Residency Program Quota Changes and Withdrawals


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:

Quotas must be finalized by the Quota Change Deadline.

All quota changes must be approved by the institutional official.

Program directors cannot certify their rank order lists if their quota change is pending approval by the institutional official. 

The NRMP will change quotas after the Quota Change 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/fellowship complement. Requests for exceptions must be made via email sent from the institutional official or the program director, with the institutional official copied. Please email requests to

VIEW Changing Quota & Program Details SUPPORT GUIDE


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.


Programs that elect not to participate in the Main Residency Match are expected to withdraw from the Match. A few things to keep in mind:

Withdrawals must be finalized by the January 31 Quota Change Deadline.

All withdrawals must be approved by the institutional official.

VIEW Withdrawing and Reinstating a Program SUPPORT GUIDE FOR MORE INFORMATION.