CaRMS Forum. John Gallinger, CEO

Transcription

1 CaRMS Forum John Gallinger, CEO April 17, 2016

2 Early days What I have learned Our intent

3 CaRMS commitment to you If it matters to you, it matters to us.

4 The values of the match process Fairness. Objectivity. Reliability. Transparency.

5 The values of CaRMS Collaboration. Support. Client focus. Innovation. Engagement. Partnership.

6 CaRMS Online by the numbers Supporting more than 25,000 unique users On R-1 first iteration Match Day, match results were checked: 20,539 times From 56 countries 116 times/second at 12:00 (noon) ET

7 Commitment to service and quality Some things change: paper process custom online application one employee team of 30+ PGY-1 match 4 residency matches Some things remain the same: fair, unbiased match knowledge, expertise, support focus on innovation and client value

8 Strategic planning We are committed to meeting our clients needs through organizational excellence. Client and stakeholder value High performing organization Internal capacity Organizational sustainability Board strategic objectives

9 Engaging our clients Integrating your voice into our planning processes to ensure that our products and services are meeting your needs.

10 CaRMS and the medical education community Engagement Collaboration Innovation

11 2016 R-1 Main Residency Match Outcomes and insights

12 Presentation goals Share data from the 2016 R-1 Main Residency Match Facilitate discussion

13 CaRMS by the numbers client services 5,391 registrants 1,233 documents translated for bilingual applications 11,071 s responded to (98.2 per cent satisfaction rating) 13,071 calls to the CaRMS help desk 2016 R-1 Main Residency Match First and second iterations combined September 1, 2015 to April 4, 2016

14 CaRMS by the numbers applications 5,197 applicants 33,719 reference letters submitted 122,337 applications 1,052 programs 2016 R-1 Main Residency Match First and second iterations combined September 1, 2015 to April 4, 2016

15 Applicant pool breakdown 2016 First and second iterations combined REGISTRANTS WITHDRAWN APPLICANTS ACTIVE APPLICANTS FINAL PARTICIPANTS* CMG 3, ,984 2,968 IMG 2, ,160 1,815 USMG *Final participants: ranked at least one program in their rank order list. Does not double count if an applicant participates in first and second iterations.

16 2016 R-1 Main Residency Match highlights First iteration Graduate type # matched # unmatched CMG 2, (151)* USMG IMG 343 1,265 TOTAL 3,097 1, Second iteration Graduate type # matched # unmatched CMG (48)* USMG 1 3 IMG TOTAL 162 1, *Unmatched current graduates in brackets Filled Unfilled

17 Summary of 2016 match results (combined first and second iterations) Applicant type # matched % matched Current year CMG 2, % Previous year CMG % IMG % USMG % TOTAL 3, % First and second iterations combined

18 Couples match ( ) 2013 (N=107) 2014 (N=107) 2015 (N=115) 2016 (N=105) 5% 8% 2% 4% 95% 92% 98% 96% N = couples Includes couples that matched only one partner Per cent matched Per cent unmatched

19 Who entered postgraduate training in Canada ( ) , , , , , , Prior year CMGs matched Current year CMGs matched IMGs matched USMGs matched

20 Per cent of CMGs matched to first choice discipline ( ) 100.0% 95.0% Min: 86.4% Max: 92.1% Range: 5.70% 91.4% 90.0% 2.7% 88.7% 85.0% 80.0% 75.0%

21 Per cent of CMGs matched to one of their top three program choices ( ) Program choice 2016 First 55.6% Second 14.9% Third 7.0% Fourth 4.8% 100.0% 95.0% 90.0% 85.0% 80.0% Min: 76.7% Max: 85.7% Range: 9.00% Fifth 2.8% Sixth 1.7% Seventh 7.5% 75.0% 70.0% 65.0% 77.5% 60.0%

22 Average number of programs ranked by CMG and IMG applicants in 2016 first iteration CMG IMG

23 Top three CMG discipline choices ( ) 40% 35% 38.5% 36.2% 2.3% 30% 25% 20% 15% 10% 5% Family Medicine Internal Medicine Surgical disciplines

24 Fill performance for Family Medicine program quotas ( ) Filled Quota Unfilled (Filled quota) Fill performance improving in last 10 years

25 Fill performance for Internal Medicine program quotas ( ) 400 Filled Quota Unfilled (Filled quota)

26 Fill performance for surgical discipline program quotas ( ) 300 Filled Quota Unfilled (Filled quota)

27 Supply and demand alignment: CMG quotas filled by discipline popularity in 2016* % GENSURG most preferred surgical discipline % % 100% 100% 100% 99% 88% 100% Internal Medicine Surgical disciplines Psychiatry Pediatrics Anesthesiology Emergency Medicine Obstetrics & Gynecology Diagnostic Radiology Dermatology 0 Quota Filled Interest** * Excluding Family Medicine ** As reflected in first choice discipline

28 Supply and demand: CMG quotas filled for Family Medicine ( ) % 84% 85% 84% 86% 89% 91% 94% 94% 93% Quota Filled Interest 0

29 Tracking Family Medicine expansion ( ) Quota offered 469 1,521 Number of programs Number of applications 5,093 65, % 510% 1,187% Percentage of positions filled 79% 92%

30 Choice of Family Medicine by sex ( ) 45.0% 40.0% 35.0% 30.0% 25.0% 20.0% 15.0% Female Male Combined

31 Top ten first choice disciplines for CMGs ( ) Family Medicine 38.2% 38.5% 36.2% Internal Medicine 14.2% 13.6% 15.2% Surgical disciplines 13.0% 12.5% 13.2% Psychiatry 5.70% 6.00% 6.00% Pediatrics 6.10% 5.50% 5.80% Anesthesiology 4.80% 4.80% 4.80% Emergency Medicine 3.50% 4.20% 4.40% Obstetrics & Gynecology 4.10% 3.90% 3.80% Diagnostic Radiology 3.20% 3.40% 2.60% 2016 S > D: 17 disciplines own 65.9% of first choices S < D: 13 disciplines own 33.4% of first choices S = D: 2 disciplines own 0.7% of first choices 2015 S > D: 21 disciplines own 69.7% of first choices S < D: 11 disciplines own 30.3% of first choices Dermatology 1.70% 1.80% 2.20% This data represents preference, not match.

32 First choice discipline compared to availability (demand > supply) DERM PLASTIC EMERG 1.74 NEUROSURG PM&R OTOLARY OPHTHAL OBGYN ANESTH CARDSUR UROL (Applicant first choice discipline/positions) PEDS GENSURG

33 First choice discipline compared to availability (demand < supply) MEDMICR VASSURG ORTHO NEUROL-PED IM PSYCH DIAGRAD NEUROL NUCMED PHPM RADONC FAM MED LABMED GENPATH ANPATH MEDGENE HEMPATH MEDBIO NEUPATH (Applicant first choice discipline/positions)

34 Discussion point What may be influencing changes in applicant interest?

35 R-1 first iteration participation and quota, second iteration unmatched statistics ( ) CMG quota IMG quota CMG participation IMG participation CMG unmatched (2nd) 3, Participation and quota 3,000 2,500 2,000 1,500 1, Unmatched current year CMGs

36 Increase of CMG quota and CMG participation ( ) 3,500 Final participation: 50% increase Quota: 41% increase 3,000 2,500 2,000 1,936 2,101 2,000 2,274 2,134 2,379 2,313 2,595 2,438 2,717 2,528 2,778 2,886 2,921 2,973 2,984 2,971 2,672 2,695 2,847 2,862 2,904 1,500 1, Final participation Quota - Final participation includes prior and current year CMGs - Quota includes positions dedicated to CMGs only

37 Quota and CMG count by year ( ) Ratio of CMG quota to current year CMGs ,836 2, ,830 2, ,817 2, ,673 2, ,660 2, ,000 1,500 2,000 2,500 3,000 3,500 CMG quota IMG quota Current year CMGs

38 Quota and CMG count by province in 2016 NL NS QC * ON MB SK AB BC CMG IMG Current year Canadian graduates * Pre-screened IMGs can apply for all positions in Quebec

39 Graduate mobility: emigration at national level ( ) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Home school Same province Out of province

40 Graduate mobility: emigration by school of medicine in % 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% MUN DAL LAV SHE MON MCG OTT QUE NOS TOR MCM WES MAN SAS ALB CAL BC Home school Same province Out of province

41 Graduate mobility: immigration by school of residency in % 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% MUN DAL LAV SHE MON MCG OTT QUE NOS TOR MCM WES MAN SAS ALB CAL BC Home school Same province Out of province

42 Number of IMG registrants ( ) 3,500 Mandatory NAC OSCE 3,000 2,500 2,000 1,500 1, New IMG registrants 1,077 1,145 1,263 1,424 1,579 1,614 1, Returning IMG registrants 985 1,103 1,183 1,357 1,508 1,551 1,564 1,526 1,351

43 Where IMGs are training 2.5% 14.0% 10.3% 5.1% 6.1% 10.3% 49.5% 2.2%

44 Regional IMG match results Region Final participation % matched Africa % Asia 373 9% Central America/Caribbean % Europe % Middle East % North America 11 27% Oceania/Pacific Islands 57 61% South America 34 12%

45 Where our IMGs went to medical school (408 matched) Sum matched 0 90 IE UK IR EG BN # participants: 1,815 # countries: 110 # schools: 515 Each bubble represents one country. Size of bubble increases with number of participants.

46 Supply and demand: IMG quotas filled by discipline popularity in 2016* TOTAL IMGs: 421 6% decrease since 2014 ORTHO most preferred surgical discipline Quota Filled Interest** * Excluding Family Medicine ** As reflected in first choice discipline

47 Unfilled positions and unmatched graduates after second iteration by province Unfilled positions (51) Unmatched current graduates (48) Unmatched prior graduates (55)

48 Unfilled positions after second iteration by discipline Discipline First iteration Second iteration FAMILY MEDICINE INTERNAL MEDICINE 20 - ANATOMICAL PATHOLOGY 11 2 PSYCHIATRY 11 - DIAGNOSTIC RADIOLOGY 10 - PHPM 7 - GENERAL PATHOLOGY 4 - MEDICAL GENETICS 4 2 RADIATION ONCOLOGY 4 - GENERAL SURGERY 3 - HEMATOLOGICAL PATHOLOGY 3 2 MEDICAL MICROBIOLOGY 3 1 NUCLEAR MEDICINE 3 - NEUROLOGY 2 1 NEUROPATHOLOGY 2 1 ANESTHESIOLOGY 1 - MEDICAL BIOCHEMISTRY 1 1 OBSTETRICS & GYNECOLOGY 1 - ORTHOPEDIC SURGERY 1 - PEDIATRICS 1 - UROLOGY 1 - Total

49 Per cent unmatched current year CMGs after second iteration 2.0% 2.0% 1.8% 1.6% Max: 2 % Min: 0.5 % Range: 1.5 % 1.6% 1.7% 1.6% 1.4% 1.4% 1.2% Average 1.0% 0.8% 0.8% 0.7% 0.9% 0.6% 0.4% 0.5% 0.5% 0.2% 0.0%

50 5.3% Per cent unmatched current year CMGs after second iteration by school 3.6% 1.1% 0.0% 0.0% 0.0% 1.7% 0.0% 0.0% 0.0% 1.9% 3.2% 0.4% 1.2% 3.1% 0.0% 2.4% 0.0% 2.5% 0.0% 4.1% 0.0% 3.5% 0.0% 4.7% 0.0% 6.0% 0.0% 2.1% 0.4% 2.9% 0.0%

51 Programs ranked in first iteration 2016: Unmatched and matched CMGs Unmatched (n=151) Matched (n=2,685) Ranked 1-3 programs Ranked 1-3 programs 18% 6% Ranked more than 10 programs 40% 21% Ranked 4-6 programs Ranked more than 10 programs 57% 17% Ranked 4-6 programs 21% 20% Ranked 7-10 programs Ranked 7-10 programs

52 CMG match results by first and lower choices: ROL frequency distribution The majority (1,614) matched to their first choice PREFERENCE 2 matched to their 352 nd choice 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% cumulative % # matched

53 Categorizing unmatched CMG applicants 5% 3% 2015 N=39 38% 54% 2016 N=46* *Excludes two applicants: one who participated in 2015 first iteration and 2016 second iteration, and one who did not submit an ROL in first iteration

54 Unmatched student journey 2013 Unknown journey 2013 second iteration 4 35 matched 59 unmatched first iteration matched 30 unmatched 5 Net unmatched: 0 Net unknown journey: second iteration matched 0 unmatched first iteration 2014 second iteration 1 1 Unknown journey matched 1 unmatched 2 matched 2 unmatched first iteration matched 1 unmatched 1 Unknown journey

55 Unmatched student journey 2014 Unknown journey 2014 second iteration matched 71 unmatched first iteration matched 34 unmatched second iteration matched 4 unmatched 3 Net unmatched: 2 Net unknown journey: first iteration matched 2 unmatched 3 Unknown journey second iteration matched 0 unmatched 2

56 Unmatched student journey 2015 Unknown journey 2015 second iteration matched 55 unmatched first iteration matched 22 unmatched 6 Net unmatched: 5 Net unknown journey: 12 Unknown journey second iteration matched 0 unmatched 5

57 Unmatched student journey: summary Year Unmatched after second iteration Matched later Per cent % % %

58 Q & A

59 This presentation will be available on our website in English and French CaRMS.ca

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