What is a Joint Advanced/Preliminary program?

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The R3 system offers institutions and programs in the Main Residency Match the option to link an advanced PGY-2 program with a preliminary PGY-1 program to create a full course of training at the same institution for applicants interested in specialties that begin in the PGY-2 year.  In “joining” an advanced (A) PGY-2 program to a preliminary (P) PGY-1 program – Joint A/P – an applicant can only rank the joint preliminary PGY-1 program on a supplemental rank order list if that list is attached to the joint advanced PGY-2 program on the primary rank order list.  This ensures that only applicants who match to the advanced program can match to that preliminary program.