U.S. medical school seniors made up
15,712 of the 22,934 applicants who were matched to first-year residency po- sitions. Although the number of seniors matched to positions increased, the number of participating seniors declined slightly, down by 32. However, the to- tal number of matched U.S. graduates, which includes previous graduates, in- creased by 84 to a new high of 16,272. The number of matched U.S. citizens
who attended international medical schools continued to rise, increasing by 218 over 2011 and by more than 500 over five years. After declining for two years in a row, the number of non-U.S. citizens matched to positions rose by nearly 2 percent. Internal medicine, anesthesiology,
and emergency medicine saw the largest increases in 2012, and emergency medi- cine filled every position. The number of family medicine positions increased slightly (1.1 percent) following notable increases over the last two years. For individuals not matched to a resi-
dency position, the NRMP debuted the Supplemental Offer and Acceptance Program (SOAP), a new process devel- oped in partnership with the Association of American Medical Colleges (AAMC) and in consultation with student affairs deans, residency program directors, resi- dent physicians, and medical students. Designed to help streamline, equalize,
and automate the process for students who aren’t matched initially, SOAP re- places the “Scramble,” the unofficial name for the time during Match Week when unmatched applicants contact pro- grams with unfilled positions. Under SOAP, the NRMP makes avail-
able the locations of unfilled positions so that unmatched students can submit ap- plications for these positions through the AAMC’s Electronic Residency Application Service®
. This year, 1,246 residency positions
were available after applicants who matched were notified. During SOAP, programs offered 1,131 of those posi- tions, and only 152 remained available at the conclusion of three offer rounds. NRMP had not yet released data on
Texas medical graduates who participat- ed in the match as of early May.
A Special Referral for Special Needs.
Many patients with health conditions/risks need medical-related services outside your scope of care. A referral to Medicaid case management services could make all the difference for them. Case managers help patients access specialty referrals, medical equipment, and other needs. And let you focus on what you do best.
To make a referral, call 1-877-THSTEPS or download a referral form at
www.dshs.state.tx.us/caseman
Taking New Steps June 2012 TEXAS MEDICINE 53
TMB approves internal “moonlighting” rule
The Texas Medical Board (TMB) has ap- proved a new rule that allows residents to receive additional instruction at the facility where they are training under certain conditions. The new rule allows residents to “moonlight” if the additional training:
• Is directed by a faculty member asso- ciated with the training program;
• Complies with the training require- ments established by an approved accrediting body, including require- ments for faculty supervision and work hour limitations; and
• Is in the same specialty as the training program or approved by the program
director as a training area related to the specialty.
“Residents with Physician in Train-
ing permits are only allowed to practice medicine within their program,” said TMB spokesperson Leigh Hopper. “Pre- viously, in order to ‘moonlight’ — even within the same teaching hospital — residents had to obtain a full medical license.” TMB says its attorneys determined
that if the proposed change “is in ef- fect, the public benefit anticipated as a result of enforcing this proposal will be to allow residents to obtain additional clinical experience while in a supervised residency training program.” n
Ken Ortolon is senior editor of Texas Medicine. You can reach him by telephone at (800) 880-1300, ext. 1392, or (512) 370-1392; by fax at (512) 370-1629; or by email at
ken.ortolon@texmed.org.
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