Frequently Asked Questions
U.S. Seniors

The following categories contain common questions about the NRMP matching process for U.S. Seniors. If you do not find the information you seek, please review the Match Participation Agreement.

I. Match Registration

Why does NRMP want my e-mail address? What if I have not received any email from the NRMP?

My credential status says NOT VERIFED. What does this mean, and what do I need to do?

I already registered with ERAS. Do I still need to register with the NRMP?

How will the NRMP be using Facebook and Twitter? Do I need to have accounts?

II. Match Ranking

Are institutions/programs required to provide information about the appointment contract and conditions of employment?

During my interview, the program director asked me about other programs to which I had applied and how I plan to rank them. Am I obligated to provide that information?

I'm a US senior in an allopathic medical school and I've been offered a position outside the Match. What should I do?

I would like to participate in the Main Residency Match as a couple with my partner. Can that be done and will the NRMP link our rank order lists?

Can I make changes or additions to my rank order list (ROL) after I certify it? If so, how quickly is my list updated, and are previous versions of my ROL maintained in the R3 system?

Will I be able to print a copy of my rank order list (ROL) before or after submission?

How will I know that the NRMP received my certified rank order list (ROL)?

How does the NRMP know when my rank order list (ROL) is ready to be used in the Main Residency Match?

Is there a limit to the number of programs I can rank?

Can anyone else see my rank order list (ROL)?

Why does it take three weeks from the rank order list (ROL) deadline to Match Day?

III. Match Results and Match Week

How will I know if I have matched to a program?

What happens if I do not match to a position?

What is the Match Week Supplemental Offer and Acceptance Program (SOAP), and how does it work?

How will I know if I am eligible to participate in the Match Week Supplemental Offer and Acceptance Program (SOAP)? If I am eligible, how do I apply to or contact programs about unfilled positions during SOAP?

If I accept a position during the Match Week Supplemental Offer and Acceptance Program (SOAP), is it binding?

I just learned that I am not eligible to participate in the Match Week Supplemental Offer and Acceptance Program (SOAP). How do I attempt to obtain an unfilled position?

How often is the List of Unfilled Programs updated?

How do I apply to programs not participating in SOAP?

Are programs allowed to contact me for an interview during SOAP?

IV. Post Match

What happens if I obtain a position and decide not to accept it? Can my program issue me a waiver?

How long must I remain in my program?

I obtained a position in the Main Residency Match, but I just learned that I will not graduate in time to begin training on July 1. What should I do?

What is the process if I am investigated for a violation of the Match Participation Agreement?

How can I learn whether an institution or program I am interested in ranking has been the subject of a violation investigation conducted by the NRMP?

Why does NRMP want my e-mail address? What if I have not received any email from the NRMP?

E-mail is the primary mode of communication used by NRMP, so change your e-mail address as often as necessary to keep an updated e-mail address on your personal profile in the Registration, Ranking, and Results (R3) system.

To change it, simply log into the R3 system with your AAMC ID and Password, go to Update My Profile, click Edit, enter the corrected e-mail address, and click Submit.

Many e-mail messages from NRMP are sent simultaneously to multiple applicants. Some e-mail providers use filters to ensure that users do not receive spam (junk e-mail). In some cases, those filters can prevent NRMP e-mails from getting through to participants.

The good news: the majority of providers that offer such filters generally provide the user with the option to turn the filter on or off. Other providers make a "junk mail file" or a "bulk mail folder" that includes all messages, sent to the user but identifies multiple-addressee e-mails. Our e-mail address, support@nrmp.org should be added to your personal contact, address book, "Safe," or "People I Know" (for AOL users) list. For instance, if Hotmail sends an NRMP e-mail message to your Junk Mail box, you can tell Hotmail to add support@nrmp.org to your Safe List or to send it to your inbox.

If you are not receiving e-mail from NRMP and your provider does not offer such options, we recommend that you either contact your provider to determine the best way to access such messages or consider using an additional or replacement provider during your matching process for your primary e-mail address.

My credential status says NOT VERIFIED. What does this mean, and what do I need to do?

There is nothing you need to do. If your Credential Status indicates you are NOT VERIFIED, your medical school official has not yet determined that you will be eligible to enter graduate medical education programs on July 1 in the year of the Match. Your medical school has up until the Rank Order List deadline to verify your graduation credentials.

I already registered with ERAS. Do I still need to register with the NRMP?

Yes, ERAS and NRMP are two separate organizations and applicants need to register for both services.

How will the NRMP be using Facebook and Twitter? Do I need to have accounts?

The NRMP will be posting and tweeting the latest news, policy information, and deadline reminders about the Main Residency Match. We will not be inundating you with posts and tweets, but rather aiming for any way to reach our users. The NRMP is on Facebook at http://www.facebook.com/TheNRMP and its Twitter account is https://twitter.com/#!/TheNRMP. "Like" us on Facebook and "Follow" us on Twitter!

We encourage users to post their questions and comments to our social media sites. We want our social media sites to be interactive and helpful for you. Remember to use good judgment when posting comments and questions. Posts including any identifying information will be deleted immediately to protect the individuals' privacy. In addition, posts that are obscene, hateful, threatening, or abusive will be removed. NRMP reserves the right to remove any post at any time from our social media sites.

The NRMP will continue to send email announcements and reminders to all users so you are not obligated to register with Facebook or Twitter to stay current on Match developments. The NRMP also posts the latest information to www.nrmp.org.

Are institutions/programs required to provide information about the appointment contract and conditions of employment?

Yes. Section 4.4 of the Match Participation Agreement for Applicants and Programs requires programs to provide complete, timely, and accurate information to interviewees, including a copy of the contract the applicant will be expected to sign if matched to the program and the institution's policies on visa status and eligibility for appointment. The information must be communicated to interviewees prior to the rank order list deadline, and a signed acknowledgment should be obtained from each interviewee. Recognizing that many appointment contracts are lengthy and that others may not contain all of the institution's relevant policies, an acceptable alternative is to post the contract and policies on the institution's Web site and notify interviewees where the information may be found. The signed acknowledgment should include a statement that the interviewee was notified that the information is posted on the Web site.

During my interview, the program director asked me about other programs to which I had applied and how I plan to rank them. Am I obligated to provide that information?

No. Section 6.0 of the Match Participation Agreement prohibits programs from requiring applicants to reveal the names or identities of programs to which they have or may apply. Any program that requires an applicant to disclose such information is in violation of NRMP policy and will be investigated by the NRMP.

I'm a U.S. Senior in an allopathic medical school, and I've been offered a position outside the Main Residency Match. What should I do?

As a U.S. Senior, you cannot accept a position outside of The Match. NRMP policy states that all U.S. Seniors must be taken through the Main Residency Match or another national matching plan. Offering a contract outside The Match is a violation of the Match Participation Agreement for the program.

I would like to participate in the Main Residency Match as a couple with my partner. Can that be done and will the NRMP link our rank order lists?

The NRMP accommodates applicants who wish to be matched as a couple. Each partner of a couple must enroll individually in The Match and indicate in the NRMP R3 system that they want to participate in The Match as a couple. The couple will match to the most preferred pair of programs on the rank order lists where each partner has been offered a position. The algorithm considers only a couple's primary rank order lists when attempting to find a match and does NOT treat a couple's supplemental rank order lists as a unit in The Match For more information about couples, visit the Couples page.

Can I make changes or additions to my rank order list (ROL) after I certify it? If so, how quickly is my list updated, and are previous versions of my ROL maintained in the R3 system?

Yes, your rank order list can be modified or re-ordered any number of times up until 9:00 p.m. eastern time on the rank order list deadline.

If you change your certified ROL by adding, moving, or deleting a program, the change is saved and the previous rank order list is deleted from the R3 system. You must recertify your ROL again for it to be used in The Match. No changes can be made to your rank order list after the rank order list deadline. The NRMP will not add, delete, or in any way modify your rank order list.

Rank order lists are updated in real time so users always have current information. Applicant and program lists are updated in the R3 system whenever an applicant or program changes the list.

Will I be able to print a copy of my rank order list (ROL) before or after submission?

Yes. You can print a copy of your ROL at any time during the process by using the Web browser print button. You also can open a printer-friendly version of your ROL by using the View/Print ROL link on the My Rank Order List page under the Options heading. The NRMP recommends that you print a copy of your certified ROL to keep in your records.

How will I know that the NRMP received my certified rank order list (ROL)?

Yes. When you certify your ROL, NRMP will send a confirmation to your primary e-mail address that includes the number of programs on your primary and supplemental lists.

How does the NRMP know when my rank order list (ROL) is ready to be used in the Main Residency Match?

When you have entered all of your ranks, you must certify your ROL. Click the red Certify List button. You then will be asked to enter your Password. If you make changes to your ROL, you must recertify it. A Match Status of green CERTIFIED ROL in the header (where your name and AAMC ID are displayed) is the indication that your ROL is certified and ready to be used in The Match.

Is there a limit to the number of programs I can rank?

Technically, there is no limit. However, there is a $30 charge per program ranked for each program over the first 20. For example, a list of 50 would cost an additional $900.

For each partner of a couple, there is $30 charge for each additional "unique" program ranked over the first 30.

Can anyone else see my rank order list (ROL)?

Your rank order list is confidential and will never be shared with the programs. You are the only person, other than the NRMP staff, who can access your ROL unless you give your AAMC ID and password to someone else.

Why does it take three weeks from the rank order list (ROL) deadline to Match Day?

Several weeks are needed for the NRMP to take a number of steps to ensure the accuracy of Match results and the subsequent release of Match information. Those steps include:

• Checking the integrity and completeness of the data.
• Transferring the data to the algorithm module, checking it again, and processing the matching algorithm.
• Verifying the results of The Match and transferring the data into the NRMP databases.
• Conducting the Match Week Supplemental Offer and Acceptance Program (SOAP).
• Creating more than 60,000 individual reports for applicants, programs, and schools, and assuring confidentiality of that information.
  

How will I know if I have matched to a program?

At 12:00 noon eastern time on Monday of Match Week, applicants can learn IF they matched to a program on their rank order list by logging in to the NRMP's Registration, Ranking, and Results (R3) system with their AAMC ID and password. Applicants will be presented with one of the following messages on the Applicant Options page:

1. Congratulations, you have matched!

This message will be displayed for any applicant who is "fully" matched, including

• Applicants who listed and matched to a categorical program.
• Applicants who listed and matched to preliminary and advanced programs.

Other conditions also apply. Applicants who listed only advanced programs on their certified rank order lists and did not list any preliminary positions on a supplemental rank order list will receive this message. Similarly, applicants who included only preliminary programs on their certified rank order lists will receive this statement. The matching algorithm considers an applicant "matched" if he/she lists only one program type on his/her certified rank order list. Applicants who receive this message will not be eligible to participate in the Match Week Supplemental Offer and Acceptance Program, nor will they have access to the List of Unfilled Programs.

2. Congratulations, you have matched to an advanced position but not a first year position!

This message will be displayed for any applicant who matched to an advanced position but did not match to a preliminary position listed on a supplemental rank order list. Applicants who receive this message and who are deemed eligible to enter graduate medical education on July 1 in the year of The Match will have access to the List of Unfilled Programs and will be eligible to participate in the Match Week Supplemental Offer and Acceptance Program obtain a preliminary position. Applicants will not have access to information about unfilled categorical or advanced positions.

3. Congratulations, you have matched to a one year position!

This message will be displayed for any applicant who matched to a preliminary position but did not match to an advanced position listed on the primary rank order list. Applicants who receive this message and who are deemed eligible to enter graduate medical education on July 1 in the year of The Match will have access to the List of Unfilled Programs and will be eligible to participate in the Match Week Supplemental Offer and Acceptance Program to obtain an advanced position. Applicants will not have access to information about untilled categorical or preliminary positions.

4. We are sorry, you did not match to any position!

This message will be displayed for any applicant who did not match to any program. For applicants participating as a partner of a couple, this statement also may be displayed if the applicant listed the 999999999 program code on the primary rank order list to indicate '"No Match". Applicants who receive this message and who are deemed eligible to enter graduate medical education on July 1 in the year of The Match will have access to the List of Unfilled Programs and will be eligible to participate in the Match Week Supplemental Offer and Acceptance Program for any category of unfilled positions.

5. You are NOT matched because you did not submit a certified rank order list!

This message will be displayed for any applicant who registered to participate in the Match but did not certify a rank order list prior to the rank order list certification deadline. Applicants who receive this message and who are deemed eligible to enter graduate medical education on July 1 in the year of The Match will have access to the List of Unfilled Programs and will be eligible to participate in the Match Week Supplemental Offer and Acceptance Program for any category of unfilled positions.

6. You are NOT matched because you are withdrawn!

This message will be displayed for any applicant who registered to participate in The Match but was withdrawn either by the medical school or by the NRMP. Applicants who are withdrawn because they are ineligible to enter graduate medical education on July 1 in the year of The Match will not have access to the List of Unfilled Programs or be allowed to participate in the Match Week Supplemental Offer and Acceptance Program unless by 5:00 p.m. eastern time on the Wednesday prior to Match Week the applicant becomes eligible to enter graduate medical education on July 1 in the year of The Match. Applicants who were withdrawn by the NRMP because they obtained positions through another matching service will not have access to the List of Unfilled Programs or be allowed to participate in the Match Week Supplemental Offer and Acceptance Program.

What happens if I do not match to a position?

Unmatched applicants who are deemed eligible to enter graduate medical education on July 1 in the year of The Match will have access to the List of Unfilled Programs at 12:00 noon eastern time on Monday of Match Week and will eligible to participate in the Match Week Supplemental Offer and Acceptance Program.

What is the Match Week Supplemental Offer and Acceptance Program (SOAP), and how does it work?

SOAP is the process through which positions offered by unfilled programs are accepted by unmatched applicants during Match Week. SOAP replaces the "Scramble" and provides a standardized and uniform process for obtaining post-match appointments. Unfilled programs electing to participate in SOAP offer positions to SOAP-eligible unmatched applicants through the Registration, Ranking, and Results (R3) system, and positions offered and accepted constitute a binding commitment under the Match Participation Agreement.

SOAP is a series of "rounds" that begin at 12:00 noon eastern time on Wednesday of Match Week. At 12:00 noon , the first SOAP offers are extended through the R3 system to the unmatched applicants listed at the top of programs' preference lists. Offers are extended to as many applicants on a program's preference list as there are unfilled positions in that program. Each "round" of SOAP lasts two hours, during which applicants can accept or reject any offers they receive. Offers are sent at 3:00 p.m. Wednesday, 9:00 a.m., 12:00 p.m., and 3:00 p.m. on Thursday and Friday. SOAP concludes at 5:00 p.m. eastern time on Friday of Match Week. Detailed information about SOAP can be found in Section 7.0 of the Match Participation Agreement for Applicants and Programs.

How will I know if I am eligible to participate in the Match Week Supplemental Offer and Acceptance Program (SOAP)? If I am eligible, how do I apply to or contact programs about unfilled positions during SOAP?

According to Section 7.1 of the Match Participation Agreement for Applicants and Programs, applicants must be (a) registered in the Main Residency Match; (b) eligible to enter graduate medical education on July 1 in the year of The Match; and (c) partially matched or fully unmatched in order to be eligible to participate in SOAP. Applicants are deemed ineligible to participate in SOAP if they fail to meet any of the criteria listed above.

Your eligibility to enter graduate medical education on July 1 in the year of The Match will be determined by your medical school official prior to Match Week. At 12:00 noon eastern time the Friday before Match Week, the NRMP will send emails to ALL Match applicants indicating whether they are eligible to participate in SOAP. If you are determined to be SOAP-eligible AND you learn on Monday of Match Week that you are unmatched or partially matched, you will have access to the List of Unfilled Programs beginning at 12:00 noon eastern time. As a SOAP-eligible candidate, you can apply only to unfilled Match-participating programs that have elected to participate in SOAP and only through ERAS®. If you are determined to be SOAP-ineligible, you will not have access to the List of Unfilled Programs, nor will you be permitted to apply to any Match-participating program (regardless of the program's SOAP participation) until SOAP concludes at 5:00 eastern time on Friday of Match Week. SOAP-ineligible applicants can use ERAS or any other method they choose to apply to non-Match participating programs.

Regardless of SOAP eligibility, applications for unfilled positions can be submitted beginning at 2:00 p.m. eastern time on Monday of Match Week. If you are SOAP-eligible, you will be able to submit your application through ERAS® only for the categorical, preliminary, and/or advanced unfilled positions for which you are eligible. Other individuals or entities are prohibited from initiating contact on your behalf prior to contact from directors of unfilled programs.

If I accept a position during the Match Week Supplemental Offer and Acceptance Program (SOAP), is it binding?

Yes. Positions offered and accepted during SOAP constitute a binding commitment subject to the terms and conditions outlined in the Match Participation Agreement for Applicants and Programs. Failure to honor any offer made and accepted during SOAP absent a waiver from the NRMP is a violation and will subject you to an investigation and the potential levying of sanctions.

I just learned that I am not eligible to participate in the Match Week Supplemental Offer and Acceptance Program (SOAP). How do I attempt to obtain an unfilled position?

If you are SOAP-ineligible, you cannot contact or apply to any Match-participating program during Match Week. However, beginning at 2:00 p.m. eastern time on Monday of Match Week, you may use ERAS® or any other means you choose to submit applications to non Match-participating programs. You may accept a position in a non Match-participating program beginning at 12:00 noon eastern time on Wednesday of Match Week or may wait to seek a position in an NRMP Match-participating program beginning at 5:00 p.m. eastern time on Friday of Match Week. Other individuals or entities are prohibited from initiating contact on your behalf prior to contact from directors of unfilled programs.

How often is the List of Unfilled Programs updated?

The List of Unfilled Programs is updated at the conclusion of each SOAP round. For instance, it will be updated at 2:00pm eastern time on Wednesday when the first round of SOAP offers expires.

How do I apply to programs not participating in SOAP?

If you are SOAP-eligible, you are prohibited from contacting or applying to non SOAP-participating programs until SOAP concludes at 5:00pm eastern time on Friday of Match Week. That includes Match-participating programs that have elected not to participate in SOAP. If you are SOAP-ineligible, you may apply to any non Match-partipciating program you wish.

Are programs allowed to contact me for an interview during SOAP?

Yes, programs are able to contact you for an interview once they receive your ERAS application during SOAP. Programs must initiate contact with you. Applicants are prohibited from initiating contact with programs after their ERAS application has been submitted.

What happens if I obtain a position and decide not to accept it? Can my program issue me a waiver?

The Match Participation Agreement to which you affixed your password when you registered for The Match states that a match between an applicant and a program creates a binding commitment to accept a position if a match results and to start training in good faith (i.e., with the intent to complete the program) on the date specified in the appointment contract. The same binding commitment is established during the Match Week Supplemental Offer and Acceptance Program (SOAP) if a program offers a position by listing an applicant on its preference list and the applicant accepts that offer. A decision not to honor that commitment is a breach of the Agreement and will be investigated by the NRMP in accordance with the Policies and Procedures for the Reporting, Investigation, and Disposition of Violations of NRMP Agreements. Penalties may be levied if a violation is confirmed.

Under certain limited circumstances, the NRMP may grant to an applicant or program a waiver of the binding commitment if honoring the commitment would result in serious and extreme hardship. Waivers must be requested from, and can be granted only by, the NRMP. Click here for additional information on the waiver review process.

Your program cannot grant you a waiver from your binding commitment. Once a party has matched, or a position has been offered and accepted during SOAP, a waiver of the binding commitment may be obtained only from the NRMP. If you submit to the NRMP a request for a waiver, the NRMP will investigate to determine whether the waiver should be granted. If a waiver is not granted by the NRMP, you will be expected to accept the position. If your waiver is denied and you do not accept the position, you may be prohibited from accepting or starting a position in any program sponsored by a Match-participating institution if training would being within one year from the date of the NRMP's final decision to deny the waiver; in addition, the NRMP will initiate an investigation in accordance with the Policies and Procedures for the Reporting, Investigation, and Disposition of Violations of NRMP Agreements.

How long must I remain in my program?

Section 5.1 of the Match Participation Agreement states that an applicant who terminates or resigns a position within 45 days of the start date specified in the appointment contract shall be in violation of the Match Participation Agreement.

I obtained a position in the Main Residency Match, but I just learned that I will not graduate in time to begin training on July 1. What should I do?

Section 2.1 of the Match Participation Agreement states that applicants must meet ACGME and institutional requirements prior to the start of training in order to be eligible for the position. If you learn you are ineligible to honor your binding commitment, you must immediately notify the NRMP in writing so that the NRMP can determine whether you and/or the program qualify for a waiver. You also must request a waiver if you are ineligible to honor a position you obtained during the Match Week Supplemental Offer and Acceptance Program as a result of your delayed graduation status.

What is the process if I am investigated for a violation of the Match Participation Agreement?

Subsequent to receiving a written report of an alleged violation, the NRMP will solicit information from the applicant and any other individuals with knowledge of the situation. A Preliminary Report that documents the nature of the allegation is prepared.

If the results of the investigation indicate that a violation has not occurred, the case will be closed and all parties will be so notified.

If the results of the investigation indicate a violation has occurred, the Preliminary Report will be distributed to the subject of the investigation, the individual who reported the violation, and any other parties who provided information material to the investigation for their review and to correct the additional information provided to the NRMP.

The Preliminary Report will be reviewed by a Review Panel of the NRMP's Violations Review Committee, which will make the final determination of whether a violation occurred and, if so, the appropriate penalty. A Review Panel Report will be issued to the subject of the violation, who will have ten business days to notify the NRMP of the intent to initiate arbitration. If the subject of the violation initiates arbitration, the NRMP will note in the Registration, Ranking, and Results (R3) system that the party is the subject of a "pending action." That designation will remain in place for the duration of the arbitration process. In addition, if the subject of the violation initiates arbitration, he/she has thirty days from receipt of the Review Panel Report to file with the American Arbitration Association. If the subject of the violation does not request arbitration within ten business days, the Review Panel Report will become the Final Report, and it will be issued to all parties listed on the Report. All Match registrants should review carefully The Policies and Procedures for the Reporting, Investigation, and Disposition of Violations of NRMP Agreements.
.

How can I learn whether an institution or program I am interested in ranking has been the subject of a violation investigation conducted by the NRMP?

The NRMP maintains an Institution and Program Violations Report in the Registration, Ranking, and Results (R3) system that is available to applicants who register for any NRMP Match. The report displays information about graduate medical education programs and sponsoring institutions that have violated the Match Participation Agreement. Term limits of any sanction(s) imposed for the violation are included to identify the length of time the sanction is in effect.

Updated 08/29/2012