EM Match Advice: Where did all the jobs go, and did the applicants follow?

In this episode of EM Match Advice, our panel takes on the tough issues of 2021. Specifically we discuss the American College of Emergency Physicians (ACEP) Workforce Study [1] that projects fewer jobs for emergency physicians and the hot-off-the-press ERAS data showing a drop in the number of EM residency applicants, compared to 2 years ago. Did one cause the other? In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host an esteemed panel of 3 program directors, Dr. Cassandra Bradby (East Carolina University), Dr. Adam Kellogg (Baystate Health), and Dr. Craig Krausz (Saint Louis University).

The Numbers

  • The ACEP Workforce Study projects a whopping 7,845 excess of emergency physicians in 2030 who could be left without jobs. And our very smart medical students have been eyeing those numbers carefully.
  • While EM is still an attractive specialty for many medical students, some enter this year’s residency application season with a trepidation that hasn’t been seen before. And a good deal of  students clearly chose a specialty other than EM, with approximately 200 fewer applicants projected this cycle, compared to 2 years ago. Most of that drop came from students at LCME-accredited medical schools. [Silver lining: These numbers may make for a buyer’s market that greatly favors the students in the upcoming Match.]
  • Below is a summary of the ERAS data, pulled from their downloadable Excel data. Note that these data were collected on October 3 of each year and only summarize data from EM-only residencies (not EM/IM or EM/FM).
Characteristic2016-172017-182018-192019-202020-21*2021-22
Number of EM residency applicants3,2203,3303,3383,601x3,408
Average number of submitted applications in EM49.153.3557.8659.75x61.23
Average of applications received per EM program883.3866.6850.82874.58x772.82
AAMC’s ERAS data for 2016-2022 for the specialty of Emergency Medicine, collected on October 3 of each year
(* Because of the pandemic, the 2020-21 season’s timeline was shifted later by about 1 month, resulting in non-comparable data.)

EM Match Advice Podcast

Additional Resources

Read and Listen to the other EM Match Advice Episodes

Blog posts: https://www.aliem.com/em-match-advice-series/

References

  1. Marco CA, Courtney DM, Ling LJ, et al. The Emergency Medicine Physician Workforce: Projections for 2030 [published online ahead of print, 2021 Aug 2]. Ann Emerg Med. 2021; doi: 10.1016/j.annemergmed.2021.05.029. Epub ahead of print. PMID: 34353653.
By |2021-10-27T09:50:17-07:00Oct 30, 2021|EM Match Advice, Podcasts|

EM Match Advice: Program Directors Reflect on the 2021 Residency Match

How competitive is EM emergency medicine match EM Match Advice

Dr. Mike Gisondi and Dr. Michelle Lin return for their annual review of the most recent Match in emergency medicine (EM) in latest episode of EM Match Advice. They were joined by a panel of 3 outstanding program directors, Dr. Jacob Ufberg (Temple), Dr. Amita Sudhir (University of Virgina), and Dr. William Caputo (Staten Island Medical Center). Was the EM Match more competitive this year? That’s a complicated question and you need to listen to the podcast discussion for the nuanced answer.

The Slide: The Nitty Gritty Annual Numbers of the EM Match

“The Slide” above is a summary of EM Match statistics taken from the annual National Residency Matching Program (NRMP) Data and Results publication over the last 10 years. Trends suggest that EM is becoming less competitive year over year; however, 2021 saw the greatest number of unmatched medical students who were EM bound. What are the most competitive specialties and how does EM compare? Generally, we use the % fill rate with LCME students to determine the competitiveness of a specialty. That is the % of entry-level positions filled by allopathic senior medical students from the US, Puerto Rico, and Canada. Who’s on top this year? Four combined programs that each have very few PGY-1 positions in the match all filled with 100% LCME students: EM-anesthesiology, medicine-anesthesiology, pediatrics-anesthesiology, and pediatrics-PMR. Here’s how a few of the other specialties fared:

  • Thoracic surgery 93.5%
  • Plastic surgery 89.3%
  • Vascular surgery 82.3%
  • Orthopedic surgery 80.5%
  • Obstetrics-gynecology 66.7%
  • Surgery 65.6%
  • Emergency medicine 62.1%
  • Pediatrics 60.3%
  • Radiology 58.2%
  • Internal medicine 39%

Podcast: Program Directors Reflecting on the 2021 EM Residency Match

Read and Listen to the other EM Match Advice Episodes

Blog posts: https://www.aliem.com/em-match-advice-series/

By |2021-07-19T19:27:46-07:00Jul 21, 2021|EM Match Advice, Podcasts|

EM Match Advice: 2020-21 Interview Season | This is how it started, this is how it’s going

EM Match Advice residency interview season 2020-21

The 2020-21 residency interview season has required rapid innovation and adaptability for both medical student applicants and residency programs, given COVID-19’s physical distancing restrictions. Listen to how it started and how it is going thus far with podcast co-hosts Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF).

Podcast episode with 2020-21 mid-season update and insights


Program director panelists

  • Dr. Camiron Pfennig – Prisma Health University of South Carolina Greenville
  • Dr. Ryan Bodkin – University of Rochester
  • Dr. Michael Kiemeney – Loma Linda University

Listen to all the episodes of the EM Match Advice Series

Additional resources

By |2021-07-01T10:16:37-07:00Jan 15, 2021|EM Match Advice, Podcasts|

EM Match Advice: Administration Fellowship

EM Match Advice: Administration Fellowship

The EM Administration Fellowship serves to train residents desiring to pursue a leadership position in departments and hospital systems. Many graduates become department chairs and medical directors. Hosted by Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF), this podcast features fellowship directors from around the country discussing the who, what, when, and why of the fellowship.

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By |2021-07-01T10:16:52-07:00Sep 6, 2020|EM Match Advice, Podcasts|

EM Match Advice: Program Directors Reflect on the 2020 Residency Match

EM match advice residency emergency medicine

How competitive was the 2020 EM residency match? Although COVID-19 has changed some of the rules and planning for the 2020-21 residency application season, historical data still remains a helpful guide. We have updated our annual table summarizing how competitive the EM residency match was, based on National Residency Matching Program (NRMP) data.

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By |2021-07-01T10:01:23-07:00Jun 7, 2020|EM Match Advice, Podcasts|

EM Match Advice: COVID-19 and the 2020-21 Residency Application Season

em match advice covid-19 residency applicationWith so much appropriate attention focused on getting frontline emergency providers with personal protective equipment in the COVID-19 era, one major overshadowed storyline is the uncertainty of the 2020-21 interview season for medical students applying into Emergency Medicine (EM). COVID-19 has thrown a wrench in the entire application season not only for medical students, but also medical schools, residency programs, and hospitals. The downstream effects of potentially canceling visiting (away) EM rotations and possibly even home EM rotations in the near term are dizzying. How does one obtain enough letters of recommendation? Should I even apply for visiting EM rotations? Fortunately, an experienced panel of EM program directors joins Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF) in discussing the thought processes, ongoing nuanced discussions, early available resources, and general mindset for the 2020-11 season.

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By |2021-07-01T10:03:36-07:00Apr 4, 2020|COVID19, EM Match Advice, Podcasts|
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