College of
Human
Medicine

Dean's Update

A Message from Dean Marsha D. Rappley, MD

March 2013

Congratulations to our seniors on matching and taking this next big step in your careers. We are proud of your accomplishment. You are emblematic of CHM and MSU and we are gratified to have such a talented and dedicated group of graduates representing us across the nation. All of our alumni, faculty, staff and your fellow students are eager to know about the match. As seniors, you will have the details on Friday. But these are some highlights that I want to share with everyone. Please know that concerns have been raised about the match this year, and I provide links to that discussion below, as well. But please do not let this more abstract discussion of how the professional will manage this distract you from your joy in what you have achieved for yourself. We share that joy and admire you for what you have done to earn it! See you all on Friday.  --Dean Rappley

HIGHLIGHTS FROM THE CHM MATCH

 

We had 137 seniors participate in the match this year. Our overall percentage matched was 97.%. The national initial match percentage for US seniors was 94.5%. Our top five areas of specialty, with the national percentage in parentheses, are: Internal Medicine 16.1% (19.1%), Pediatrics 15.3% (11.2%), Surgery 9.5% (5.8%), Emergency Medicine 8.8% (8.7%), and Family Medicine 6.6% (8.3%). Of our seniors matching, 30% will be instate for residency; of that 48% chose primary care. The overall percentage of matching students choosing primary care is 43.8%. As always, our students matched to some of the most competitive and prestigious programs in the country, as well as to programs that are critical to caring for underserved people in the US. Individual schools do not get data that would allow us to determine what percentage of our seniors obtained one of their top three choices.  We will summarize details of the match results in the next edition of MD Magazine, so watch for that good news!

 

CONCERNS ABOUT THE MATCH PROCESS

 

These concerns are based on the issue of medical schools increasing the number of students graduating each year and less available federal funding to support GME programs. As this problem becomes more intense, the importance of careful preparation of the match strategy for each individual student cannot be overstated. It is important for all of us to keep up to date on these matters because students look to us for advising and support as they plan their careers. Thanks to all of you who give so freely of your time to help students navigate this most important step in their own careers.

 

The National Resident Matching Program (NRMP) reports that total Match registrants topped 40,000, including 1,000 more U.S. allopathic seniors, in the largest Main Residency Match in NRMP history. The number of positions rose by almost 2,400 to an all-time high of 29,171. The NRMP further reports that U.S. medical school seniors made up 16,390 of the 25,463 applicants who successfully matched to first-year residency positions. More U.S. seniors matched to primary care specialties and 78.8 percent of U.S. seniors and 78.8 percent of independent applicants who matched obtained one of their top three choice programs. The NRMP reports that 5.5 percent of U.S. seniors did not match.
http://www.nrmp.org/pressrelease2013.pdf

http://www.nrmp.org/data/advancedatatables2013.pdf 

The Association of American Medical Colleges (AAMC) has issued this statement:

AAMC Concerned about Reports of Unmatched Students

Washington, D.C., March 15, 2013 AAMC (Association of American Medical Colleges) President and CEO Darrell G. Kirch, M.D., issued the following statement about the results of the 2013 Main Residency Match:  

“Match Day is usually a day of excitement, enthusiasm, and joy for medical students around the country. While that remains true for most graduating medical students, we are very troubled by reports about significant numbers of highly qualified U.S. medical school graduates who did not match to residency training positions.

While we are waiting to learn the exact number of unmatched students, the reports coming from our member medical schools are cause for significant concern, and demonstrate the urgent need to increase federal support for graduate medical education.

Yesterday, we were very pleased to see reintroduction of the “Training Tomorrow’s Doctors Today Act” by Reps. Aaron Schock (R-Ill.) and Allyson Schwartz (D-Pa.), and the “Resident Physician Shortage Reduction Act of 2013” sponsored by Sens. Bill Nelson (D-Fla.), Charles Schumer (D-N.Y.), and Majority Leader Harry Reid (D-Nev.). The increase in the number of Medicare-supported graduate medical education residency positions proposed in these measures would begin to alleviate the doctor shortage facing the nation by allowing medical schools and teaching hospitals to train between 3,000 and 4,000 more physicians a year. We applaud these lawmakers for their leadership.

With a nationwide shortage of 90,000 physicians projected by 2020, U.S. medical schools are on track to increase their enrollment by 30 percent. In fact, the 960 additional graduating medical school students participating in this year’s Main Residency Match are due primarily to four new medical schools included in this year’s Match and the efforts of existing schools to expand enrollment.

To avert the coming shortage, we need to begin today to increase the overall supply of physicians in this country by lifting the cap on residency training positions imposed in 1997 by the Balanced Budget Act. Inaction will only mean extensive shortages of both primary care physicians and a wide range of specialists. Reducing our nation’s deficit is important. But the question must be asked: If there aren’t enough doctors, what will you do?”

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The Association of American Medical Colleges is a not-for-profit association representing all 141 accredited U.S. and 17 accredited Canadian medical schools; nearly 400 major teaching hospitals and health systems, including 51 Department of Veterans Affairs medical centers; and nearly 90 academic and scientific societies. Through these institutions and organizations, the AAMC represents 128,000 faculty members, 75,000 medical students, and 110,000 resident physicians. Additional information about the AAMC and U.S. medical schools and teaching hospitals is available at www.aamc.org/newsroom