Results of the 2008 National Resident Matching Program: Family medicine

Division of Medical Education, American Academy of Family Physicians, Leawood, KS 66211, USA.
Family medicine (Impact Factor: 1.17). 10/2008; 40(8):563-73.
Source: PubMed


The results of the 2008 National Resident Matching Program (NRMP) reflect a currently stable level of student interest in family medicine residency training in the United States. Compared with the 2007 Match, 91 more positions (with 65 more US seniors) were filled in family medicine residency programs through the NRMP in 2008, at the same time as 10 fewer (one fewer US senior) in primary care internal medicine, eight fewer positions were filled in pediatrics-primary care (10 fewer US seniors), and 19 fewer (27 fewer US seniors) in internal medicine-pediatrics programs. Multiple forces, including student perspectives of the demands, rewards, and prestige of the specialty, the turbulence and uncertainty of the health care environment, lifestyle issues, and the impact of faculty role models, continue to influence medical student career choices. Thirty-one more positions (20 fewer US seniors) were filled in categorical internal medicine. Thirty more positions (84 fewer US seniors) were filled in categorical pediatrics programs. The 2008 NRMP results suggest that while interest in family medicine experienced a slight increase in the number of students choosing the specialty, interest in other primary care careers continues to decline. With the needs of the nation calling for the roles and services of family physicians, family medicine still matched too few graduates through the 2008 NRMP to meet the nation's needs for primary care physicians.

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    ABSTRACT: ORIGINAL ARTICLES T he primary care specialties of family medicine, general pe-diatrics, and general inter-nal medicine are actively engaged in residency redesign, driven by the need to transform their disciplines and adequately prepare physicians to practice in a changing health care environment. 1-3 Others have suggested that transformation in particular must respond to the ef-fort to improve quality of medical care, balance educational needs of learners with the service needs of institutions, and teach physicians to be lifelong learners. 4-6 Fourth-year medical students may be fearful about ranking programs that are experiencing substantial change because the educational redesigns may be perceived as of-fering lesser educational value and/ or greater uncertainty than estab-lished residency program designs. Fears about participating in inno-vatively redesigned programs may result in a decrease in the quality and quantity of applicants or an in-crease in positions filled after the Match (during the scramble). Ap-plicants selected after the Match are more likely to leave programs early and/or to require remediation, which creates difficulties for pro-gram management. International medical graduates (IMGs) applicants selected in the Match are also more likely to leave their program early. 7 While each of the three primary care disciplines have different ini-tiatives for curriculum change and innovation, a consistent theme for change in all three has been cus-tomizing training for individual res-idents rather than standard block educational designs that do not of-fer flexibility. 8,9 Specifically, the Aca-demic Internal Medicine Education BACKGROUND AND OBJECTIVES: Family medicine is actively engaged in residency redesign, but it is unclear how curricular in-novation and restructuring of residency programs will affect their performance in the National Resident Matching Program (NRMP).
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    Preview · Article · Jan 2011 · The Annals of Family Medicine
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