Residency Program Requirements. Qualifying for a Residency Program Once you receive a visa, you are eligible to apply to enter a residency program in the U. S. However, it is strongly recommended that IMGs participate in observership rotations in a clinical setting before applying to residency programs. Observerships provide IMGs with invaluable knowledge of U. S. More detailed information on residency programs is available in the AMA Fellowship and Residency Electronic Interactive Database Access System (FREIDA) Online. FREIDA is an Internet database with information on all U. S. It is available online. Both the Green Book and FREIDA are good starting points for IMGs beginning the application process to residency programs. Choosing Residency Programs. There are four different tracks within an internal medicine residency program: transitional, preliminary, categorical and primary care. Residents in one- year transitional programs rotate through different hospital departments every couple of months. While a transitional program counts as a year of training, it may not provide enough credits to move into the second year of residency training. Preliminary programs are also one- year programs for those wishing to specialize who need a year of internal medicine training. Categorical programs are three- year programs that may allow you to train up to board eligibility if your performance is satisfactory. Categorical programs are seen as the more traditional program and are mainly hospital- based. Primary care programs provide increased emphasis on ambulatory care experience in the community and are becoming more prevalent. Those who are sure that they will be working as a generalist are advised to apply to a primary care program. Those who wish to fully train in internal medicine and then have the opportunity to train in a specialty should apply for a categorical position. While it is preferable to be in a categorical or primary care program, training in a transitional or preliminary program is better than being in no program at all. It is highly advisable to choose the program that best suits your needs and goals. The Match - Obtaining a Residency Applicants must register with the National Resident Matching Program (NRMP), www. Match, which computer matches applicants and hospital residency programs according to the ranked preference lists each submits. For the 2. 00. 7 Match Schedule, December 1, 2. Several primary care and medical specialty associations offer match programs or can provide more information regarding residency positions in their specific areas. Certain residency programs require applicants to apply through the Electronic Residency Application Service (ERAS), which is administered by the ECFMG for IMGs. Each year approximately 3. The NRMP Web site has an . Applicants can refer to the user guide at http: //www. Applicants apply to the programs that interest them and must submit all application materials and register with the Match by December 1, 2. Generally, application materials consist of a curriculum vitae, a copy of the universal residency application form, a cover letter addressed to each residency program director, evidence of graduation from medical school and letters of recommendation from U. S. The more applications you send out, the better your chances of receiving an interview and being accepted to a program. Applications should be sent in as early as possible, preferably September or mid- October at the latest. Upon review of the applications, residency program directors invite those applicants in whom they are interested to interview. Approximately 1. 4% of applicants are granted an interview and only 8% of the entire applicant pool will be hired by any given hospital. NRMP Announces Record High Number of Positions Offered and Filled with Release of 2016 Main Residency. PROGRAMS; REGISTER FOR THE. Match A Resident’s Residency Program Requirements Filtering. Online Residency Directory. With few exceptions, residency programs participate in ASHP's Resident Matching Program. March 15 List of Unfilled Programs Noon EST (Unmatched Applicants. Do NOT list programs on your list. Therefore, it is imperative that applicants make themselves stand out in their applications. Once invited to interview, an applicant needs to prepare in order to make the best possible impression. The interview is a critical part of the residency application process. The Match Schedule - In mid- January, after completion of the interview process, both applicants and residency programs submit rank order lists (ROLs), which list their respective choices in order of preference, to the NRMP. Applicants may submit a list of up to 1. Generally, it is not necessary to rank more than 1. Although, the more programs you rank, the better your chances of being matched. There are several guidelines to consider when compiling your ROLNever rank a program that you applied to that has not offered you an interview since a program that has not interviewed you will not rank you. It is important to seriously consider the programs you put on your ROL. You will match with the highest spot on your ROL that has accepted you and this is considered a contract. By participating in the Match, both parties are bound by the outcome. Do not put a program on your ROL that you would never attend. If you are accepted, you must go. The only exception is if an applicant does not meet the prerequisites of an institution, such as visa requirements that are not met after an applicant is matched to a program. When compiling your ROL, make sure that you use current program information, such as codes, and that your list is received by the deadline. You may change your ROL as often as you like after originally submitting it. When doing this, it is imperative to date each list since the ROL with the most recent date will be used in the matching process. Based on the preferences of both the applicants and the programs, the NRMP matches each applicant to a program and the results are announced on the middle Wednesday of each March on the NRMP website.
On March 1. 2, 2. NRMP Web site at 1. On March 1. 3, 2. NRMP Web site at 1. Locations of all unfilled positions are released at 1. Unmatched applicants may begin contacting unfilled programs at 1. This is the process known as the Scramble, when applicants and programs scramble to find and fill positions. If a program you interviewed with has unfilled slots, it is best to contact them first and they may reconsider you. Some programs also advertise unfilled slots in newspapers, particularly if they know prior to Match Day that they will have open slots. Within 4. 8 hours, most slots are filled and it becomes very difficult to find a position. If you do not match and cannot find a position during the Scramble, you still have a small window of opportunity in obtaining a residency slot. Some slots open up between July 1 and August 1 during the first few weeks of residency programs. Occasionally, residents do not show up for their slots or decide to leave early in the program. Programs that have your information on file will be much more likely to call you to fill a vacated slot. Therefore, it is important that you send a complete application package to a handful of programs by June 1 if you have not been matched. After the summer, it is highly unusual for any slots to open up. In 2. 00. 6, 2. 4,0. Match. Even if you do intend to apply for a position outside of the Match, it is desirable to also register with the NRMP as it will only increase your chances of finding a residency position. There are two ways to find programs outside the Match. One, you may ask the programs directly if they offer any positions outside of the Match and if so, how you may apply. The second way is comparing listings in the Green Book and NRMP data. If programs are listed in the Green Book and not in the NRMP program book, then those program positions are offered outside of the Match. If you feel that your chances of matching are low, it is worthwhile to look at results from past years to see which positions go unfilled and then apply to those programs as they will be more likely to accept IMGs. Most states will issue a training license to IMGs who demonstrate evidence of medical education, satisfactory results on a U. S. Details of the licensure requirements for each state for IMGs are available. Depending on the type of visa an IMG received for GME training, it may be necessary to obtain a new non- immigrant or immigrant visa to practice medicine in the U. S. The Application - No Room for Error. As the process of finding a residency position becomes increasingly more competitive, applicants must pay more attention to the application itself to make themselves stand out. Interviews are granted solely on the basis of the information presented in the application package. Follow these rules without exception: 1. Application should be presented neatly, without spelling or grammar errors. Make sure that the application is completely filled out with correct information, including your NRMP applicant number if you are registered for the Match. All applications should be originals. Do not submit applications that are copies of those sent to other programs. Do not miss application deadlines. Your curriculum vitae (CV) is an important piece of your application package. Make sure that it highlights any unique qualifications you have to make yourself stand out from the thousands of others in the applicant pool. Include any academic experiences, such as researching or teaching, regardless of where you trained. While you should put any experiences on your CV that will be of benefit to you, always be prepared to provide further information. If granted an interview, you will most likely be asked to discuss the experiences you have included on your CV. Residency programs are putting increasing importance on community service. If you have done volunteer work, make sure it is a prominent part of your CV. Test scores too are very important. Many programs look at test scores first to initially weed out applicants. There is no substitute for extensive test preparation. Letters of recommendation (Lo. R) are the final required part of the application package. You may target each Lo. R to specific programs; and you may have as many Lo. Rs as you feel necessary. However, no more than 4 letters can be assigned/sent to any individual program in My.
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