Does this violate the match rules?

[Chinnychin]

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So I ran into a residency program that had the following scenario-There was a intern who had started in December instead of the previous july so she was a half year behind. However after she graduated a US MD school she took time off and did not apply to the match or anything and was planning on taking the year off. However for whatever reason she decided she wanted to start a program and this program accepted her completely outside any match or anything-basically just hired her on as an intern half way through the year and match will never know about it. Her father is also the chief of neurology in the hospital but this was a non-neurological field but still.

To me this sounds wrong no?

 

[lucydm]

To me this sounds wrong no?[/QUOTE]

No - it's not wrong. She was an independent applicant, and is not required to participate in the match. I've heard of interns starting early - in such situations, like in May or June rather than July, but never heard of someone starting intern year halfway through. That's what's weird about it. Are you sure she's not going to be an intern next year too? (as in, do an extra half year?)

 

[Chinnychin]

Yes she is behind a year so will be an intern for half the year next year I believe-not exactly sure how it works since this is the first time its happened.

But how is this ok-if a program decides to use the match, how are they allowed to select independant candidates? Well I guess this would be similar to pre-match offers to foreign grads and DO's-guess that would make sense.
Anyway I always hate to see people get and take slots from others by having their daddy get them in-however such is life!

 

[Bertelman]

There's nothing wrong with this scenario. Programs hold spots for people outside the match. It happens for transfers from other programs or other specialties in the PGY-2 year and beyond. I'm not sure how long you've been lurking before joining, but try reading some of the posts on how the match sucks, etc. it's not necessarily friendly to all programs and all applicants. Sometimes an outside the match position allows both sides to more completely assess their options, and everyone is happier.

 

[tkim]

Yes she is behind a year so will be an intern for half the year next year I believe-not exactly sure how it works since this is the first time its happened.

But how is this ok-if a program decides to use the match, how are they allowed to select independant candidates? Well I guess this would be similar to pre-match offers to foreign grads and DO's-guess that would make sense.
Anyway I always hate to see people get and take slots from others by having their daddy get them in-however such is life!

If you are a *graduate* of a US allopathic medical school, you can sign outside the match.

 

[Chinnychin]

Bumping this because I just found this quote on NRMP:
I'm a US senior in an allopathic medical school and I've been offered a position outside the Match. What should I do?

If any of a teaching hospital's graduate medical education programs participates in the NRMP's Main Match, all of the hospital's programs may accept US seniors in allopathic medical schools only through the NRMP or another national matching plan. Offering a contract outside the Match is a violation of the Match Participation Agreement. US allopathic seniors who obtain PGY-2 positions through another national matching plan must obtain their PGY-1 preliminary positions through the NRMP's Main Match.
...........

So then if you are technically graduated US MD student then this does not apply?

 

[tkim]

From the same link:

2.2.2 Independent Applicants

The term "independent applicant" refers to an applicant who is either: (a) A physician who is a graduate of an LCME-accredited medical school; (b) A student enrolled in, or a graduate of, a medical school accredited by the Committee on Accreditation of Canadian Medical Schools; (c) A student enrolled in, or a graduate of, a school accredited by the American Osteopathic Association; (d) A student enrolled in, or a graduate of, a school not accredited by the LCME, the Committee on Accreditation of Canadian Medical Schools, or the American Osteopathic Association; or (e) A student enrolled in, or a graduate of, a Fifth Pathway program. Independent applicants who registered for the Matching Program in a prior year may not reactivate their registrations. They must register again in the current match year in order to participate in the Matching Program.

http://www.nrmp.org/res_match/faq/ind_apps_faq.html#19

I've signed a contract outside the Match. What happens now?

Under the terms of the Match Participation Agreement, an independent applicant who accepts a position outside the Match must withdraw immediately. Failure to do so is a material violation of the Agreement and will be investigated by the NRMP in accordance with the Policies and Procedures for the Reporting, Investigation, and Disposition of Violations of NRMP Agreements. Penalties may be levied if a violation is confirmed. No applicant can withdraw from the Match after the rank order list deadline.

 

[Chinnychin]

It has been a long tiring day but from reading that post it sounds like you are agreeing with me and an inde accepting a spot IS a violation? Even thought the spot was taken in January of the Inde's first year out of medschool but still that would be right before the match lists were done.

However this person I believe was not registered for the match during that year-maybe cause she knew she was getting the spot-so technically she was not a participant-so this rule would not apply. I believe Inde's only have to withdrawl positions taken if they also are enrolled and had planned to use the match??

I am still not 100 percent on this! Man I am glad I did not become a lawyer-I can see already even here how semantics can be seen. Is there something to be done in this situation. I mean it does not effect me one bit-I just thought it sounded fishy-why would a program put its arse on the line to do that?

 

[Spittz03]

Just to clarify .... The rule states: If you are an independent applicant (which she is as a person who already graduated) .... it is OK to accept match outside of the MATCH, as long as you withdraw your application from the NRMP match.

 

[tkim]

It has been a long tiring day but from reading that post it sounds like you are agreeing with me and an inde accepting a spot IS a violation?

No, it is not a violation. Not withdrawing is.

 

[Chinnychin]

Just to clarify .... The rule states: If you are an independent applicant (which she is as a person who already graduated) .... it is OK to accept match outside of the MATCH, as long as you withdraw your application from the NRMP match.

Ok finally got it-this person was not even in the match for the year (wierd circumstances but decided she did want to do something afterall so started in dec) anyway yes so she was an inde, not in the match who took a spot-totally ok to do-thanks for all the clarifcation sometimes my brain is slow at comprehending things!

 

[ramonaquimby]

to add to your confusion - whether or not you signed up for hte match, once you graduate med school, you're an inde candidate and can take a prematch offer from anyone who's willing to give you one.

works out great for strong M.D. candidates who want to take some time off after med school, even a little bit of time, and then just appraoch your #1 program and say, "whatchathink - let's make a deal?"

and tehre, done.
no stress. 👍

seems unfair, i know, but it's rampant.