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The Match Participation Agreement states that a match between an applicant and a program creates a binding commitment to offer and accept a position and to start training in good faith (i.e., with the intent to complete the program) on the date specified in the appointment contract. 

For the Main Residency Match®, the same binding commitment is established in the Supplemental Offer and Acceptance Program® 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 should be reported to the NRMP. Please visit the Policies page on the NRMP website for more information.