Landry Adaira I, Coates Wendy, Gottlieb Michael
Department of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USA.
Department of Emergency Medicine UCLA Harbor Hospital Los Angeles California USA.
AEM Educ Train. 2025 May 8;9(3):e70052. doi: 10.1002/aet2.70052. eCollection 2025 Jun.
In 2024, over 50,000 applicants submitted their rank order list (ROL) to the National Resident Matching Program (NRMP, The Match), which uses these rankings to match candidates with residency programs. Recent years have shown that many applicants find emergency medicine (EM) a desired speciality. In 2024 and 2025, 95% and 98% of EM residency spots were filled, respectively. To match, applicants must understand every aspect of the application process, including rank order strategies. The ROL is an essential step in the residency application process where applicants rank programs based on personal and professional priorities. Applicants weigh both tangible factors-such as program size, location, and salary-and intangible factors-such as work-life balance, faculty support, and the overall "feel" of a program. Virtual interviews have limited opportunities to assess both tangible and intangible factors hindering the more comprehensive evaluation EM applicants previously had with in-person interviews. We offer strategic advice to medical students and their mentors, on an approach to creating a ROL, evaluating the intangible and tangible aspects of each program, additional considerations for less common scenarios, and effective communication with program directors.
2024年，超过5万名申请者向全国住院医师匹配计划（NRMP，即“匹配计划”）提交了他们的排名顺序表（ROL），该计划利用这些排名将申请者与住院医师项目进行匹配。近年来，许多申请者发现急诊医学（EM）是一个理想的专业。在2024年和2025年，急诊医学住院医师岗位的填补率分别为95%和98%。为了成功匹配，申请者必须了解申请过程的方方面面，包括排名顺序策略。排名顺序表是住院医师申请过程中的关键一步，申请者根据个人和职业优先级对项目进行排名。申请者会权衡各种因素，既有实际因素，如项目规模、地点和薪资，也有非实际因素，如工作与生活的平衡、教员支持以及项目的整体“氛围”。虚拟面试评估实际和非实际因素的机会有限，这阻碍了急诊医学申请者以前通过面对面面试进行的更全面评估。我们为医学生及其导师提供战略建议，内容包括创建排名顺序表的方法、评估每个项目的实际和非实际方面、针对不太常见情况的额外考虑以及与项目主任的有效沟通。
