Malph

3rd yr DO & AMA Delagate
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Hello Everyone~

The following URL (http://www.zoomerang.com/survey.zgi?p=WEB2244PGSFGG8) is a link to a survey from your national student leaders regarding the Combined Match Issue. Currently, we have no official student opinion on this topic, so we have gathered to create this survey and get the response of as many students as possible. Responding to this simple survey will only take a few minutes of your valuable time. For us to address this issue appropriately, we need your opinion. We are working hard on your behalf to make a difference and to represent you.

To open the survey click on the link provided above or copy and paste it into your web browser. The survey is only open for TEN DAYS from today (4 Feb 2005) and needs your prompt attention. We will be presenting the data collected from the survey to the AOA at the Feb. 17th mid-year meeting. Please contact your SGA president if you have any problems and they will contact me. Thank you for your prompt attention to this matter and for giving your valued input.

Sincerely,
Emily Hurst, MSIV
COSGP National Chair
Council of Osteopathic Student Government Presidents


Below is a Brief History of our MATCH

In the early 1900s, competition among hospitals for interns and among medical students for good internships led to increasingly early offers of internships to students. By the 1940s, appointments were often made as early as the beginning of the junior year of medical school. Hospitals thus had little information about students' performance, and students frequently had to make a final decision to accept or reject an offer without knowing which other offers might be forthcoming. From 1945 through 1951, efforts were made to enforce a uniform date for accepting offers. However, students were still faced with offers having very short deadlines, compelling them to accept or reject offers without knowing what other offers might be forthcoming. Hospitals often had to scramble for available students, since if an offer was rejected; it was often too late for them to reach their next preferred candidate. A centralized clearinghouse was thus developed as a way of alleviating this chaos and allowing a larger role to the preferences of both students and hospitals—enter the ERAS application system, where students and programs confidentially ranked each other according to how the student felt about the program and how the program felt about the student. This evolved into the current matching system, divided for us (D.O.s) into the AOA and the NRMP (ACGME) matches each with its own separate rank order list—there is also a San Francisco (M.D. Neuro) and Urology match that exist separate from the main NRMP match, but are still open to D.O. students for application. The AOA and NRMP matches are currently separated by about a month—AOA releases its results in February and the NRMP in March—with coinciding possibilities to scramble to open spots at the end of each of these matches respectively.

Initially students could match in each of these systems without restriction. This led to the entry of double matching—a student who would match in both an AOA and an ACGME program. Since the Match is a contract between the student and the program, this caused upheaval when students broke one contract to accept another. The reasons for who chose what program varied—geographic location of one program over another, quality of the two acceptances, and so on. The AOA was filling it’s internships at a rate of 86% up to the year 1999. Enter the year 2000, the AOA and the NMRP, in an effort to stop these breaches of contracts, enacted rules that withdrew a D.O. student from the NRMP once they were acceptance into one of their ranked choices in the AOA match—which also gives the student 30 days to sign the contract before possibly being dropped from the matched program, and further being prevented from taking ANY other AOA-approved training program for one (1) year. By 2003 the number of AOA funded/filled internships dropped to 60% . Today 50% or more of our students are entering ACMGE programs without applying to AOA internships.

The theory of a Combined Match is to take both matches, the AOA and the NMRP, and merge them into a single all student match—the goal being, to ultimately allow students to rank AOA and ACGME programs simultaneously. This will accomplish two things. First it will maintain the AOA and ACGME’s original intent of the 2000 decision—prevent double acceptances and contract breaches. Second, it will allow students the freedom to rank programs, both AOA and ACGME, in an order that best suits their educational needs. In the end, we believe that this logistical change is in keeping with the original spirit of the match concept—which is to efficiently connect students and programs, and decrease student stress during the application process.
 
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Malph

3rd yr DO & AMA Delagate
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For those of you who are not familiar with the acronyms, I will explain:

The ACGME refers to the actual residency program for the MD side of the house.

The NMRP is the organization that is responsible for distributing students to ACGME programs.

The AOA you should know.

The MATCH is simply the distribution of students to Internships and/or Residencies. It has no function in the curriculum of any of these programs nor their focus. There are currently two separate matches that occur a month apart: The AOA and the NRMP (ACGME)

I only write this because the question was asked of me by a student who was filling out the survey. If anyone else has any questions or needs help with the survey, I will check this site daily, or you may and should contact your student government president.


We have attempted to make this survey as unbiased as we can. Some people have wondered about the content from questions 5 and 6. These were taken directly from the questions used in the AOA’s Survey of MATCH Non-participants—which looks at why over 50% of our students applied strictly to the NMRP (ACGME). This in mind, we felt it only fitting to use the same format for our data gathering.

Questions 1 and 2 are to determine what the education of our students is in relation to how the match works. We could not write out lengthy questions and explanations for the entire process, due to the amount of space this would require. So instead we chose to look at two points that graduating students thought were a major factor in deciding whether or not to apply to the options listed in questions 3 and 4—which is why they exist. Now to the main question on peoples mind, do you want a Combined Match? What does this mean? Why are we—your leadership—even considering such and option?

We can go into statistics that show the AOA’s funded/filled rates for internships have dropped from their highest point ever of 86% to below 68% since 2000 when the information in question 1 was enacted. Our we can look at the top reasons over the past three years as represented in questions 5 and 6—of these Geographic location, Quality of education, and lack of specialty options have consistently remained the top three. We have considered the AOA’s thoughts that a Combined Match might hurt the AOA and its students. There is a fear that no one will any longer rank any AOA program high on their list and that the funded/fill rates will drop even lower then they are now. This fear has not been shown in any data to date. To the contrary—prior to 2000, students could match in both the AOA and the NRMP at the same time and then just pick which one the wanted. As you can imagine, this cased a lot of unhappy programs. Because the two matches are separated by a month, it was possible to students to use the two matches in this way. The Combined Match will basically mimic the thought process behind double-matching without having to break a contract. This will in effect give one the opportunity—this is a key word, since no one can promise you a spot in either match—to apply simultaneously to all programs in ones scope of needs.

What is being proposed and studied here is the desire of students to have the ability to rank order AOA and NRMP programs—and we caught flack for using “anyway you see fit”, but it is a true statement—based on the students needs. These needs may be to apply to an AOA program because they are hard core D.O.s and would never apply anywhere else, which we feel is fantastic—we are in the end D.O. too. These needs may be the need to obtain a residency in a given specialty—IM, FP, Surg, RAD, etc…—regardless of the type of program. These needs may be to obtain a program in a specific geographic area, and so on, and so on, and so on. We can go on and on with this list as depicted in questions 5 and 6. These needs have to do with the distribution of students in a process that helps MATCH them with their needs, not to be put in a position of having to choose whether or not the apply to the AOA because they might be pulled from an application process that also seeks to help with the needs of students. We—your leadership—have thought long and hard, studied the statistics, talked to your upperclassmen, and in the end felt the need to ask you—the students we represent for your input. The current system places undue stain on the applicants as it now exists. If you doubt this, talk to any one of your 4th years who are now deep in the process.

We now ask you to spend a few moments and answer 9 questions that in one way or another will help us decide the appropriate course of action when it comes to representing you. After all, we have the responsibility to speak on behalf of the students. How can we really do this, on such an important issue, without giving you the chance to tell us how you feel? Please take the survey now.

------ http://www.zoomerang.com/survey.zgi?p=WEB2244PGSFGG8 -----

For those of you have more time on your hands, you can read the discussion about the Combined Match on these Forums:

http://forums.studentdoctor.net/showthread.php?t=151455
and
http://forums.studentdoctor.net/showthread.php?t=170757
and
http://forums.studentdoctor.net/showthread.php?t=166249
 

Robz

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you might want to make sure you have cookies enabled to make sure the survey goes through.

on a side note I like the survey but its very unofficial. I thought it was well planned but it can be thrown off by multiple votes from the same person.
 
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Malph

3rd yr DO & AMA Delagate
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Oct 2, 2004
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Robz said:
you might want to make sure you have cookies enabled to make sure the survey goes through.

on a side note I like the survey but its very unofficial. I thought it was well planned but it can be thrown off by multiple votes from the same person.

We considered this and thought about requiring your AOA number to prevent this. In the end, most people do not know their number and would not answer the survey if they had to dig too much to get it. We decided that Volume was important here. As such, we do know how many people are in each class at each school, so we can look at the total per class per school as a control.

Also, there have been some people emailing me that are a bit confused. Questions 5 and 6 are designed to have you rank the items below the question in order of importance to you. This means that you must pick which one is most important, then second most, and so on. It is not designed to allow you to pick two most important things as number one. This will give us the ability to judge as a whole the overall most important factor and so on and thus represent the students correctly.

You are going to be a DOCTOR soon and as such, we have to, at some point, put trust in you and this is a first step in that direction.

Thanks again
 

cooldreams

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Malph said:
Hello Everyone~

The following URL (http://www.zoomerang.com/survey.zgi?p=WEB2244PGSFGG8) is a link to a survey from your national student leaders regarding the Combined Match Issue. Currently, we have no official student opinion on this topic, so we have gathered to create this survey and get the response of as many students as possible. Responding to this simple survey will only take a few minutes of your valuable time. For us to address this issue appropriately, we need your opinion. We are working hard on your behalf to make a difference and to represent you.

To open the survey click on the link provided above or copy and paste it into your web browser. The survey is only open for TEN DAYS from today (4 Feb 2005) and needs your prompt attention. We will be presenting the data collected from the survey to the AOA at the Feb. 17th mid-year meeting. Please contact your SGA president if you have any problems and they will contact me. Thank you for your prompt attention to this matter and for giving your valued input.

Sincerely,
Emily Hurst, MSIV
COSGP National Chair
Council of Osteopathic Student Government Presidents
is there something showing the results?? i cant vote yet because im not a first year, but i would like to see what everyone who voted is thinking...
 
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Malph

3rd yr DO & AMA Delagate
10+ Year Member
5+ Year Member
Oct 2, 2004
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Status
cooldreams said:
is there something showing the results?? i cant vote yet because im not a first year, but i would like to see what everyone who voted is thinking...

For security purposes only Emily Hurst, Chair of the COSGP, has access to the results at this time. When the survey is complete on the 14th of Feb. Then we will release the findings. We will consider a mid poll release however.
 

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Malph

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nycomgirl74

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Malph said:
We considered this and thought about requiring your AOA number to prevent this. In the end, most people do not know their number and would not answer the survey if they had to dig too much to get it. We decided that Volume was important here. As such, we do know how many people are in each class at each school, so we can look at the total per class per school as a control.

Also, there have been some people emailing me that are a bit confused. Questions 5 and 6 are designed to have you rank the items below the question in order of importance to you. This means that you must pick which one is most important, then second most, and so on. It is not designed to allow you to pick two most important things as number one. This will give us the ability to judge as a whole the overall most important factor and so on and thus represent the students correctly.

You are going to be a DOCTOR soon and as such, we have to, at some point, put trust in you and this is a first step in that direction.

Thanks again
Interesting:)
 
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