I am about to violate the match

[flash_gordon17]

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I am supposed to take a pgy-2 spot but want to stay at my pgy-1 institution instead, nrmp will not let me out of my contract, so i think I might have to violate my contract. anyone know of people who did this kind of thing and the consequences?

 

[DRDARIA]

I am supposed to take a pgy-2 spot but want to stay at my pgy-1 institution instead, nrmp will not let me out of my contract, so i think I might have to violate my contract. anyone know of people who did this kind of thing and the consequences?

Has your PGY-1 institution agreed? Because if they offer a position my understanding is that they would be in violation, and they would have to deal with consequences as well. One of the consequences for you is that NRMP might not allow you to participate in future matches, ie for fellowships if you're interested in that. I guess if your PGY-1 institute doesn't participate in the match, so they aren't concerned that they might have to deal with NRMP, and if you don't want to do a fellowship that participates in the match in the future, then you might be able to get away with it. Just out of curiosity, what are the two institutions saying? If they both agree, has NRMP given a reason they won't let you out?

 

[southerndoc]

I know a girl who was going into anesthesiology, but liked her medicine transition year so much she switched to categorical. However, the program where she matched for anesthesiology agreed to let her void her match agreement.

I think many would rather you void an agreement than fulfill your contract obligations while being unhappy or worse, disgruntled.

 

[DRDARIA]

I think many would rather you void an agreement than fulfill your contract obligations while being unhappy or worse, disgruntled.

I agree, but I think the OP said that NRMP won't let him out of his match contract, and I think they have to in order for the institution where he wants to go to not to potentially have trouble with the NRMP (assuming they participate in the match). The NRMP really wields WAY too much power in these situations-- I've heard of cases where both programs agree, but NRMP still won't play nice.

 

[3dtp]

I agree, but I think the OP said that NRMP won't let him out of his match contract, and I think they have to in order for the institution where he wants to go to not to potentially have trouble with the NRMP (assuming they participate in the match). The NRMP really wields WAY too much power in these situations-- I've heard of cases where both programs agree, but NRMP still won't play nice.

There is an escape clause that allows one to not go to a pgy2 position if it would create a hardship. I would think that a change of mind about a career path would constitute such a hardship. It would be to your matched PGY2's program advantage to release you rather than have you show up, spend six weeks there and decide you really liked the surgery (or whatever) internship you did during your prelim year and have you bolt. That technically would not be a match violation, since you commenced the matched position, but it would be a very evil thing to do to an innocent program.

The match doesn't play nice. I have been told that they have never taken action against a program to enforce a match agreement against a program who left a matched candidate without a position and I seen this. They have come down like a ton of bricks on residents/med students who violate the match. They have the right, by contract to tell everyone and anyone they want to, probably even USA Today.

It sounds like they've gotten even more arrogant than they were before the antitrust lawsuit and the sneak rider on an unrelated bill that granted them immunity from the antitrust law. We're doomed. Of course you're welcome to spend years and $$$$ arbitrating it....

 

[3dtp]

There is an escape clause that allows one to not go to a pgy2 position if it would create a hardship. I would think that a change of mind about a career path would constitute such a hardship. It would be to your matched PGY2's program advantage to release you rather than have you show up, spend six weeks there and decide you really liked the surgery (or whatever) internship you did during your prelim year and have you bolt. That technically would not be a match violation, since you commenced the matched position, but it would be a very evil thing to do to an innocent program.

The match doesn't play nice. I have been told that they have never taken action against a program to enforce a match agreement against a program who left a matched candidate without a position and I seen this. They have come down like a ton of bricks on residents/med students who violate the match. They have the right, by contract to tell everyone and anyone they want to, probably even USA Today.

It sounds like they've gotten even more arrogant than they were before the antitrust lawsuit and the sneak rider on an unrelated bill that granted them immunity from the antitrust law. We're doomed. Of course you're welcome to spend years and $$$$ arbitrating it....

Adding a thought (SDN won't let me edit it in, sorry)

If you, your present program and your matched PGY2 program all agree, who cares what the NRMP thinks? If you don't report it, your present program doesn't report it, and your matched PGY2 program doesn't report it, the NRMP policy says they won't investigate it. No investigation, no violation. End of discussion. In the worst case, they might banish you for a year and tell your dean and the ABMS, but will that really affect you in the long term? That I don't know. Personally, my first thought is who cares what the NRMP does?

 

[endodoc]

Adding a thought (SDN won't let me edit it in, sorry)

If you, your present program and your matched PGY2 program all agree, who cares what the NRMP thinks? If you don't report it, your present program doesn't report it, and your matched PGY2 program doesn't report it, the NRMP policy says they won't investigate it. No investigation, no violation. End of discussion. In the worst case, they might banish you for a year and tell your dean and the ABMS, but will that really affect you in the long term? That I don't know. Personally, my first thought is who cares what the NRMP does?

IMG and FMG's I believe can skip the match and take pre-match. NRMP cannot call the "resident police" on this. So if this person is a IMG or FMG they might be able to get away with this. My personal thought is it is a bit shady to back out of a PGY2 position after you have contract, which will leave the someone with the short end of the stick.

P.S. I might be wrong regarding IMG and FMG but I was told by a PD in the past year that they (IMG & FMG's) are the only ones who can "pre-match" I know my pre-match rant is a bit off topic, but it may fit into this....

 

[f_w]

IMGs and FMGs have the option of not participating in the match. Once they sign the match agreement and match, they are bound to the committment just the same as a US grad.

Have you applied for a waiver of the match committment ? If your current program and the program you matched to agree on accepting your change in plan, you (and your future program) can file for such a waiver.

Are you talking about a July06 position ? What specialty ? In any of the competitive fields, the programs are not likely to give you a hard time. They usually already have a short-list of disgruntled higher year residents from another specialty ready and willing to fill the slot.

 

[quicksilver2]

P.S. I might be wrong regarding IMG and FMG but I was told by a PD in the past year that they (IMG & FMG's) are the only ones who can "pre-match" I know my pre-match rant is a bit off topic, but it may fit into this....

Off-cycle grads (December/August grads) as well as people who have taken time off between graduation and going into residency are also permitted to "legally" sign outside the match. It doesn't necessarily help things, though, if you're looking for a spot at a competitive program -- most don't have open positions, although certainly slots do open up unexpectedly from time to time.

 

[endodoc]

IMGs and FMGs have the option of not participating in the match. Once they sign the match agreement and match, they are bound to the committment just the same as a US grad.

Have you applied for a waiver of the match committment ? If your current program and the program you matched to agree on accepting your change in plan, you (and your future program) can file for such a waiver.

Are you talking about a July06 position ? What specialty ? In any of the competitive fields, the programs are not likely to give you a hard time. They usually already have a short-list of disgruntled higher year residents from another specialty ready and willing to fill the slot.

Have to say you are wrong in regards to match. If you "pre-match" you can pull out of match, seen it done many times.

If I am reading your post worng, please forgive me.

 

[BamaAlum]

Have to say you are wrong in regards to match. If you "pre-match" you can pull out of match, seen it done many times.

If I am reading your post worng, please forgive me.

I think he is saying, yes you can prematch as an IMG/FMG or DO for that matter, which would require you to withdraw from the match. However, if you remain in the match as an IMG/FMG/DO then you are bound by the terms of the match agreement like everyone else.

 

[f_w]

I think he is saying, yes you can prematch as an IMG/FMG or DO for that matter, which would require you to withdraw from the match. However, if you remain in the match as an IMG/FMG/DO then you are bound by the terms of the match agreement like everyone else.

That is what I meant. After you sign the match agreement, as an FMG/IMG you are free to withdraw from the match until the day the ROLs are due. If you don't withdraw, you are bound to the match agreement and you are subject to the same penalties as a US-grad if you violate it (entry in the AMA database for unprofessional conduct, blocked from participating in the next match etc).

 

[endodoc]

That is what I meant. After you sign the match agreement, as an FMG/IMG you are free to withdraw from the match until the day the ROLs are due. If you don't withdraw, you are bound to the match agreement and you are subject to the same penalties as a US-grad if you violate it (entry in the AMA database for unprofessional conduct, blocked from participating in the next match etc).

Correct, same page.