Fellowship Matching through the Specialties Matching Service®

The NRMP provides matching services for subspecialty training through the Specialties Matching Service® (SMS®). A Match allows applicants and program directors to consider each other without pressure, creates an impartial venue for matching applicants’ and program directors’ preferences, and establishes a uniform date for appointments to programs.  A Match also fosters fairness in the selection process by ensuring all participants comply with the policies governing the Match and produces convenient applicant, program, and specialty-specific data.

Through the SMS Fellowship Matches, applicants are “matched” to programs using the rank order lists of applicants and program directors that are processed by the NRMP matching algorithm.  SMS Matches are managed through the NRMP’s Registration, Ranking, and Results® (R3®) system, the same software that is used for all NRMP Matches.


To qualify for positions in fellowship programs, applicants must have completed a core residency training program and meet the prerequisites for training that are specific to their preferred specialty.

Applicants also must meet all of the requirements for entry into graduate medical education as prescribed by the Accreditation Council for Graduate Medical Education (ACGME®) if the program is accredited by the ACGME.  Each sponsoring institution (e.g., a teaching hospital) may have additional eligibility requirements.

To find out if a specialty participates in the SMS and learn more about prerequisite requirements, review the Participating Fellowships.