Residency Program Quota Changes

At any time after the Main Residency Match® opens in September, program directors can increase, decrease, or make other changes to their quotas, or the number of positions they desire to fill through the Match. Quota changes can be made through the Registration, Ranking, and Results® (R3®) system.

A few things to keep in mind:

  • all quota changes must be approved by the institutional official;
  • quotas must be finalized by the Quota Change Deadline; and
  • program directors cannot certify their rank order lists if their quota change is pending approval. 

Quotas will be changed after the January 31 deadline only in cases of extreme emergency, such as loss of funding or loss of accreditation or if the Accreditation Council for Graduate Medical Education (ACGME®) approves an increase in resident complement. Requests for those exceptions must be made in writing by the institutional official and sent to the attention of the NRMP President and CEO by email at

View Changing Quota & Program Details support guide

Dually-Accredited Programs

Programs accredited by BOTH the American Osteopathic Association® (AOA®) and the ACGME and jointly enrolled in the AOA and Main Residency Match can request a quota increase after the Quota Change Deadline to place in the NRMP any positions that went unfilled in the AOA Match. Requests must be email to no later than the deadline listed for such changes in the calendar. The NRMP will not reduce quotas for dually-accredited programs.

Quota Changes and the All In Policy

Quota changes should comply with the terms of All In Policy. The ability to change a program quota does not relieve program directors and institutional officials of their responsibility to register and attempt to fill all positions through the Match. Certain conditions may qualify for an exception to the All In Policy; however, it is the responsibility of program directors and institutional officials to determine whether the situation they face meets the criteria for an exception and submit the All In Policy Exception Form.