How a Match 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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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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Matching Algorithm

The NRMP uses a mathematical algorithm to place applicants into residency and fellowship positions. The algorithm is “applicant-proposing”, and as a result, no applicant could obtain a better outcome than the one produced by the algorithm.

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

Learn how to register and what needs to be done each year at the beginning of a Match.

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Applicants: About Rank Order Lists

It is the final preferences of applicants and program directors, as expressed on their rank order lists (ROLs), that determines the Match outcome. When a ROL is complete, it must be certified in order to be included when the matching algorithm is processed.

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Participating as a Couple

The NRMP permits individuals who register for the same 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

It is the final preferences of applicants and program directors, as expressed on their rank order lists (ROLs), that determines the Match outcome. When a ROL is complete, it must be certified in order to be included when the matching algorithm is processed.

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