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Guide to Updating Unfilled Positions for Fellowship Programs

Next steps depend on whether you are participating in the Main Residency Match or a Fellowship Match.

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…

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…

Main Residency Match: Program directors who learn on Monday of Match Week that they did not fill their positions can participate in the Match Week Supplemental Offer and Acceptance Program® (SOAP®), provided they notified the NRMP prior to the Quota Change Deadline of the desire to participate in SOAP. Fellowship Matches: Specialties Matching Service® program directors who…

There are five different position types in the Main Residency Match: Categorical, "C"; Primary, "M"; Preliminary, "P"; Advanced, "A"; and Reserved, "R".

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…

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…

No. Until SOAP® concludes, SOAP policy requires SOAP-participating programs to offer unfilled positions only through the Registration, Ranking, and Results® (R3®) system and only to SOAP-eligible applicants. Unfilled positions in non-SOAP-participating programs cannot be offered at all until SOAP concludes.