the real solution for the match

[game24]

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3601 non-U.S. IMGs matched. If America operated like other countries then most US citizens would get a spot. 3601-1855(unmatched AMGs)= 1746 spots remaining. The DOs that didn't match have DO residencies to fall back on. 2389(unmatched US IMGs) -
1746= 643 unmatched US IMGs. Let the unmatched US IMGs take unfilled DO residency spots then boom problem solved.

 

[beegeforty4]

3601 non-U.S. IMGs matched. If America operated like other countries then most US citizens would get a spot. 3601-1855(unmatched AMGs)= 1746 spots remaining. The DOs that didn't match have DO residencies to fall back on. 2389(unmatched US IMGs) -
1746= 643 unmatched US IMGs. Let the unmatched US IMGs take unfilled DO residency spots then boom problem solved.

Solid research. I can't believe no one thought of this simple idea before. It's so simple it doesn't even have to take into account personal preferences for which residency each candidate wanted (unmatched AMG wanting RadOnc MUST take an unfilled FM position). It also will allow programs to not deal with the complicated issue on who they want in a resident. Don't like your candidates? Here take this AMG; there are no qualified DOs, IMGs, etc. You need to get this idea patented and send it to the NRMP for some major royalties.


P.S. I hope that it's just a mistake on your listed occupation. Please tell me you aren't a pre-pharm student coming up with these golden ideas, it would be embarrassing to the rest of us...

 

[cheruka]

If AOA comes under ACGME umbrella, this is exactly what is going to happen. IMGs will take the unfilled DO spots. I just said this to my spouse not too long ago.

 

[survivordo]

It's a tricky situation- We want the absolute brightest, regardless of nationality, filling the ranks of our programs so that America continues to be a beacon of Academic medicine. However, I don't think these high-profile spots are the ones that are going unfilled. It is the less desirable spots. FMGs are using these as a stepping stone to get into US medicine. Why not open these up to US Grads before FMGs.. still allowing a FMG an opportunity but giving US grads a clear preference.

Survivor DO

 

[IamnotFreud]

3601 non-U.S. IMGs matched. If America operated like other countries then most US citizens would get a spot. 3601-1855(unmatched AMGs)= 1746 spots remaining. The DOs that didn't match have DO residencies to fall back on. 2389(unmatched US IMGs) -
1746= 643 unmatched US IMGs. Let the unmatched US IMGs take unfilled DO residency spots then boom problem solved.

You are overreaching the number of unmatched AMGs, it was 1085 not 1855, so you havev about 800 more unmatched AMGs than what there truly were. Second think about this-there are wha, about 125 med schools in the US? so that's about 10 or less students per school not matching, not exactly a high amount. The reason why many of these students don't match is not bc they want the FM spot in ND, but because they want derm, rad onc, ortho. they don't want the primary care spots. But I do agree that we should do what the Canadians do-first all American grads, then whatever is left is up for grabs. It's only fair.

 

[Law2Doc]

... But I do agree that we should do what the Canadians do-first all American grads, then whatever is left is up for grabs. It's only fair.

With 93-95% matching and another 5% landing spots in Soap, we already more or less have the end result of US grads getting their fill of spots and the rest getting leftovers.

 

[IamnotFreud]

With 93-95% matching and another 5% landing spots in Soap, we already more or less have the end result of US grads getting their fill of spots and the rest getting leftovers.

While I agree that the vast majority of AMGs do match and those that don't do research, etc and reapply likely matching, not all AMGs match. I still think the Canadian system is better honestly and makes more sense.

 

[Law2Doc]

While I agree that the vast majority of AMGs do match and those that don't do research, etc and reapply likely matching, not all AMGs match. I still think the Canadian system is better honestly and makes more sense.

Not all, but pretty darn close. We are talking 98-99% after match, soap and scramble -- thats a huge preference. I'm not sure you would implement a whole new system just to catch the couple of dozen AMGs that bucked the trend.

 

[game24]

Solid research. I can't believe no one thought of this simple idea before. It's so simple it doesn't even have to take into account personal preferences for which residency each candidate wanted (unmatched AMG wanting RadOnc MUST take an unfilled FM position). It also will allow programs to not deal with the complicated issue on who they want in a resident. Don't like your candidates? Here take this AMG; there are no qualified DOs, IMGs, etc. You need to get this idea patented and send it to the NRMP for some major royalties.


P.S. I hope that it's just a mistake on your listed occupation. Please tell me you aren't a pre-pharm student coming up with these golden ideas, it would be embarrassing to the rest of us...

LOL. Premature Menopause?

 

[umean2tellme]

I don't see anything wrong with the Match. If you have the right stats and apply appropriately then you'll match somewhere most of the time.

 

[Psychiatrized]

While it is really sad when a qualified AMG goes unmatched, you can't expect a residency to want to take a candidate with a record of cheating (as an example) on their transcript and a toxic personality at interview over a better qualified, personable IMG. Hate to say it but there are a few people out there that just aren't meant for medicine.

 

[IMvrach]

AMGs do get clear preference, even if their scores are 40 points lower than IMG's, and IMGs always apply with both USMLE steps done, and frequently with step 3 as well.

AMGs just refuse to apply to those "low end" programs in the match, while "high profile IMGs", with great scores, LORs and significant research dream of them, as they know they have no hope to get into a program that is desirable for AMGs. This is especially true for non US-IMGs.

Would you suggest a program director of this "low end" program to reject a great IMG in order to hold the spot till SOAP in hope that a significantly inferior (at least on paper) in every way candidate, but AMG, who did not match to any of one's desired programs offers aPD a favor and applies? And after that this resident will be complaining for years that he matched into a "low end IMG program". Stop whining and just freaking apply to those programs in the Match. You will get clear advantage!

This is a case where more regulation will do more harm than good. The problem is too poorly defined for any hope of a government-delivered algorithmic solution. Let the programs be flexible in their decisions.

It's a tricky situation- We want the absolute brightest, regardless of nationality, filling the ranks of our programs so that America continues to be a beacon of Academic medicine. However, I don't think these high-profile spots are the ones that are going unfilled. It is the less desirable spots. FMGs are using these as a stepping stone to get into US medicine. Why not open these up to US Grads before FMGs.. still allowing a FMG an opportunity but giving US grads a clear preference.

Survivor DO