Results of the 2008 NRMP Program Director Survey

December 2008
www.nrmp.org

Requests for permission to use these data as well as questions about the content of this publication or the National Resident Matching Program data collections may be directed to Philip Szenas, Director of Research, National Resident Matching Program, at pszenas@aamc.org. Questions about the NRMP should be directed to Mona Signer, Executive Director, NRMP, at msigner@aamc.org. Suggested Citation National Resident Matching Program, Data Release and Research Committee: Results of the 2008 NRMP Program Director Survey. National Resident Matching Program, Washington, DC. 2008.

Copyright ©2008 National Resident Matching Program.

Table of Contents
Introduction .....................................................................................................................................................1 All Specialties ...................................................................................................................................................2 Charts for Individual Specialties Anesthesiology ............................................................................................................................................9 Dermatology..............................................................................................................................................16 Diagnostic Radiology ................................................................................................................................23 Emergency Medicine.................................................................................................................................30 Family Medicine........................................................................................................................................37 General Surgery.........................................................................................................................................44 Internal Medicine.......................................................................................................................................51 Internal Medicine/Pediatrics......................................................................................................................58 Neurology..................................................................................................................................................65 Obstetrics and Gynecology .......................................................................................................................72 Orthopaedic Surgery..................................................................................................................................79 Otolaryngology..........................................................................................................................................86 Pathology-Anatomic and Clinical .............................................................................................................93 Pediatrics .................................................................................................................................................100 Physical Medicine and Rehabilitation .....................................................................................................107 Plastic Surgery.........................................................................................................................................114 Psychiatry ................................................................................................................................................121 Radiation Oncology.................................................................................................................................128 Transitional Year .....................................................................................................................................135

Introduction
The National Resident Matching Program (NRMP) conducted a survey of the directors of all programs participating in the 2008 Main Residency Match. The primary purpose of the survey was to shed light on the factors that program directors use in both (1) selecting applicant to interview and (2) ranking applicants for the Match. The survey was fielded during the 19 days between the rank order list deadline and Match Week so that program match outcomes would not influence respondents' answers. The survey solicited information on: • The number of applications received, screened, and reviewed, as well as the number of applicants interviewed and ranked • The percentage of interview slots offered prior to the November 1 release date of the Medical Student Performance Evaluation (MSPE/Dean's Letter) • Whether the program typically interviews and ranks specific applicant groups • The use of test scores in considering which applicants to interview, and • The factors used for both interview selection and for ranking applicants. The overall response rate for the 19 largest specialties detailed in this report was 55.6 percent; and ranged from a high of 70.0 percent for Emergency Medicine to a low of 39.0 for Transitional Year (see table below). This report presents preliminary results on selected items from the survey by specialty. The NRMP hopes that program directors, school officials, and applicants find these data useful as they prepare for and participate in the Match.
_______________

The NRMP's data reporting and research activities are guided by its Data Release and Research Committee. NRMP data and reports can be found at: www.nrmp.org/data/.

Specialty Anesthesiology Dermatology Diagnostic Radiology Emergency Medicine Family Medicine General Surgery Internal Medicine Internal Medicine/Pediatrics Neurology Obstetrics and Gynecology Orthopaedic Surgery Otolaryngology Pathology-Anatomic and Clinical Pediatrics Physical Medicine & Rehabilitation Plastic Surgery Psychiatry Radiation Oncology Transitional Year Total:

Surveys Sent 169 110 205 140 455 241 423 79 131 238 160 105 146 189 89 48 182 77 123 3,310

Number Responding 84 61 109 98 282 112 200 36 73 146 87 59 99 127 46 32 96 45 48 1,840

Response Rate 49.7% 55.5% 53.2% 70.0% 62.0% 46.5% 47.3% 45.6% 55.7% 61.3% 54.4% 56.2% 67.8% 67.2% 51.7% 66.7% 52.7% 58.4% 39.0% 55.6%

NRMP Program Director Survey Results, 2008

1

All Specialties Combined

NRMP Program Director Survey Results, 2008

2

All Specialties

Figure 1

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences Letters of Recommendation from Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score 34% 70% 82% 75% 75% 74% 73% 49% 76% 71% 69% 69% 66% 63% 63% 62%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership 54% 53%

64%

NRMP Program Director Survey Results, 2008

3

(continued) Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Figure 1

All Specialties

Personal Statement Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population 41% 59% 59% 57% 56% 52% 75%

Commitment Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution 34% 66% 66% 64% 59%

Research Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career 45% 42% 41% 38%

NRMP Program Director Survey Results, 2008

4

Figure 2

All Specialties
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

4.0 3.8 3.8 3.8 3.7 3.7 3.6 2.9 3.8

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

3.9 3.8 3.8 3.5

3.8 3.3 3.2

3.8 3.6 2.3 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

5

(continued) Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

Figure 2

All Specialties
2 3 4 5

4.3 4.3 4.2 4.2 4.1 3.8 4.1 3.7

4.3 3.4 3.1

3.6 3.6 2.5

3.3 3.1 3.0 2.9

2.8 2.8 2.7 2.6

2.6 2.3 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

6

Figure 3

All Specialties
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

60% 56.9% 40%

64.8%

40.8%

20% 18.7% 2.3% 0% Yes, pass only Yes, target score Not Required Never Seldom

16.5%

Often

USMLE Step 2
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
66.3%

60%

40% 33.2% 20%

41.4%

25.4%

21.4%

12.3%

0% Yes, pass only Yes, target score Not Required Never Seldom Often

NRMP Program Director Survey Results, 2008

7

Figure 4

All Specialties
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 40%

34.8%

30%

20%
19.1% 15.7% 15% 12%

10%

3.4%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

8

Anesthesiology

NRMP Program Director Survey Results, 2008

9

Figure AN-1

Anesthesiology
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 66% 62% 68% 66% 59% 58% 57% 54%

76%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

68% 66% 64% 64%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
31% 70%

81%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

65% 58% 55%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

10

Figure AN-1 Anesthesiology
(continued)
Other Factors

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
34% 57% 58% 51% 49% 45%

66%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
32% 58%

70% 65% 77%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

53% 46% 49% 45%

NRMP Program Director Survey Results, 2008

11

Figure AN-2

Anesthesiology
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

3.9 3.9 3.9 3.9 3.9 4.0 3.9 3.4 4.1

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

3.8 3.6 3.7 3.4

3.8 3.5 3.5

4.1 4.1 2.6 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

12

Figure AN-2 Anesthesiology
(continued)

Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.2 4.1 4.1 3.9 3.8 3.8 4.4 4.0

4.2 3.3 2.9

4.0 3.9 2.7

3.0 3.0 2.7 2.5

3.1 2.9 3.1 2.9

2.8 2.5 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

13

Figure AN-3

Anesthesiology
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80%

82.9% 74.7%

60%

40%

20% 13.4% 0% Yes, pass only Yes, target score Not Required 3.7%

21.5% 3.8% Never Seldom Often

USMLE Step 2
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

60% 58%

63.4%

40% 35.8% 20% 33.8%

0%

6.2% Yes, pass only Yes, target score Not Required Never Seldom

2.8% Often

NRMP Program Director Survey Results, 2008

14

Figure AN-4

Anesthesiology
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 30%

20%

20.5%

21.7% 19.3% 15.7% 16.9%

10%

6%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

15

Dermatology

NRMP Program Director Survey Results, 2008

16

Figure DM-1

Dermatology
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 67% 71% 78%

87% 82% 80%

80% 76% 69%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

87% 82% 82% 78%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
29% 56%

76%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

76% 58% 71%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

17

Figure DM-1 Dermatology
(continued)
Other Factors

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
38% 40% 44% 75% 78% 73%

91%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
55%

71% 76% 80% 64%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

71% 67% 76% 67%

NRMP Program Director Survey Results, 2008

18

Figure DM-2

Dermatology
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

4.2 4.1 4.2 3.9 4.1 3.8 3.9 3.5 3.4

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

4.3 4.2 4.3 3.7

3.8 3.2 3.4

3.8 3.3 2.1 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

19

Figure DM-2 Dermatology
(continued)

Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit

4.0 4.0 3.9 4.0 3.7 3.7 4.2 3.8

3.5 2.7 2.6

3.9 3.6 2.8

3.8 3.3 3.1 3.1

3.3 3.2 3.3 3.5

1.9 1.5 Mean +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

20

Figure DM-3

Dermatology
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
80%

Scores Reqired?
74.6%

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

60% 53.4% 40% 44.8%

20%

25.4%

0% Yes, pass only Yes, target score

0% Not Required Never Seldom

1.7% Often

USMLE Step 2
60%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
50.9% 50%

47.6%

40% 40%

20%

9.1% 0% Yes, pass only Yes, target score Not Required Never Seldom

2.4% Often

NRMP Program Director Survey Results, 2008

21

Figure DM-4

Dermatology
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

100% 90% 80% 70% 60% 50% 40% 30% 20% 10%

Percent of Programs
93.3%

3.3% 0%
0% 1-24%

0%
25-49%

1.7%
50-74%

1.7%
75-99%

0%
100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

22

Diagnostic Radiology

NRMP Program Director Survey Results, 2008

23

Figure DR-1

Diagnostic Radiology
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 71% 67% 73%

86% 79% 74% 78% 84%

82%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

79% 83% 77% 81%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
36% 58%

82%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

77% 69% 78%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

24

Figure DR-1
(continued)

Diagnostic Radiology
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
46% 56% 55% 63% 61% 64%

79%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
44%

68% 74% 82% 68%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

64% 58% 59% 57%

NRMP Program Director Survey Results, 2008

25

Figure DR-2

Diagnostic Radiology
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

3.8 4.0 3.8 4.1 4.0 4.2 4.0 3.5 3.9

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

3.8 3.9 3.6 3.8

3.9 3.5 3.7

4.0 3.3 2.4 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

26

Figure DR-2
(continued)

Diagnostic Radiology
Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.2 4.2 4.1 4.2 4.1 3.8 3.9 3.7

4.2 3.5 2.8

3.7 3.5 2.4

3.2 3.0 2.9 2.8

3.2 3.0 3.0 2.7

2.5 2.2 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

27

Figure DR-3

Diagnostic Radiology
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80% 79.4% 60% 50% 40% 48.1%

20% 17.8% 2.8% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 1.9%

USMLE Step 2
60%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
51.2%

40%

45.7% 41%

47.6%

20% 13.3% 1.2% 0% Yes, pass only Yes, target score Not Required Never Seldom Often

NRMP Program Director Survey Results, 2008

28

Figure DR-4

Diagnostic Radiology
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

50%

Percent of Programs

40%

43.5%

30%
24.1%

20%

10%

12% 8.3% 8.3% 3.7%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

29

Emergency Medicine

NRMP Program Director Survey Results, 2008

30

Figure EM-1

Emergency Medicine
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 49% 70%

81% 87% 92% 75% 80% 78%

83%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores 76%

87% 93% 96%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
35% 65%

85%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

72% 62% 70%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

31

Figure EM-1 Emergency Medicine
(continued)
Other Factors

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
40% 42% 54% 63%

73% 69% 72%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
61% 64%

81% 80% 84%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

54% 52% 52% 52%

NRMP Program Director Survey Results, 2008

32

Figure EM-2

Emergency Medicine
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

4.4 3.9 4.2 3.6 3.8 3.5 3.3 2.4 3.7

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

4.6 4.1 4.0 3.0

3.7 3.2 3.2

3.4 3.3 2.2 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

33

Figure EM-2 Emergency Medicine
(continued)

Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.2 4.2 4.2 4.1 4.1 3.7 4.0 3.3

4.1 2.9 2.7

3.9 4.2 3.6

2.6 3.2 2.9 2.8

2.7 2.6 2.7 2.5

2.3 2.3 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

34

Figure EM-3

Emergency Medicine
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
Scores Reqired?
80%

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
76.4%

60%

48.9% 40% 44.7%

20% 6.4% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 16.9% 6.7%

USMLE Step 2
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
71.2%

60%

40% 30.9% 20% 25.5%

43.6%

26%

2.7% 0% Yes, pass only Yes, target score Not Required Never Seldom Often

NRMP Program Director Survey Results, 2008

35

Figure EM-4

Emergency Medicine
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 30%

24.7%

23.7%

24.7% 20.6%

20%

10%

6.2% 0%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

36

Family Medicine

NRMP Program Director Survey Results, 2008

37

Figure FM-1

Family Medicine
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 35% 45% 52% 45% 55% 62% 59%

72%

74%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

68% 71% 70% 72%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
35%

85% 79%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

60% 46% 30%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

38

Figure FM-1 Family Medicine
(continued)
Other Factors

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
51% 60% 59% 64% 57% 60%

83%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
23% 54% 61% 65%

76%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

16% 19% 17% 18%

NRMP Program Director Survey Results, 2008

39

Figure FM-2

Family Medicine
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

3.7 3.5 3.3 3.7 3.3 3.2 3.4 2.4 4.1

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

3.6 3.5 3.5 3.4

3.8 3.1 2.6

3.7 3.7 2.3 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

40

Figure FM-2 Family Medicine
(continued)

Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.5 4.5 4.4 4.5 4.5 3.9 4.5 3.9

4.5 3.8 3.6

3.8 3.6 2.3

3.7 3.2 3.2 3.2

2.0 2.1 2.1 2.0

3.2 3.0 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

41

Figure FM-3

Family Medicine
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
80% 70.5% 60% 53.4% 40% 46.6%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

20%

26.5%

2.9% 0% Yes, pass only Yes, target score Not Required

0% Never Seldom Often

USMLE Step 2
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

60%

60.7%

64.1%

40% 32.8% 20% 26.3%

13% 0% Yes, pass only Yes, target score Not Required

3.1% Never Seldom Often

NRMP Program Director Survey Results, 2008

42

Figure FM-4

Family Medicine
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 30%

23.6%

24.6% 21% 17.4%

20%

10%

10.1%

3.3%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

43

General Surgery

NRMP Program Director Survey Results, 2008

44

Figure GS-1

General Surgery
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 56% 59% 65%

75% 73% 78%

69% 72%

73%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

85% 81% 76% 79%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
24% 75%

83%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

64% 57% 61%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

45

Figure GS-1 General Surgery
(continued)
Other Factors

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
37% 55% 52% 55% 54% 57%

73%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
23%

59% 67% 60% 52%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

51% 44% 40% 37%

NRMP Program Director Survey Results, 2008

46

Figure GS-2

General Surgery
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

4.4 4.0 4.3 3.6 4.1 4.1 3.7 3.3 3.8

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

4.2 4.2 4.4 3.7

4.0 3.4 3.5

4.0 3.7 2.0 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

47

Figure GS-2 General Surgery
(continued)

Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.2 4.3 4.1 4.2 4.1 4.0 4.0 3.6

4.0 3.5 3.0

3.6 3.4 2.1

3.2 2.8 2.8 2.7

3.2 3.1 2.8 2.7

2.7 2.4 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

48

Figure GS-3

General Surgery
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80%

86.4%

60% 60.2% 40% 37% 20% 11.8% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 1.8% 2.8%

USMLE Step 2
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

68.2% 60% 55.1% 40%

40.8%

20% 18.7% 13.1% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 4.1%

NRMP Program Director Survey Results, 2008

49

Figure GS-4

General Surgery
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 40%

30%

33%

20%

21.1% 16.5% 15.6%

10%

11%

2.8%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

50

Internal Medicine

NRMP Program Director Survey Results, 2008

51

Figure IM-1

Internal Medicine
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 36% 65% 60% 66% 61% 58% 56% 55%

79%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores 59%

69%

67% 60%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
33% 72%

81%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

61% 45% 44%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

52

Figure IM-1
(continued)

Internal Medicine
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
39% 44% 47% 48%

56%

60%

51%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
21%

43% 63% 51% 47%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

34% 30% 24% 28%

NRMP Program Director Survey Results, 2008

53

Figure IM-2

Internal Medicine
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

3.9 3.8 3.7 4.1 3.7 3.8 3.4 2.8 3.9

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

3.9 3.5 3.8 3.4

3.8 3.4 3.2

3.6 3.7 2.4 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

54

Figure IM-2
(continued)

Internal Medicine
Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.2 4.1 4.1 3.8 3.8 3.6 3.6 3.3

4.4 3.3 3.4

3.4 3.1 2.1

2.9 2.9 2.8 2.7

2.6 2.5 2.3 2.4

2.4 2.2 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

55

Figure IM-3

Internal Medicine
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80%

82.6%

60%

65.2%

40% 33.8% 20% 1% 0% Yes, pass only Yes, target score Not Required 8.4% Never Seldom 8.9% Often

USMLE Step 2
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80% 77.9% 60% 55.9% 40%

20%

25.1% 19% 13.8% Never Seldom 8.3%

0% Yes, pass only Yes, target score Not Required Often

NRMP Program Director Survey Results, 2008

56

Figure IM-4

Internal Medicine
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 30%

24.1%

24.1% 22.1%

20%

15.6% 13.1%

10%

1%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

57

Internal Medicine/Pediatrics

NRMP Program Director Survey Results, 2008

58

Figure IP-1

Internal Medicine/Pediatrics
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 63% 63% 57% 51% 69% 71%

80%

77%

77%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores 57% 57% 57%

66%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
29% 77%

89%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

66% 51% 57%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

59

Figure IP-1
(continued)

Internal Medicine/Pediatrics
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
37% 31% 54% 51% 60% 60%

69%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
14% 49% 54% 57%

66%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career
14% 26% 26%

34%

NRMP Program Director Survey Results, 2008

60

Figure IP-2

Internal Medicine/Pediatrics
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

4.2 3.9 3.9 3.9 3.9 4.1 3.6 2.8 3.4

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

3.7 3.6 3.4 3.3

3.6 2.9 3.1

3.6 3.6 2.0 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

61

Figure IP-2
(continued)

Internal Medicine/Pediatrics
Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.3 4.2 4.1 4.2 3.9 3.8 4.1 3.0

4.6 2.9 2.8

3.4 2.9 1.7

3.1 3.1 3.3 3.2

2.1 2.0 1.8 2.1

2.3 2.4 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

62

Figure IP-3

Internal Medicine/Pediatrics
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80%

80.6%

60% 52.8% 40% 47.2%

20% 13.9% 0% Yes, pass only Yes, target score 0% Not Required 5.6% Never Seldom Often

USMLE Step 2
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
84.8%

80%

60%

40% 35.3% 20% 38.2% 26.5% 12.1% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 3%

NRMP Program Director Survey Results, 2008

63

Figure IP-4

Internal Medicine/Pediatrics
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 40%

30%

31.4%

20%

22.9% 20%

10%

11.4%

11.4%

2.9%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

64

Neurology

NRMP Program Director Survey Results, 2008

65

Figure N-1

Neurology
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 53%

71% 69% 69% 72% 68% 63% 66% 68%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

81% 82% 79% 81%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
53% 79%

87%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

72% 63% 54%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

66

Figure N-1 Neurology
(continued)

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
54% 56% 63% 57% 60%

71%

72%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
37% 63%

72%

65% 62%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

54% 56% 57% 56%

NRMP Program Director Survey Results, 2008

67

Figure N-2

Neurology
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

4.1 3.8 4.0 4.1 3.8 3.8 3.7 3.3 4.0

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

4.4 4.3 4.2 3.9

4.1 3.8 3.2

4.0 3.9 3.1 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

68

Figure N-2 Neurology
(continued)

Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.5 4.3 4.3 4.2 4.0 3.8 4.4 4.0

4.4 3.6 3.5

3.6 3.3 2.4

3.4 3.0 2.9 2.8

3.1 3.1 3.2 3.1

2.8 2.5 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

69

Figure N-3

Neurology
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80% 77.5% 60% 66.7%

40% 31.9% 20% 18.3% 1.4% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 4.2%

USMLE Step 2
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
73.9%

60% 54.2% 40% 29.2% 20% 16.7% 1.4% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 24.6%

NRMP Program Director Survey Results, 2008

70

Figure N-4

Neurology
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 30%

23.3%

20%
19.2% 16.4% 15.1% 19.2%

10%
6.8%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

71

Obstetrics and Gynecology

NRMP Program Director Survey Results, 2008

72

Figure OB-1

Obstetrics and Gynecology
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 42%

67% 72% 71% 60% 64% 65% 59% 65%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

74% 68% 67% 69%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
37% 70%

78%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

62% 52% 51%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

73

Figure OB-1 Obstetrics and Gynecology
(continued)
Other Factors
0%

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
31% 52% 52% 58% 52% 56%

72%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
22%

56% 58% 58% 58%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

38% 36% 35% 28%

NRMP Program Director Survey Results, 2008

74

Figure OB-2

Obstetrics and Gynecology
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

4.0 3.9 3.9 3.4 3.8 3.6 3.7 2.8 3.8

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

3.6 3.6 3.5 3.4

3.8 3.4 3.3

3.9 3.8 2.5 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

75

Figure OB-2 Obstetrics and Gynecology
(continued)

Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.2 4.2 4.2 4.3 4.2 3.9 4.0 3.7

4.4 3.8 3.0

3.5 3.4 2.1

3.2 3.0 2.8 2.8

2.8 2.8 2.7 2.5

2.8 2.5 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

76

Figure OB-3

Obstetrics and Gynecology
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80% 76.5% 60% 51%

40%

47.6%

20% 1.4% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 10.3% 13.2%

USMLE Step 2
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80%

80.3%

60%

40%

43.1%

44.5%

20% 12.4% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 14.8% 4.9%

NRMP Program Director Survey Results, 2008

77

Figure OB-4

Obstetrics and Gynecology
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 30%
27.2%

20%
18.4%

20.4% 17.7%

10%

10.2% 6.1%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

78

Orthopaedic Surgery

NRMP Program Director Survey Results, 2008

79

Figure ORS-1

Orthopaedic Surgery
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 55% 54%

72% 66% 66%

67% 66% 63% 63%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

80% 78% 76% 76%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
28% 51%

75%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

66% 53% 71%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

80

Figure ORS-1 Orthopaedic Surgery
(continued)
Other Factors

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
38% 32% 41%

67% 63% 66%

62%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
45%

54% 64% 84% 58%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career
38%

68% 62% 55%

NRMP Program Director Survey Results, 2008

81

Figure ORS-2

Orthopaedic Surgery
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

3.9 4.0 3.8 3.6 4.0 3.8 3.7 3.2 3.3

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

4.0 3.9 4.0 3.5

3.9 3.1 3.6

4.0 3.3 2.0 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

82

Figure ORS-2 Orthopaedic Surgery
(continued)

Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.3 4.3 4.2 4.3 4.2 3.9 3.7 3.6

3.9 3.2 2.7

4.0 4.3 3.0

3.2 3.1 3.0 3.0

3.4 3.3 3.1 2.6

2.3 2.1 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

83

Figure ORS-3

Orthopaedic Surgery
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80% 79.5% 60% 52.6% 40% 43.4%

20% 19.3% 1.2% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 3.9%

USMLE Step 2
60%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
50.9%

40%

41.8% 38%

41.8%

20%

20.3% 7.3%

0% Yes, pass only Yes, target score Not Required Never Seldom Often

NRMP Program Director Survey Results, 2008

84

Figure ORS-4

Orthopaedic Surgery
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
0% 1-24% 3.6% 4.8% 25-49% 81%

2.4% 50-74%

6% 75-99%

2.4% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

85

Otolaryngology

NRMP Program Director Survey Results, 2008

86

Figure OTO-1

Otolaryngology
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from

70% 89% 83% 74% 85% 85% 81% 81% 74%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

94% 94% 89% 85%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
17% 57%

87%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

72% 67% 87%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

87

Figure OTO-1 Otolaryngology
(continued)
Other Factors

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
31% 39% 41% 76% 83% 78%

91%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
50%

74% 74% 70% 63%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career
52% 67%

81% 78%

NRMP Program Director Survey Results, 2008

88

Figure OTO-2

Otolaryngology
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

4.3 4.2 4.3 3.1 4.3 4.0 3.9 3.4 3.4

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

4.3 4.4 4.5 3.8

3.9 3.4 4.0

4.0 3.2 1.9 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

89

Figure OTO-2 Otolaryngology
(continued)

Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit

4.3 4.3 4.1 4.2 4.0 3.9 3.9 3.5

3.7 3.3 2.8

3.8 4.0 2.7

3.3 3.3 3.1 2.9

3.8 3.6 3.2 2.9

1.6 1.4 Mean +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

90

Figure OTO-3

Otolaryngology
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80% 76.3% 60% 56.6% 40% 43.4%

20% 18.6% 0% Yes, pass only Yes, target score Not Required Never Seldom 5.1% 0% Often

USMLE Step 2
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

60%

61.3%

40%

47.5% 38.7% 28.8% 23.7%

20%

0% Yes, pass only Yes, target score Not Required Never Seldom

0% Often

NRMP Program Director Survey Results, 2008

91

Figure OTO-4

Otolaryngology
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 60%
55.2%

50%

40%

30% 20%
15.5%

10%

10.3%

8.6% 3.4%

6.9% 50-74% 75-99% 100%

0%
0% 1-24% 25-49%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

92

Pathology-Anatomic and Clinical

NRMP Program Director Survey Results, 2008

93

Figure PTH-1

Pathology-Anatomic and Clinical
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from

80% 77% 80% 80% 73% 71% 73% 69% 68%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

89% 89% 90% 91%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
57%

84% 79%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

62% 60% 50%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

94

Figure PTH-1
(continued)

Pathology-Anatomic and Clinical
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
42% 49% 60% 57% 58% 61%

87%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
68% 63% 69%

81%

77%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

50% 53% 52% 46%

NRMP Program Director Survey Results, 2008

95

Figure PTH-2

Pathology-Anatomic and Clinical
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

3.9 3.5 3.7 3.7 3.4 3.6 3.6 3.4 4.1

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

4.3 4.2 4.1 3.9

3.6 3.6 3.2

3.7 3.6 2.9 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

96

Figure PTH-2
(continued)

Pathology-Anatomic and Clinical
Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.4 4.4 4.3 4.3 4.1 3.7 4.5 4.1

4.5 3.7 3.2

3.4 3.7 3.2

3.6 2.9 2.8 2.5

3.0 3.0 3.0 2.9

3.2 2.5 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

97

Figure PTH-3

Pathology-Anatomic and Clinical
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
71%

60% 54.2% 40% 42.7%

20% 18.3% 3.1% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 10.8%

USMLE Step 2
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
70.6%

60%

40% 33% 20%

43.6%

23.4% 14.1% 15.3%

0% Yes, pass only Yes, target score Not Required Never Seldom Often

NRMP Program Director Survey Results, 2008

98

Figure PTH-4

Pathology-Anatomic and Clinical
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

Percent of Programs 50%

40%
38.1%

30%

20%

20.6% 15.5%

10%

12.4% 11.3% 2.1%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

99

Pediatrics

NRMP Program Director Survey Results, 2008

100

Figure PD-1

Pediatrics
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 42%

70% 69% 65% 64% 60% 57% 59% 54%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

61% 65% 61% 65%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
23%

81% 77%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

60% 48% 51%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

101

Figure PD-1 Pediatrics
(continued)

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population

65% 58% 55% 52% 54% 51% 46%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
14%

57% 58% 55% 48%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career
24% 25% 23%

33%

NRMP Program Director Survey Results, 2008

102

Figure PD-2

Pediatrics
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

4.1 4.0 3.8 3.9 3.8 3.9 3.8 2.9 4.0

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

3.7 3.8 3.3 3.6

3.9 3.3 3.5

3.8 3.9 2.1 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

103

Figure PD-2 Pediatrics
(continued)

Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit

4.5 4.4 4.4 4.4 4.3 3.9 4.1 3.5

4.5 3.5 3.3

3.5 3.4 2.0

3.0 3.1 3.1 3.1

2.5 2.5 2.4 2.3

2.5 2.2 Mean +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

104

Figure PD-3

Pediatrics
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
69.2%

60% 57.3% 40%

41.9% 28.3%

20%

0.8% 0% Yes, pass only Yes, target score Not Required 2.5% Never Seldom Often

USMLE Step 2
Scores Reqired?
80%

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
75.4%

60%

40%

40.3%

37.9%

20%

21.8% 11% 13.6%

0% Yes, pass only Yes, target score Not Required Never Seldom Often

NRMP Program Director Survey Results, 2008

105

Figure PD-4

Pediatrics
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

30%

Percent of Programs

20%
19.2% 17.6%

21.6% 19.2%

20.8%

10%

1.6%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

106

Physical Medicine and Rehabilitation

NRMP Program Director Survey Results, 2008

107

Figure PM-1

Physical Medicine and Rehabilitation
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 53% 64% 58% 67% 69% 69%

82%

84%

76%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

76% 73% 76% 76%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
42%

87% 82%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

47% 42% 36%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

108

Figure PM-1
(continued)

Physical Medicine and Rehabilitation
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
24% 58% 56% 58% 58% 56%

84%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
49% 67% 69%

78% 76%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career
33%

44% 47% 47%

NRMP Program Director Survey Results, 2008

109

Figure PM-2

Physical Medicine and Rehabilitation
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

4.0 3.8 3.9 4.0 3.6 3.8 4.0 3.2 4.2

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

4.3 4.3 4.1 3.7

3.5 3.3 3.1

4.1 4.1 2.6 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

110

Figure PM-2
(continued)

Physical Medicine and Rehabilitation
Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.2 4.2 4.2 4.1 4.0 3.9 4.6 3.9

4.7 3.9 3.0

3.5 3.9 3.3

3.8 3.2 3.2 3.1

3.2 3.2 3.1 2.8

2.6 2.2 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

111

Figure PM-3

Physical Medicine and Rehabilitation
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
86%

80%

60% 51.1% 40%

46.7%

20% 2.2% 0% Yes, pass only Yes, target score Not Required Never Seldom Often 4.7% 9.3%

USMLE Step 2
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80% 79.5% 60%

40%

43.2% 34.1%

20%

22.7% 12.8% 7.7%

0% Yes, pass only Yes, target score Not Required Never Seldom Often

NRMP Program Director Survey Results, 2008

112

Figure PM-4

Physical Medicine and Rehabilitation
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

50%

Percent of Programs

40%
39.1%

30%

20%
17.4% 15.2% 15.2% 10.9% 2.2%

10%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

113

Plastic Surgery

NRMP Program Director Survey Results, 2008

114

Figure PS-1

Plastic Surgery
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 53% 53%

67% 67% 70%

73% 70% 63% 70%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

90% 90% 83% 87%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
30% 53%

80%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

47% 63% 80%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

115

Figure PS-1
(continued)

Plastic Surgery
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
33% 37% 63% 60% 60% 73%

83%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
37% 63%

73% 77% 77%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career
53% 63%

73% 67%

NRMP Program Director Survey Results, 2008

116

Figure PS-2

Plastic Surgery
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

3.8 3.7 3.8 3.5 3.8 3.6 3.5 3.0 2.7

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

4.3 4.3 4.6 3.8

3.1 3.5 3.4

4.0 3.4 2.3 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

117

Figure PS-2
(continued)

Plastic Surgery
Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit

4.3 4.3 4.2 4.2 4.2 3.9 4.2 3.7

4.1 2.8 2.5

3.8 3.8 2.5

3.3 3.1 3.2 2.8

3.8 3.6 3.5 3.5

1.4 1.4 Mean +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

118

Figure PS-3

Plastic Surgery
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
100%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

80%

81.3%

60% 59.4% 40% 40.6% 20% 18.8% 0% Yes, pass only Yes, target score 0% Not Required Never Seldom 0% Often

USMLE Step 2
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

60% 60%

40%

40.6% 28.1% 31.3%

40%

20%

0% Yes, pass only Yes, target score Not Required Never Seldom

0% Often

NRMP Program Director Survey Results, 2008

119

Figure PS-4

Plastic Surgery
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

90% 80% 70% 60% 50% 40% 30% 20% 10%

Percent of Programs

81.3%

0%

3.1% 6.3% 25-49% 50-74%

0% 75-99%

9.4% 100%

0%
0% 1-24%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

120

Psychiatry

NRMP Program Director Survey Results, 2008

121

Figure P-1

Psychiatry
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 45% 59% 63% 66% 66%

77% 70% 76% 78%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

68% 78% 73% 72%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
42%

82% 75%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

67% 53% 45%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

122

Figure P-1 Psychiatry
(continued)

Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
66% 65% 64% 58% 58% 59%

90%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
39% 66% 61% 64%

78%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career
42%

52% 47% 52%

NRMP Program Director Survey Results, 2008

123

Figure P-2

Psychiatry
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

4.0 3.6 3.8 3.9 3.5 3.3 3.3 2.6 4.0

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

3.6 3.6 3.3 3.4

3.6 3.3 2.8

3.5 3.4 2.5 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

124

Figure P-2 Psychiatry
(continued)

Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.5 4.5 4.4 4.3 4.3 3.9 4.4 3.8

4.5 3.4 4.0

3.6 3.5 2.5

3.8 3.2 3.1 2.9

3.0 2.9 3.0 2.6

3.0 2.5 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

125

Figure P-3

Psychiatry
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

60%

65.6% 51.8%

40% 30.1% 20% 4.3% 0% Yes, pass only Yes, target score Not Required Never Seldom

47.1%

1.2% Often

USMLE Step 2
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

60% 60% 50.5% 40% 37.6% 20% 26.9% 22.6% 2.4% 0% Yes, pass only Yes, target score Not Required Never Seldom Often

NRMP Program Director Survey Results, 2008

126

Figure P-4

Psychiatry
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

40%

Percent of Programs

30%

31.3%

24%

20%
16.7% 13.5%

10%

12.5%

2.1%

0%
0% 1-24% 25-49% 50-74% 75-99% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

127

Radiation Oncology

NRMP Program Director Survey Results, 2008

128

Figure RO-1

Radiation Oncology
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 51% 56% 60% 63% 67% 63% 67% 67%

86%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores 77%

86% 86% 86%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
26% 49%

72%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

56% 58% 53%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

129

Figure RO-1
(continued)

Radiation Oncology
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
47% 40% 56% 58% 63% 70%

91%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
70%

79%

72% 67% 67%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

84% 79% 86% 79%

NRMP Program Director Survey Results, 2008

130

Figure RO-2

Radiation Oncology
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

3.8 3.7 3.7 3.8 3.7 3.5 3.9 3.1 3.3

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

4.3 4.3 4.3 3.6

3.3 3.4 3.1

4.0 3.2 2.1 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

131

Figure RO-2
(continued)

Radiation Oncology
Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit

4.2 4.2 4.2 4.0 3.9 3.7 4.5 4.1

4.1 2.9 2.9

3.6 4.0 3.6

3.5 3.1 2.8 2.7

4.1 4.2 4.1 3.8

2.2 1.6 Mean +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

132

Figure RO-3

Radiation Oncology
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

60%

64.4% 58.1%

40% 39.5% 33.3% 20% 2.3% Never Seldom Often

2.2% 0% Yes, pass only Yes, target score Not Required

USMLE Step 2
Scores Reqired?
60%

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
56.3%

40% 40% 35.6%

40.6%

20%

24.4%

3.1% 0% Yes, pass only Yes, target score Not Required Never Seldom Often

NRMP Program Director Survey Results, 2008

133

Figure RO-4

Radiation Oncology
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

80% 70% 60% 50% 40% 30% 20% 10% 0%

Percent of Programs
75.6%

4.4% 0% 1-24%

6.7% 25-49%

4.4% 50-74%

4.4% 75-99%

4.4% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

134

Transitional Year

NRMP Program Director Survey Results, 2008

135

Figure TY-1

Transitional Year
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Medical School Performance and Test Scores
0% 20% 40% 60% 80% 100%

Medical School Performance

Medical Student Performance Evaluation (MSPE) Grades in required clerkships Grades in clerkship in desired specialty Gaps in medical education Class ranking/quartile Honors in clinical clerkships Consistency of grades Honors in clerkship in desired specialty Honors in basic sciences
Letters of Recommendation from 33% 38% 43% 38% 48% 60% 58% 68%

85%

Department chair in the specialty Colleague in the specialty Clerkship director in the specialty Other faculty
Standardized Test Scores

53% 58% 58% 58%

USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score
23% 53%

75%

U.S. Allopathic Graduates Graduate of U.S. allopathic medical school

55% 43% 43%

Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership

NRMP Program Director Survey Results, 2008

136

Figure TY-1
(continued)

Transitional Year
Percentage of Programs Citing Each Factor in Selecting Applicants to Interview
Other Factors
0% 20% 40% 60% 80% 100%

Personal Statement

Personal Statement Volunteer/extracurricular experiences Other life experience Applicant was flagged with NRMP match violation Community service Visa status Fluency in language spoken by patient population
28% 40% 43% 50% 45% 50%

65%

Commitment

Perceived commitment to specialty Personal prior knowledge of the applicant Audition elective/rotation within your department Perceived interest in program Away rotation in your specialty at another institution
5% 23%

35% 43%

55%

Research

Involvement in research Interest in research Involvement in specialty-specific research Interest in academic career

15% 13% 8% 10%

NRMP Program Director Survey Results, 2008

137

Figure TY-2

Transitional Year
Mean Importance Ratings* of Factors in Applicant Ranking
Medical School Performance and Test Scores
1 2 3 4 5

Medical School Performance/Grades Grades in clerkship in desired specialty Grades in required clerkships Honors in clerkship in desired specialty Medical Student Performance Evaluation (MSPE) Honors in clinical clerkships Class ranking/quartile Consistency of grades Gaps in medical education Honors in basic sciences

3.2 3.8 3.0 4.0 3.6 3.6 3.5 2.4 3.6

Letters of Recommendation from Clerkship director in specialty Colleague in the specialty Chair in the specialty Other faculty U.S. Allopathic Graduates Graduate of U.S. allopathic medical school Graduate of highly regarded U.S. medical school Alpha Omega Alpha (AOA) membership Standardized Test Scores USMLE/COMLEX Step 1 score USMLE/COMLEX Step 2 score USMLE/COMLEX Step 3 score

3.3 3.3 3.3 3.3

3.7 3.1 2.8

3.5 3.2 2.0 Mean Rating +/- 1 Standard Deviation

*Ratings on a scale from 1 (not at all important) to 5 (very important).

NRMP Program Director Survey Results, 2008

138

Figure TY-2
(continued)

Transitional Year
Mean Importance Ratings* of Factors in Applicant Ranking
Other Factors
1 Residency Interview 2 3 4 5

Interpersonal skills exhibited during interview Interactions with faculty during interview Professional attributes exhibited during interview Interactions with housestaff during interview Feedback from current residents Leadership qualities exhibited during interview Perceived commitment to specialty Perceived interest in program Miscellaneous Applicant Considerations Applicant was flagged with NRMP Match violation Visa status Fluency in language spoken by patient population Personal Knowledge of Applicant Personal prior knowledge of the applicant Audition elective/rotation within your department Away rotation in your specialty at another institution Personal Statement Personal statement Other life experience Volunteer/extracurricular experiences Community service Research Involvement Demonstrated involvement in research Interest in research Involvement in specialty-specific research Interest in academic career Post Interview Contact Other post-interview contact Second interview/visit
*Ratings on a scale from 1 (not at all important) to 5 (very important).

4.1 3.9 4.0 3.8 3.7 3.6 3.0 3.9

4.2 3.4 2.6

3.0 2.5 1.4

3.4 3.2 3.2 2.8

1.8 1.7 1.6 1.8

2.4 2.0 Mean +/- 1 Standard Deviation

NRMP Program Director Survey Results, 2008

139

Figure TY-3

Transitional Year
Percentage of Programs That Use USMLE Step 1 and Step 2 Scores When Considering Which Applicants to Interview

USMLE Step 1
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?

60%

63%

64.6%

40% 37% 20% 25% 10.4% 0% Yes, pass only Yes, target score Not Required Never Seldom Often

0%

USMLE Step 2
80%

Scores Reqired?

If Required, Do You Consider Applicants Who Failed Exam on 1st Attempt?
69.2%

60%

40% 31.1%

42.2% 26.7%

20%

23.1% 7.7%

0% Yes, pass only Yes, target score Not Required Never Seldom Often

NRMP Program Director Survey Results, 2008

140

Figure TY-4

Transitional Year
Percentage of Program's Interview Slots Offered Prior to the November 1st MSPE Release Date

40%

Percent of Programs

30%

31.3%

29.2%

20%
16.7% 16.7%

10%

4.2%

0%
0% 1-24% 25-49% 50-74% 75-99%

2.1% 100%

Percent of Interview Slots Filled

NRMP Program Director Survey Results, 2008

141

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