of programs
and applicants, as expressed on their final certified rank order lists, will
determine the offering of positions and the placement of applicants through
the SMS Matching Program.
7.0 Match Violations
7.1 NRMP Violations Policies and Procedures
The NRMP requires all SMS Matching Program participants to behave in an ethical
and responsible manner during the matching process and to comply with the
terms and conditions of this Agreement. It is the policy of the NRMP to investigate
alleged breaches of this Agreement, including but not limited to: failure
to provide complete, timely, and accurate information during the interview
and matching process; discrepancies in graduation credentials; attempts to
subvert eligibility requirements or the matching process itself; failures
to offer or accept an appointment as required by the results of a match; and
any other irregular behavior or activities that occur in connection with registration,
the submission or modification of a rank order list, and/or the participant's
commitment to honor the match outcome. Matching program participants shall
report to the NRMP any suspected violation of the applicable match participation
agreement.
The NRMP Policies and
Procedures for Reporting, Investigation, and Disposition of Violations of
NRMP Agreements ("Violations Policy") shall govern the NRMP's handling
of match violations and are incorporated by reference in and are an integral
part of this Agreement.
At any time the NRMP may withdraw any applicant or program from the SMS Matching
Program if the NRMP believes it has received credible evidence that the applicant
or program has violated the terms of this Agreement. Applicants or programs
withdrawn under sections 2.3.2 (b), 3.2 (b), or 7.0 of this Agreement shall
be afforded an opportunity to be heard in accordance with the Violations
Policy.
Upon withdrawing an applicant or program from the SMS Matching Program, or
upon confirmation by a Review Panel that the applicant or program has violated
the terms of this Agreement, the NRMP shall note in the Registration, Ranking,
and Results (R3) System that the applicant or program is the subject of a
"pending action". The designation shall remain in place until the
applicant or program has waived or exhausted the opportunity to contest the
adverse action pursuant to the Violations
Policy.
7.2 Consequences of Confirmed Violations
The consequences of a confirmed violation of this Agreement are set forth
in the Violations Policy.
They include the following:
7.2.1 Applicants
If the NRMP's investigation of an alleged violation results in a finding
that an applicant has committed a violation of this Agreement, the processing
of the applicant's rank order list may be interrupted. The NRMP at its discretion
may withdraw the applicant from the SMS Matching Program.
The NRMP's Final Report on the confirmed violation will be delivered
to the applicant with copies to:
(1) the applicant's medical school official, with a request that the
Final Report be placed in the applicant's permanent file
(2) the Educational Commission for Foreign Medical Graduates if the applicant
is a graduate of an international medical school
(3) the NRMP institutional official and the director of the program
to which the applicant matched
(4) the NRMP institutional official and the director of the program
to which the applicant has applied or switched (if known)
(5) the party who originally reported the violation
(6) the NRMP Executive Committee
(7) the American Board of Medical Specialties
(8) the applicant's residency program director
(9) the Federation of State Medical Boards if the applicant is to be
permanently identified as a match violator or permanently barred from
future NRMP matches
(10) any parties whom the NRMP has determined are relevant to its investigation
In addition, the applicant may be barred from subsequent NRMP matches
and/or identified as a match violator to participating programs for up to
three years or permanently, as determined by the NRMP. The applicant also
may be barred from accepting a position in an NRMP match-participating program
that would commence training within one year from the date of issuance of
the Final Report. Further, any matched applicant who does not accept
his/her matched position and has been denied a waiver of his/her match commitment
may be barred from accepting a position in an NRMP match-participating program
that would commence training within one year from the date of the NRMP's decision
on the waiver.
The decision conveyed in the Final Report will be reflected permanently
in the Match Site Applicant Match History. Term limits of any sanction(s)
imposed for the violation will be included to identify the length of time
the action is in effect.
7.2.2 Programs
If the NRMP's investigation of an alleged match violation by a
program results in a finding that a program has committed a material violation
of this Agreement, the processing of the program's rank order list may be
interrupted. The NRMP at its discretion may withdraw the program from the
SMS Matching Program.
The NRMP's Final Report on the confirmed violation will be delivered
to the program director with copies to:
(1) the NRMP institutional official for transmittal to the institution's
graduate medical education committee
(2) the chair of the institution's graduate medical education committee
(3) the ACGME for distribution to the respective Residency Review Committee
(RRC) and the Institutional Review Committee
(4) the respective specialty program director association
(5) the party who originally reported the violation
(6) the NRMP Executive Committee
(7) any parties whom the NRMP has determined are relevant to its investigation
In addition, the program may be barred from future NRMP matches and/or
identified as a match violator for up to three years or permanently, as
determined by the NRMP. The decision conveyed in the Final Report will
be reflected permanently in the Institution and Program Violations report
in the Match Site. Term limits of any sanction(s) imposed for the violation
will be included to identify the length of time the action is in effect.
A program is prohibited from offering a position to an applicant who
has been barred for one year from accepting a position in an NRMP match-participating
program because his/her waiver request has been denied or because of a
confirmed violation of an NRMP Match Participation Agreement. If a program
offers a position to such applicant, or if an applicant accepts such a
position, and training would commence within one year of the date of the
NRMP's waiver decision or the date of issuance of the Final Report, the
NRMP will initiate an investigation to determine whether the applicant
or program has violated the terms of the Agreement.
8.0 Fees and Fee Refunds
8.1 Applicant Fee
8.1.1 Applicant Registration Fee
The applicant must pay an applicant registration fee before the NRMP will
accept the applicant's registration.
8.1.2 Couples' Fee
Each partner of a couple must pay a couple registration fee at the time
of registering as a couple. The couples' fee is not refundable if the partners
subsequently decide not to participate in the match as a couple.
8.2 Program Fee
Each institution must pay an institution registration fee, a program registration
fee for each of its registered programs, and a matched applicant fee for each
applicant with whom a program matches successfully. The NRMP will invoice
the institution for those fees and all incurred expenses, which must be paid
within thirty (30) calendar days of the invoice date. The invoice will be
sent to the institutional official, who will be responsible for ensuring prompt
payment.
8.3 Fee Payment Procedures
All fees must be paid in US dollars by credit card or by bank checking account
through the Match Site by the due date for such fees. Applicant registration
fees must be paid at the time of registration. By electing to pay by credit
card or checking account, each applicant authorizes the NRMP to supply the
bank with information it requires in order to resolve inquiries regarding
related credit card charges or account withdrawals. If the credit card or
checking account is not approved for the amount necessary to cover the applicable
fees, the applicant will not be allowed to register unless replacement credit
card or checking account information is entered through the Match Site and
processed successfully prior to the scheduled opening of the Match Site for
rank order list entry.
8.4 Fee Refunds; Overdue Fees
The fees paid by applicants, programs, and institutions are not refundable.
Rank order lists will not be accepted from any applicant whose registration
fee, or any other fees due the NRMP, have not been paid. Applicants and programs
with unpaid NRMP fees will be withdrawn from the Matching Program.
9.0 Use of Information
Each program and applicant authorizes the NRMP to use any information provided
by such program or applicant to the NRMP in any study approved by the NRMP,
provided that no information clearly and uniquely identifiable with such program
or applicant is disclosed in reports resulting from such study.
Each applicant also authorizes the NRMP to release applicant SMS Matching Program
results to each program that ranked the applicant on the program's ROL, to the
specialty representative to the NRMP, and to those program directors who request
such information to verify whether the applicant was matched.
10.0 Representations and Warranties
Each program and applicant represents and warrants to the NRMP that all of
the information provided, or that will be provided, by such program or applicant
to the NRMP is complete, timely, and accurate to the best of such program's
or applicant's knowledge at the time such information was or will be provided
and at the time of certification of such program's or applicant's rank order
lists. Each applicant further represents that he/she has authorized all institutions
and individuals who may possess this information to disclose it to the NRMP
for purposes of verification.
11.0 Disclaimers
The parties acknowledge that the fees charged by the NRMP for participation
in the SMS Matching Program include no consideration for any assumption by the
NRMP of the risk of any damages that may arise in connection with any program's
or applicant's participation in the SMS Matching Program or utilization of the
Match Site. Each party agrees that neither:
(a) the NRMP,
(b) the current managing agent for the NRMP, the Association of American
Medical Colleges, or any successor managing agent (the "Managing Agent"),
(c) any vendor providing equipment, software, or services to the NRMP or
the Managing Agent ("Vendor"), nor
(d) any director, officer, employee, affiliate, or agent of the NRMP, the
Managing Agent, or any Vendor,
will be liable for any loss, damage, cost, or expense whatsoever, direct or
indirect, regardless of the cause, that may arise out of, or be in any way related
to, the use of the SMS Matching Program, the Match Site, or the automated systems
and services utilized by the NRMP or the Managing Agent to implement the SMS
Matching Program or to send notices, including, but not limited to: (a) the
suspension or termination of, or the inability to use, all or any part of the
Match Site; (b) the erroneous transmission of any data or the transmission of
any erroneous data; (c) any failure or delay suffered or allegedly suffered
by any party in receiving or sending any rank order list or other information
or in certifying a rank order list, however caused; (d) the delivery or transmission
of any virus, worm, or other disruptive device; or (e) any other cause in connection
with the furnishing of services or notices by the NRMP or the Managing Agent
or the performance, maintenance, or use of, or inability to use, all or any
part of the Match Site. The foregoing will apply regardless of whether a claim
arises in contract, tort, negligence, strict liability, or otherwise.
The automated systems and services utilized by the NRMP or the Managing Agent
to implement the SMS Matching Program and the Match Site are provided "AS IS"
and "AS AVAILABLE." NONE OF THE NRMP, THE MANAGING AGENT, ANY VENDOR, OR
ANY OF THEIR DIRECTORS, OFFICERS, AGENTS, EMPLOYEES, OR AFFILIATES MAKES ANY
WARRANTY OR REPRESENTATION OF ANY KIND, EXPRESS OR IMPLIED, WITH RESPECT TO
SUCH SERVICES, THE MATCH SITE, OR THE SMS MATCHING PROGRAM, OR TO THE ACCURACY,
COMPLETENESS, SECURITY, TIMELINESS, OR RELIABILITY OF THE INFORMATION TO WHICH
ANY PARTY HAS ACCESS OR TRANSMITS OR RECEIVES THROUGH THEM OR THROUGH ANY OTHER
AUTOMATED SYSTEM. ALL IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR
PURPOSE, TITLE, AND NON-INFRINGEMENT ARE EXPRESSLY EXCLUDED. No oral or
written information or advice given by the NRMP, the Managing Agent, any Vendor,
or any of their directors, officers, agents, affiliates, or employees will create
a warranty, and no party may rely on any such information or advice.
There is no assurance that the information to which the parties have access
through the Match Site will be accurate, complete, secure, timely, or reliable,
or that the Match Site or the automated services utilized by the NRMP or the
Managing Agent will be error-free or operate without interruption. In particular,
and without limiting the generality of the foregoing, the NRMP makes no warranty
that certified rank order lists processed through use of such automated services
will be properly executed. Each program and applicant is solely responsible
for verifying that its/his/her certified rank order list has been duly entered
and certified.
12.0 Limitation of Liability
IN NO EVENT WILL THE NRMP, THE MANAGING AGENT, OR ANY VENDOR OR AFFILIATE
BE LIABLE FOR ANY DAMAGES AS A RESULT OF ANY NEGLIGENT ACT OR OMISSION OF THE
NRMP, THE MANAGING AGENT, OR ANY VENDOR OR AFFILIATE, IRRESPECTIVE OF WHETHER
THE INJURED PARTY IS A PROGRAM, AN APPLICANT, OR A THIRD PARTY.
13.0 Notices
All notices to the NRMP, other than those given in accordance with Section
7.0, must be given either by email at nrmp@aamc.org
or through the Match Site and are effective upon receipt. The NRMP is not responsible
for delays in email or Internet service. Any notices or documents received
by the NRMP after the relevant deadline date will not be considered.
All notices, other than those given in accordance with Section
7.0, to applicants or programs will be given either by (a) email to the
email address provided by such party to the NRMP upon submission of such party's
registration in the Match Site or (b) through the Match Site while the applicant
or program is logged on to the site. All notices to applicants or programs given
by email will be deemed given twenty-four (24) hours after sending, unless the
sending party is notified that the email address is invalid or that the message
was not delivered. All notices given by the NRMP during an applicant's or program's
session on the Match Site will be deemed given at the time of such session.
14.0 Dispute Resolution
Except for the granting or denial of a waiver as noted in Sections 2.4 and
3.3 of this Agreement, all disputes arising out of, or related to, the Matching
Program, this Agreement, or the breach thereof, between or among the NRMP and
any applicant or program participating, or seeking participation, in the SMS
Matching Program must be settled by arbitration in accordance with the rules
of the American Health Lawyers Association Alternative Dispute Resolution Service
then in effect, unless the parties to the dispute mutually agree otherwise.
Notwithstanding the foregoing, no arbitrator shall have power to adjudicate
any dispute as a class arbitration or as a consolidated arbitration without
the express consent of all the parties to any such dispute. Notice of the demand
for arbitration must be filed in writing with all other parties to the arbitration
and with the American Health Lawyers Association. A demand for arbitration in
a matter that is covered by the Violations
Policy must be made in accordance with the Violations Policy. The arbitrators
must conduct all arbitration proceedings in the Office of the NRMP in Washington,
DC or at such other location as mutually agreed upon by the parties. Each party
will share equally in the cost of arbitration, except that the party requesting
arbitration must pay the filing fee in its entirety. The award by the arbitrator
or arbitrators will be final and must be in writing. Judgment upon the award
rendered may be entered in any court having jurisdiction thereof, so long as
the arbitrators acted in good faith. The arbitrator shall not have the power
to make an award that is inconsistent with the provisions of this Agreement
or with District of Columbia substantive law.
15.0 Limitation of Action
No claim or cause of action, regardless of form, arising out of or related
to the SMS Matching Program, this Agreement, or the breach thereof, or any other
dispute between the NRMP and any applicant or program participating, or seeking
participation, in the Matching Program, may be brought in an arbitral, judicial,
or other proceeding by any party more than 30 calendar days after the cause
of action has accrued, regardless of any statute, law, regulation, or rule to
the contrary ("Limitation Period"). The Limitation Period shall commence the
day after the day on which the cause of action accrued. Failure to institute
an arbitration proceeding within the Limitation Period will constitute an absolute
bar and waiver of the institution of any proceedings, whether in arbitration,
court, or otherwise, with respect to such cause of action. A cause of action
that has become time-barred may not be exercised by way of counter claim or
relied upon by way of exception.
In addition, any party who desires to contest a decision of a Review Panel
of the NRMP must notify the NRMP of its intent to seek arbitration within 10
business days from that party's receipt of the Panel's report and must file
a demand for arbitration within 30 calendar days of receipt of such report,
in accordance with the terms of the Violations Policy. If notice of a party's
intent to seek arbitration is not received by the NRMP in accordance with the
Violations Policy,
or if the party does not file a demand for arbitration in accordance with the
Violations Policy, that party is deemed to have waived and is barred from later
filing a demand for arbitration or seeking other relief.
16.0 General
This Agreement is governed by the laws of the District of Columbia, excluding
its choice of law provisions.
The headings of the Sections of this Agreement have been inserted for convenience
of reference only and shall in no way restrict or otherwise affect the construction
of the terms or provisions of this Agreement. Unless indicated otherwise, references
in this Agreement to Sections are to Sections of this Agreement.
If any provision of this Agreement is found in any arbitration proceeding or
by any court of competent jurisdiction to be invalid, illegal, or unenforceable,
that provision shall be modified to the minimum extent necessary to achieve
the purpose originally intended, if possible, and the validity, legality, and
enforceability of the remaining provisions will not be affected or impaired
and are to be enforced to the maximum extent permitted by applicable law. If
any remedy set forth in this Agreement is determined to have failed of its essential
purpose, then all other provisions of this Agreement will remain in full force
and effect.
Failure of any party to act or exercise its rights under this Agreement upon
the breach of any other terms hereof by any other party is not to be construed
as a waiver of such a breach or prevent such party from later enforcing compliance
with any or all of the terms hereof. This Agreement contains the entire agreement
between the parties with respect to the Matching Program and its results. Any
representations, promises, or conditions not incorporated in this Agreement
will not be binding upon any of the parties. No modification of this Agreement
shall be effective unless in writing and executed by the party against whom
it is to be enforced.
Updated: July 2008
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