How It Works
Registration, Ranking and Results (R3) System

The R3 system is the application through which all NRMP Matches are managed. The R3 system maintains the highest level of security and can be used with any computer with access to the Internet.

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Applicants: How to Register for a Match

Registration for an NRMP Match requires completing an eleven-step registration process that includes reading and electronically signing the Match Participation Agreement and paying the registration fee.

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Matching Algorithm

The NRMP uses a mathematical algorithm to place applicants into residency and fellowship positions. The process begins with an attempt to match an applicant to the program most preferred on that applicant’s rank order list.

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Match Fees

NRMP Matches require payment of a nominal fee at the time of registration. All Match fees, including couples fees, are non-refundable and must be paid in full prior to submitting a rank order list.

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Participating as a Couple

The NRMP permits individuals who register for a Match to participate as a couple. The couple will match to the most preferred pair of programs on the rank order lists where each partner as been offered a position.

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Programs: About Rank Order Lists

All programs must be registered for a Match and have approved access to the R3 system in order to create a ROL. When a ROL is complete, it must be certified in order to be included when the matching algorithm is processed.

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Impact of ROL Length

The NRMP collects data on the relationship between the average length of ROLs of filled and unfilled programs and matched and unmatched applicants. Data shows that filled programs and matched applicants have longer ROLs.

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Applicants: About Rank Order Lists

All applicants must be registered for a Match and have approved access to the R3 system in order to create a ROL. When a ROL is complete, it must be certified in order to be included when the matching algorithm is processed.

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Institutions, Programs, Schools: How to Register for a Match

Registration for an NRMP Match requires completing an eleven-step registration process that includes reading and electronically signing the Match Participation Agreement and paying the registration fee.

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