REFINE YOUR RESULTS
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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…

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…

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 must request…

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…

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…

IMG Welcome Newsletter

Dear International Medical School Student/Graduate, The National Resident Matching Program® (NRMP®) is pleased to welcome you to the 2026 Main Residency Match®! Registration opened at 12:00 p.m. Eastern Time on Monday, September 15. There are two distinct processes for securing residency training: Below is information on getting started and links to important resources. Good luck in the…