Institutions and Programs
Registering for the NRMP
Institutions wishing to offer residency positions in the Main Residency Match must register their programs on the web annually in the NRMP's secure, web-based Registration, Ranking, and Results® (R3®) system.Institutions
Each institution participating in any of the NRMP Matches is identified by a unique 4-digit code. The institution code is always reflected as the first four characters in each of the unique 9-character program codes.
Institutions wishing to register with the NRMP for the first time must call the NRMP toll free at 1-866-653-NRMP (6767) or (202)-400-2233. The NRMP will assign an institution code and enter the institution in the NRMP R3 system.
At the beginning of The Match, NRMP institutional officials must initiate the Matching process for their institutions by logging in to the R3 system using their AAMC ID codes and pre-assigned passwords or their personal passwords selected during a previous match. The next steps include:
Each program participating in any of the NRMP Matches has a unique 9-character code constructed as follows:
ACGME Specialty - the first 3 digits of the ACGME code indicating specialty
Program Types -
Track number - will be "0" unless an institution has more than one program in a specialty of the same program type. Additional track designations are automatically numbered sequentially.
Steps for Program Directors
After the institutional official activates your program:
Institutional officials who serve in dual roles as program directors, as well as program directors with multiple programs, will select which function or program they wish to access when they log in to the R3 system.
NOTE: By registering in The Match, you agree to abide by the Match Participation Agreement.
Program Quota Change Deadline
It is important for applicants to know the actual number of Match positions available in a program when they enter their rank order lists. Thus, the deadline date for institutions/programs to change the number of Match positions in R3 for the Main Residency Match is January 31. Final quotas still can be changed in cases of extreme emergency (i.e., loss of funding, loss of accreditation, closing of institution) or to accommodate the results of earlier Matches. In such cases, programs must request an exception to the quota change deadline in writing.
By enrolling in The Match, the institution agrees to pay the following fees to the NRMP:
The NRMP will automatically invoice all registered institutions for their total incurred match fees at the conclusion of each year's Match.
NOTE: Subsequent withdrawal of a program or its sponsoring institution does not void the institution's financial obligation to pay the non-refundable registration fee(s). Institutions in arrears for fees from previous matches will not be allowed to participate in the current Match.
The NRMP gives institutions the option of reverting (donating) unfilled positions in one program to another program during the matching process. If a donor program does not fill its quota, a designated number (equal to, or less than, the quota) of its unfilled positions will be added automatically to the quota of a receiver program. Receiver programs may be located at either the same or a different institution. If the receiver is located at a different institution, the donor program submits the reversion to NRMP via the web in the R3 system. Institutions can use reversions to provide some degree of protection against the possibility that positions in prerequisite training programs for other institutional programs will go unfilled.
Donor programs donate or revert a specific number of their unfilled positions to a receiver program. The number of positions to be reverted may not exceed the donor program's quota. The matching process is done first for the donating program; therefore, the designated number of unfilled positions will be reverted to the receiver only if they do not fill during the donor's Matching process.
Receiver programs accept a designated number of unfilled positions from a donor program through the reversion arrangement. Reverted positions are added to the receiver program's quota only if the donor program is unable to fill its positions during the Matching process.
Submission of Reversions to the NRMP
Reversions can be added, changed, or deleted but they must be entered by the rank order list deadline.
The program director opts to donate the following positions if they do not fill in The Match and enters the information on the Maintain Reversions page:
During the Matching process:
Circular Reversions - A No-No!
Circular reversions in which two programs both donate and receive positions from each other cannot be accommodated by the NRMP. An example of a circular reversion follows:
Circular reversions are not allowed.
Program directors must enter any special requirements, such as those listed below, through the R3 system annually, even if the request was implemented in a prior Match. Special requirements must be approved by the NRMP institutional official. If a special need is not addressed below, program directors should contact the NRMP at (202) 400-2233 or 1-866-653-NRMP (6767) to determine whether the request can be accommodated.
Linked and Restricted Programs
Ranking advanced programs (PGY-2) is a more complex process for applicants. Applicants who rank advanced programs (positions to begin in PGY-2) on their primary rank order lists usually also submit supplemental rank order lists of preliminary (PGY-1) programs. Each supplemental list is linked to one or more advanced programs. When applicants are matched to advanced positions, an attempt also is made to match them to preliminary positions on the corresponding supplemental lists so they can satisfy the prerequisites for advanced training. Through this mechanism, applicants can attempt to establish a sequential training program at the same hospital or in the same geographic area.
Program directors who wish to limit enrollment in a preliminary program to that group of applicants who match into a specific advanced program should tell applicants to rank the advanced program on the primary rank order list and the linked preliminary program on the supplemental rank order list that corresponds to that advanced program. In addition, the preferred applicants must be ranked on both the advanced and the preliminary programs' rank order lists. During the Matching process, the preliminary program will be considered only if:
NOTE: Please note that because of this restriction, the Preliminary program will not appear in List of Unfilled Programs.
Example Reversion Sequencing
Example 1: Program "A" that has a quota of 5, wants to revert 3 positions to Program "B", and 2 positions to Program "C".
Example 2: Program "A" wishes to first donate 2 unfilled positions to Program "B" and then any remaining positions to Program "C".