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| The 15th Annual Report on National Resident
Matching Program (NRMP) results for anesthesiology
are now produced by the ASA Committee on Physician
Resources after Alan W. Grogono, M.D., decided
to pass on this responsibility. The committee
would like to highlight Dr. Grogono’s unsurpassed
commitment to excellence in documenting, summarizing
and editing this information faithfully for ASA
members for so many years. |
NRMP Results [Table
1 and Figure
1]: This year a
total of 1,286 were recruited via the Match, the same
as in 2006. The level of Match recruiting into anesthesiology
continues to be at an all-time high. The number of graduating
U.S. allopathic seniors matching into anesthesiology
declined slightly in 2007 [Table
1]. (In previous reports, U.S. allopathic
graduating seniors are identified as “students.”)
The average recruited in 2006 and 2007, however, is
still approximately 13 percent higher than during 2002-05
[Figure 2].
Of all NRMP applicants, the proportion of U.S. allopathic
graduating seniors attracted into anesthesiology was
6.7 percent, essentially maintaining recruitment from
U.S. medical schools at the same level (6.9 percent)
as in 2006 [Table
2].
Positions Offered and Unfilled [Tables
1 and 4]:
With minor fluctuations, the total number of Match positions
offered (PG-1 and CA-1) have increased steadily from
946 in 1996 to 1,169 in 2002, reflecting an approximately
4-percent annual growth in Match positions; since 2002,
growth has slowed to about 3 percent annually with 1,338
Match positions offered this year. It should be noted
that Match positions represented 47 percent of all available
anesthesiology positions in 2006 [Table
4] compared with 53 percent in 2003,
reflecting the progressive rise in Match recruiting
from its low point in 1996 (324 matched) to a level
nearly four times as high today.
The growth in positions offered at the PG-1 level in
2006 increased further by 23 to a total of 575. Concomitantly,
CA-1 Match position offers continue to decline slightly
from their 10-year high of 846 in 2004 to 763 in 2007.
Unfilled Match positions (3.9 percent) remain near a
historical low [Figure
3 and Table
1].
Sources of Recruits [Table
2 and Figure
2]: From 1996-2002, apart from U.S.
allopathic seniors, Match recruitment of the other groups
(osteopathic, international medical graduates, sponsored
graduate and others) averaged 230 ± 37 (SD).
During 2003-07, it reached a peak of 314, averaging
283 ± 27 [Table
3]. For the seventh year in a row,
behind only U.S. allopathic graduates, osteopathic graduates
contribute the greatest numbers to the anesthesiology
Match; this year’s total of 105 maintains the
2006 level of 101. Among the other non-U.S. allopathic
groups, there also is no change from 2006, with Match
recruitment from international medical graduates applicants
remaining low at 110 (U.S. and non-U.S.).
Comment: For three years (2003-05),
the number of residents recruited into anesthesiology
via the Match showed relatively minor changes in the
overall numbers recruited (1,211, 1,200, 1,230). The
increase to 1,287 in 2006 was sustained in 2007 at 1,286,
as was the recruitment of senior U.S. medical students
at the PG-1 level (451 in 2006 and 448 in 2007), while
the overall number recruited into PG-1 Match positions
rose modestly. Programs continue to offer more positions
at the PG-1 level and slightly fewer at the CA-1 level.
While there were a few more unfilled Match positions
than last year, the overall vacancy rate remained low.
The recruitment of U.S. medical students, however, declined
slightly (by 22 students, or 2.3 percent), similar to
the decline experienced in 2004, suggesting that a plateau
is being reached.
Summary: The 15th annual report on
NRMP results for anesthesiology shows little change
in the pattern of recruitment from its all-time high
last year, suggesting that Match recruitment may have
reached a plateau. The number recruited into the PG-1
year continues to rise with a corresponding slight decline
at the CA-1 level and with minimally fewer U.S. senior
medical students recruited than last year.
Acknowledgments: We appreciate the
assistance of Mr. Philip Szenas at the National Resident
Matching Program in providing 2007 Match data. Dr. Grogono’s
past NRMP articles in the NEWSLETTER have appeared
in August 1993, May 1994, June 1995, May
1996, May
1997, May
1998, May
1999, May
2000, May
2001, May
2002, May
2003, May
2004, May
2005 and May
2006. We would like to express our
appreciation to Eric Christiansen, M.B.A., and Tanya
D. Smith, B.A., P.A. who assisted substantively with
the collation of data and preparation of this report.
Committee on Physician Resources: Armin
Schubert, M.D., M.B.A., Chair, Genie G. Blough, M.B.A.,
Michael W. Champeau, M.D., Daniel J. Cole, M.D., Gifford
V. Eckhout, M.D., M.B.A., Kenneth J. Freese, M.D., Susan
L. Goelzer, M.D., Alan W. Grogono, M.D., Joseph J. Kryc,
M.D., Nagy A. Mekhail, M.D., Ph.D., David A. Nakata,
M.D., Mary D. Peterson, M.D., Julia E. Pollock, M.D.,
Richard D. Urman, M.D., and James Viapiano, M.D.
Table
4: NRMP Recruitment and Total Number of Entry-Level
Residency Positions, 2003 - 07 |
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Armin
Schubert, M.D., M.B.A., is Professor and Chair,
Department of General Anesthesiology, Cleveland
Clinic, Cleveland Clinic Lermer College of Medicine
of Case Western Reserve University, Cleveland,
Ohio. |
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