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As a fellowship program director, one of my current residents has asked me for advice about other fellowship programs to which she should apply. Am I allowed to discuss programs in which she might be interested?

Yes. Restricting a program’s ability to ask applicants about the names, specialties, geographical locations, or other identifying information about programs to which applicants have or may apply is not intended to limit mentoring relationships. Residency and fellowship program directors are encouraged to help applicants and residents who seek guidance about their training plans.

Do I have to register for ERAS® or the application service designated by the program and NRMP to participate in the Match?

Most residency programs participating in the Main Residency Match and many fellowships participating in the Specialties Matching Service use the Electronic Residency Application Service (ERAS®) offered by the Association of American Medical Colleges® (AAMC). ERAS is a separate organization and thus requires a separate registration by applicants.  You must register for both the application service designated by…

Does the NRMP have any Match data or analytics to assist me in preparing for the Match?

Part of the NRMP’s mission is to develop and distribute data reports and publications that inform national conversations about the transition to residency and advance understanding of the matching process and outcomes. Therefore, we offer a variety of data and reports to assist applicants, program directors, medical school and program faculty, and others involved or…

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

No. You may volunteer information about where you have applied and how you plan to rank programs, but programs are prohibited from asking you to disclose the information. Any program that asks an applicant to disclose information about preference signals or the names, specialties, geographic location, or other identifying information about programs to which an…

How do I know if an applicant has a binding commitment to another NRMP Match-participating program?

The Registration, Ranking, and Results® (R3®) system includes an Applicant Match History feature that indicates whether an applicant has a binding commitment to another Match-participating program and whether the applicant has been denied a waiver or has a confirmed violation of the Match Participation Agreement.  The Applicant Match History must be used by program directors and…

I’m ready to create my rank order list. Should I include all programs where I interviewed even if I’m not sure I want to train there?

The Match Participation Agreement you signed electronically 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…

What happens if I obtain a position and decide not to accept it? Can my program release me from my obligation to attend?

The Match Participation Agreement 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. For the Main Residency Match®, the same…

A non Match-participating program at my institution offered a position to an applicant who has a concurrent year match to another program. Is my institution liable?

Institutional officials must ensure that none of their programs, regardless of Match participation status, discusses, interviews for, or offers a position to an applicant who has matched to or accepted a concurrent year position in another program or who is ineligible because of a denied waiver or a confirmed violation. Failure to ensure compliance could subject…

Can I certify a blank rank order list?

If your program has been activated in error and you did not intend to participate, the program should be withdrawn from the Match. If you did not have any suitable applicants to rank in the Match and would like to be listed on the List of Unfilled Programs, then your program does not need to…

Does the NRMP have any Match data or analytics to assist me in preparing for the Match?

Part of the NRMP’s mission is to develop and distribute data reports and publications that inform national conversations about the transition to residency and advance understanding of the matching process and outcomes. Therefore, we offer a variety of data and reports to assist applicants, program directors, medical school and program faculty, and others involved or…

How do I activate my program?

Upon Match opening, the IO must activate the institution or mark it as not participating in the Match. Once the institution is active, each program track also must be activated. Activation may be done by the institutional official (IO), but they also have the option to direct the program director or institutional administrator to activate…

How do I add a new program or institution to the Match?

The NRMP support staff will assist you with adding your new program or institution to the Match. All programs new to the Match are asked to complete the New Program Form. The information provided on the Form will allow NRMP to create a record in the R3 system and add your program to the appropriate…

How do I update my institutional administrator?

The update of a new institutional administrator (IA) can be made by your GME office institutional official. Please see the Adding & Maintaining Institutional Administrators support guide in the R3 system for detailed instructions. Alternately, NRMP can make the change if the institutional official contacts us via email. If you would like NRMP to make…

How do I update my institutional official?

The update of a new institutional official (IO) must be made by the NRMP. Requests for updates to the institutional official must be made in writing and submitted via email to support@nrmp.org. The IO should be the designated ACGME DIO for the institution. To make the change, the current IO or institutional administrator must provide…

My institution requires all employees be vaccinated for COVID-19. Can we directly ask an applicant their vaccination status?

Programs are advised to direct this question to their institution’s GME office or human resources department. If pre-employment criteria requires that all employees be vaccinated for COVID-19, the program must provide that specific eligibility requirement along with all other eligibility requirements to the applicants who interview with the program prior to the Rank Order List Certification Deadline or offer made during SOAP. 

What changes to my program have to be approved by the insitutional official?

Institutional officials are responsible for approving changes in the R3 system for each of the institution’s Match-participating programs. Program changes requiring approval include: Changing the quota, or number of positions to be filled Entering or changing reversions to donate unfilled positions to another program or program track Withdrawing or reinstating a program Selecting or changing…

What is a Joint Advanced/Preliminary program?

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…

When should programs provide institutional policies, program policies, and eligibility requirements to applicants?

Information pertaining to institutional policies, program policies, and eligibility requirements should be made available to all applicants when the Match and AAMC ERAS (or other) application service opens. This can be easily accomplished by posting the information to the program’s website. Policy information and eligibility requirements must be provided to all applicants who interview with a program prior to the Rank Order List Certification Deadline or offer made during SOAP.

Do I need to verify my students and graduates for participation in the Main Residency Match?

Medical school officials/administrators (SO/SA) are required to verify the graduation credentials of their students and prior-year gradautes to participate in the Main Residency Match and Supplemental Offer and Acceptance Program (SOAP). Credentials vertification is an important task: only students and graduates who are verified as eligible to enter graduate medical education (GME) on July 1…

Does the NRMP have any Match data or analytics to assist me in preparing for the Match?

Part of the NRMP’s mission is to develop and distribute data reports and publications that inform national conversations about the transition to residency and advance understanding of the matching process and outcomes. Therefore, we offer a variety of data and reports to assist applicants, program directors, medical school and program faculty, and others involved or…

How do I update my school administrator?

The update of a new school administrator (SA) can be made by the school official or the NRMP if some additional information is provided. For the school official to make the update, please see the Adding and Maintaining School Administrators support guide for detailed instructions. For the NRMP to make the update, the school official…

How do I update my school official?

The update of a new school official (SO) must be made by the NRMP. For the NRMP to make the update, the current SO or the school administrator will need to send an email to support@nrmp.org and provide the following information: Medical School Information New School Official’s Full Name New School Officials’ Date of Birth…

A non Match-participating program at my institution offered a position to an applicant who has a concurrent year match to another program. Is my institution liable?

Institutional officials must ensure that none of their programs, regardless of Match participation status, discusses, interviews for, or offers a position to an applicant who has matched to or accepted a concurrent year position in another program or who is ineligible because of a denied waiver or a confirmed violation. Failure to ensure compliance could subject…

An applicant has contacted me about an open position in my program. What should my first step be?

Prior to discussing, interviewing for, or offering a position to an applicant, program directors are required to determine an applicant’s eligibility by verifying the applicant’s appointment status in the Applicant Match History that is available in the R3® system and/or by calling the NRMP to obtain that information. The Applicant Match History lists the appointment status of…

As a fellowship program director, one of my current residents has asked me for advice about other fellowship programs to which she should apply. Am I allowed to discuss programs in which she might be interested?

Yes. Restricting a program’s ability to ask applicants about the names, specialties, geographical locations, or other identifying information about programs to which applicants have or may apply is not intended to limit mentoring relationships. Residency and fellowship program directors are encouraged to help applicants and residents who seek guidance about their training plans.

Can I certify a blank rank order list?

If your program has been activated in error and you did not intend to participate, the program should be withdrawn from the Match. If you did not have any suitable applicants to rank in the Match and would like to be listed on the List of Unfilled Programs, then your program does not need to…

Can I offer a position to an applicant who has been released by the matched program? Can I release an applicant from my program?

Applicants and programs are not authorized to release each other from a binding commitment.  As stated in the Match Participation Agreement, 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.  Moreover, the Agreement also prohibits any program at a…

Can programs use more than one application service?

NRMP policy does not prohibit programs from utilizing more than one application service or process. NRMP will require programs to notify applicants, at the beginning of the application and recruitment season, which application service or process they intend to use for both Main Residency Match and SOAP.

Do programs have to disclose to applicants the application process they intend to use for the Main Residency Match and SOAP?

Yes, NRMP policy requires that all programs inform applicants about the specific application service(s) or process(es) they intend to use during the Main Residency Match and SOAP.  In addition, the NRMP’s Registration, Ranking, and Results system (R3) requires Main Residency Match programs to identify all of the application services they will accept for the transition…

Does the NRMP have any Match data or analytics to assist me in preparing for the Match?

Part of the NRMP’s mission is to develop and distribute data reports and publications that inform national conversations about the transition to residency and advance understanding of the matching process and outcomes. Therefore, we offer a variety of data and reports to assist applicants, program directors, medical school and program faculty, and others involved or…

How do I activate my program?

Upon Match opening, the IO must activate the institution or mark it as not participating in the Match. Once the institution is active, each program track also must be activated. Activation may be done by the institutional official (IO), but they also have the option to direct the program director or institutional administrator to activate…

How do I add a new program or institution to the Match?

The NRMP support staff will assist you with adding your new program or institution to the Match. All programs new to the Match are asked to complete the New Program Form. The information provided on the Form will allow NRMP to create a record in the R3 system and add your program to the appropriate…

How do I review the results of the Match for my program?

Program results are released in the R3 system and sent via email. You can view your program results in the R3 system by accessing the Confidential Roster of Program’s Matched Applicants report on your Match home page when the results are released. To view where the applicants you ranked matched, access the Match Results by…

How do I set my SOAP participation status?

In order to participate in SOAP, program directors must set their SOAP participation status to “YES” on the SOAP Participation tab accessible through their Program Details page in the R3 system. Program directors can begin setting their SOAP participation indicator when the Main Residency Match opens for registration. The SOAP participation indicator MUST be set…

How do I update the program coordinator for a program?

The update of a new program coordinator (PC) can be made by the program director or the GME office institutional administrator or official. Please see the Adding & Maintaining Program Coordinators support guide for detailed instructions. Alternately, if the PC has already been updated through the ACGME, NRMP can make the change. Please provide your…

How do I update the program director for a program?

Updating the program director for a program can be done by the institutional official or administrator. Alternately, if the program director already has been updated through the ACGME, the NRMP can make the change if some additional information is provided. If the update is being made by the IO or IA, please see the Adding…

How will applicants who apply to OB/GYN during the algorithm phase of the Main Residency Match, and go unmatched, apply to programs during SOAP?

Applicants will utilize the application service or process designated by the specialty or the program. Any residency application service that supports programs participating in the Main Residency Match will work with the NRMP to establish and/or maintain a seamless exchange of applicant information so applicants are able to move through the Match Week and SOAP…

My institution requires all employees be vaccinated for COVID-19. Can we directly ask an applicant their vaccination status?

Programs are advised to direct this question to their institution’s GME office or human resources department. If pre-employment criteria requires that all employees be vaccinated for COVID-19, the program must provide that specific eligibility requirement along with all other eligibility requirements to the applicants who interview with the program prior to the Rank Order List Certification Deadline or offer made during SOAP. 

What changes to my program have to be approved by the insitutional official?

Institutional officials are responsible for approving changes in the R3 system for each of the institution’s Match-participating programs. Program changes requiring approval include: Changing the quota, or number of positions to be filled Entering or changing reversions to donate unfilled positions to another program or program track Withdrawing or reinstating a program Selecting or changing…

What is a Joint Advanced/Preliminary program?

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…

What is the All In Policy?

The All In Policy applies to the Main Residency Match® and some Fellowship Matches participating in the Specialties Matching Service®. The All In Policy requires any program in these participating Matches to register and attempt to fill all of its positions through the Match or another national matching plan. A “program” is defined by its ACGME® number. The Policy does…

When should programs provide institutional policies, program policies, and eligibility requirements to applicants?

Information pertaining to institutional policies, program policies, and eligibility requirements should be made available to all applicants when the Match and AAMC ERAS (or other) application service opens. This can be easily accomplished by posting the information to the program’s website. Policy information and eligibility requirements must be provided to all applicants who interview with a program prior to the Rank Order List Certification Deadline or offer made during SOAP.

As a U.S. senior, I’ve been offered a position outside the Main Residency Match®. What should I do?

NRMP policy states that if any of an institution’s programs participate in the Main Residency Match, all of the institution’s programs must offer positions to U.S. MD and U.S. DO senior students through the Main Residency Match or another national matching plan. Offering a position to a U.S. senior outside the Main Residency Match is a violation by for the program and should…

Can I offer a position to an applicant who has been released by the matched program? Can I release an applicant from my program?

Applicants and programs are not authorized to release each other from a binding commitment.  As stated in the Match Participation Agreement, 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.  Moreover, the Agreement also prohibits any program at a…

Can I participate in both the NRMP’s Main Residency Match® and CaRMS?

Yes, NRMP has an agreement with CaRMS that permits applicants to participate in both the Canadian and U.S. Matches. Under this agreement, mutual applicants matched in whichever country runs its match first are removed from the other organization’s match. In the 2025 Main Residency Match, the CaRMS Match results will be released first. NRMP will…

Can programs ask me to commit to a SOAP offer prior to the offer being extended to me through the R3 system?

No, program offers and applicant acceptances of unfilled positions during SOAP® can be executed only through the NRMP’s R3® system. It is a violation of the Match Participation Agreement for a program to suggest or inform an applicant that placement on the program’s SOAP preference list is contingent upon the applicant’s verbal or written statement of…

Can programs use more than one application service?

NRMP policy does not prohibit programs from utilizing more than one application service or process. NRMP will require programs to notify applicants, at the beginning of the application and recruitment season, which application service or process they intend to use for both Main Residency Match and SOAP.

Do I have to register for ERAS® or the application service designated by the program and NRMP to participate in the Match?

Most residency programs participating in the Main Residency Match and many fellowships participating in the Specialties Matching Service use the Electronic Residency Application Service (ERAS®) offered by the Association of American Medical Colleges® (AAMC). ERAS is a separate organization and thus requires a separate registration by applicants.  You must register for both the application service designated by…

Do I need a supplemental rank order list?

Applicants participating in the Main Residency Match can submit a primary rank order list (ROL) with a combination of categorical, preliminary, and advanced programs. Those who rank advanced (PGY-2 level) programs on their primary ROLs also can submit supplemental ROLs of preliminary PGY-1 programs that are linked to one or more advanced programs on the…

Do I need to verify my students and graduates for participation in the Main Residency Match?

Medical school officials/administrators (SO/SA) are required to verify the graduation credentials of their students and prior-year gradautes to participate in the Main Residency Match and Supplemental Offer and Acceptance Program (SOAP). Credentials vertification is an important task: only students and graduates who are verified as eligible to enter graduate medical education (GME) on July 1…

Do programs have to disclose to applicants the application process they intend to use for the Main Residency Match and SOAP?

Yes, NRMP policy requires that all programs inform applicants about the specific application service(s) or process(es) they intend to use during the Main Residency Match and SOAP.  In addition, the NRMP’s Registration, Ranking, and Results system (R3) requires Main Residency Match programs to identify all of the application services they will accept for the transition…

Does the NRMP have any Match data or analytics to assist me in preparing for the Match?

Part of the NRMP’s mission is to develop and distribute data reports and publications that inform national conversations about the transition to residency and advance understanding of the matching process and outcomes. Therefore, we offer a variety of data and reports to assist applicants, program directors, medical school and program faculty, and others involved or…

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

No. You may volunteer information about where you have applied and how you plan to rank programs, but programs are prohibited from asking you to disclose the information. Any program that asks an applicant to disclose information about preference signals or the names, specialties, geographic location, or other identifying information about programs to which an…

How do I know if an applicant has a binding commitment to another NRMP Match-participating program?

The Registration, Ranking, and Results® (R3®) system includes an Applicant Match History feature that indicates whether an applicant has a binding commitment to another Match-participating program and whether the applicant has been denied a waiver or has a confirmed violation of the Match Participation Agreement.  The Applicant Match History must be used by program directors and…

How will applicants who apply to OB/GYN during the algorithm phase of the Main Residency Match, and go unmatched, apply to programs during SOAP?

Applicants will utilize the application service or process designated by the specialty or the program. Any residency application service that supports programs participating in the Main Residency Match will work with the NRMP to establish and/or maintain a seamless exchange of applicant information so applicants are able to move through the Match Week and SOAP…

How will I know which application service to use?

Main Residency Match programs are required to disclose to applicants, at the start of recruitment, the application service or process they will require for the Main Residency Match and Supplemental Offer and Acceptance Program (SOAP). Programs should consider how best to share their preferred application service or process to applicants at the start of the…

I am a partially-matched applicant or part of a couple where one partner is unmatched and one partner matched. Can I find out the geographic location where I matched?

Partially-matched applicants and couple applicants whose partner did not match will have the city, state, and zip code of their matched program provided on their Match Home page in the R3 system when the Match status notification is released on Monday of Match Week. Applicants who are fully matched will not have any location information…

I did not Match to a position in the Main Residency Match when the matching algorithm was processed. What options do I have for Match Week?

Applicants who are partially matched or fully unmatched after the algorithm is processed can elect to participate in the Supplemental Offer and Acceptance Program to try an obtain a position in an unfilled program. Applicants also can choose not to participate in SOAP and pursue a non-clinical training position provided: The position sought is not…

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?

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 their matched positions.  If you learn you are ineligible to honor your binding commitment, you must immediately submit to the NRMP a request for a waiver of your match commitment .  You also…

I’m applying to a specialty that offers the option of submitting preference signals to programs.  Can a program I interview with ask me about the programs I might have signaled?

No.  Programs are prohibited from asking applicants any information about the programs to which they have or may apply, and that includes whether the applicant submitted preferences signals. Program directors who ask for that information could be in violation of the Match Participation Agreement and the matter should be reported to the NRMP.

I’m ready to create my rank order list. Should I include all programs where I interviewed even if I’m not sure I want to train there?

The Match Participation Agreement you signed electronically 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…

If I match to an advanced program on my primary rank order list (ROL), but do not match to one of the linked preliminary programs on my supplemental list, will the algorithm keep going down my list to match me to both position types?

No. If the algorithm has matched you to an advanced position on your primary ROL and is not able to match you to a preliminary position on your linked supplemental ROL, it will not keep going down your list. In that case, you are committed to the advanced position and must seek a qualifying first-year…

What happens if I obtain a position and decide not to accept it? Can my program release me from my obligation to attend?

The Match Participation Agreement 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. For the Main Residency Match®, the same…

What is a “partially-matched” applicant?

An applicant who matches to a PGY-1, preliminary or transitional year position only or to an advanced, PGY-2 position only would be considered partially matched. Partially-matched applicants should only apply to programs for which they are eligible during SOAP. SOAP-eligible partially matched applicants can access the List of Unfilled Programs in the NRMP’s R3 system under the…

What is a Joint Advanced/Preliminary program?

In a Joint A/P arrangement, applicants 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. Only applicants who rank the advanced program can rank the joined preliminary program, and only applicants who match to…

What is a supplemental rank order list?

An applicant participating in the Main Residency Match who is ranking advanced programs (PGY-2 programs that begin in the year after the Match), can submit supplemental rank order lists linked to the advanced programs on their primary rank order list. These supplemental lists will contain preliminary PGY-1 programs that the applicant would like to match…

As a U.S. senior, I’ve been offered a position outside the Main Residency Match®. What should I do?

NRMP policy states that if any of an institution’s programs participate in the Main Residency Match, all of the institution’s programs must offer positions to U.S. MD and U.S. DO senior students through the Main Residency Match or another national matching plan. Offering a position to a U.S. senior outside the Main Residency Match is a violation by for the program and should…