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Friday, March 20, 2009

Match Stats 2009...
After neglecting my usual review of senior medical students voting with their feet last year, here we go again.

According to the NRMP a record 29,890 seniors partcipated this year. The breakdown...

General surgery:





Surgery offered fewer positions this year, with fewer positions filled by US graduates. Six programs did not fill.

Internal medicine:




While the fill rate for IM remains strong, fewer US graduates are choosing it. 25 programs did not fill.

Family practice:





Family practice offered 101 fewer spots this year. Total fill was up slightly, with a slight decrease in US graduate fill percentage. The trend of a majority of FP residents being non-US graduates continues. This trend has been going on long enough that the majority of residency graduating classes for the past few years have been made up of non-US grads. 88 programs did not fill. Family practice seems to be a job that "Americans won't do."

Pediatrics:





Higher fill percentage among US grads for pediatrics from last year, but still down from 2007. 29 programs did not fill.

OB/GYN:






More positions with higher fill with US grads than in the past few years. 5 programs did not fill

Emergency Medicine:








Higher total fill and US grad fill percentages. They added 73 more positions this year and filled more this year than their total last year. 5 programs did not fill.


Now for the residents who take the "road":

Radiology:







Increase of US grad fill percentage. Looks very similar to general surgery as far as total slots and percentages. Based on both PG1 and PG2 numbers. 5 Programs did not fill.

Ophthalmology:
The "eye dentists" have their own match. The positions filled/total positions are 2009:458/459, 2008: 453/454, 2007:449/450.

Anesthesia:







Increases in US and total fill percentages. Given the large increases of positions filled, the supply of anesthesia slots seems to have leveled off. Again, very similar to surgery as far as numbers go. These numbers also combine the PG 1 and PG2 positions. 13 programs did not fill.

Dermatology:








1 program did not fill. Dermatology remains insanely popular.

The trends remain stable among specialties with growth continuing the most in emergency medicine. US graduates continue to flee primary care. How many of these new IM and pediatric interns will be subspecialist fellows or hospitalists in three years?

See comment from Kevin here from the WSJ here.

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