The Role of the NRMP in Graduate Medical Education
The NRMP is a mechanism for matching residency applicants to programs
according to the preferences expressed by both parties on their individualized
rank order lists. The NRMP is not a centralized application service
for individuals applying to graduate medical education programs and does
not advise applicants in selecting specialties or programs.
The NRMP Directory, available in the NRMP's secure, web-based
Ranking, and ResultsSM (R3SM)
system to all registered participants, lists all of the hospitals and
programs currently enrolled in The Match.
Types of Positions Offered Through the Main Residency
Categorical (C) positions are programs that expect applicants
who enter in their first post-graduate year to continue until they
have completed all of the training required for specialty certification,
provided their performance is satisfactory.
Primary Care (M) positions are categorical primary care or
generalist positions offered in some Internal Medicine and Pediatric
Preliminary (P) positions provide one or two years of prerequisite
training for entry into an advanced positions in specialty programs
that require one or more years of broad clinical training. Internal
Medicine, Surgery, and Transitional programs commonly offer preliminary
Advanced (A) positions begin in the year after The Match and
are in specialty programs that begin training after completion of
one or more years of preliminary training. Applicants without prior
graduate medical education can apply for these positions while also
applying for preliminary positions that are compatible with their
Physician (R) positions are advanced positions in specialty
programs that start in the year of The Match and are reserved for
physicians who have already had some previous graduate medical education.
Physician positions are not available to senior U.S. medical students.