This was successfully posted to your pofile.
This box will close automatically in a few seconds. Close this window
We don't have an e-mail address on file for you. To use AAFP Connection, you must have an e-mail address in our records. Click Here
Family Medicine Match Rate Increases Slightly Again in 2013
AAFP President: 'Our Work is Far From Finished'
By Sheri Porter
On the other hand, the number of U.S. seniors has increased, so the fill rate in 2013 in family medicine was 44.9 percent, or a 3.4 percent decrease from 2012.
AAFP President Jeff Cain, M.D., of Denver, characterized the Match results as a "call to action moment" for family medicine. "The results of the 2013 Match highlight the AAFP's ongoing efforts to position family medicine as a solution to the country's health care challenges," said Cain. "Students are hearing that choosing family medicine offers them a chance to enter a rewarding career with a bright future, and we need to continue to focus on that message and build momentum moving forward."
- Family medicine saw a slight increase in the 2013 match, marking the fourth straight year of increases.
- Family medicine positions available in 2013 were the most offered since the 2001 Match, and this year, 39 more U.S. seniors matched to family medicine, the highest number since 2002.
- Although medical school enrollment is rising, the number of students choosing primary care is not increasing proportionately.
Increase in Available Slots
According to Stan Kozakowski, M.D., director of the AAFP Medical Education Division, 2013 marked the first time since 2001 that the number of family medicine residency positions topped 3,000. He attributed part of that increase to an explosion in the number of new family medicine residency programs.
"Between January 2012 and March 2013, 18 new family medicine residences were approved by the Accreditation Council for Graduate Medical Education," said Kozakowski. "We calculated the programs could account for 72 to 126 new positions in 2013."
In addition, according to a preliminary 2013 match report prepared by the AAFP Medical Education Division, the NRMP's new Match methodology -- dubbed the "all in" policy -- likely affected the number of positions available.
For the first time in 2013, residencies participating in the Match were not able to sign agreements with eligible applicants outside of the Match. In 2013, programs had to decide whether to fill spots inside or outside of the Match protocol.
Family Medicine Fill Rate for the 2013 National Residency Matching Program
According to Kozakowski, the availability of more slots affected the denominator of the equation used to calculate pertinent Match percentages, thus making comparisons between years difficult.
Rising Medical School Enrollment
Allopathic medical schools also increased enrollment by 30 percent since 2003, and 15 new medical schools are pending accreditation by the Liaison Committee on Medical Education.
Although it might seem that more medical students in the system would be just the boost primary care needs to strengthen its ranks, the 2013 Match proved otherwise. "Unfortunately, this year's Match numbers are proof that increasing enrollment in our medical schools did not translate into an increase in the percentage of U.S. seniors entering family medicine," said Cain.
"Our work is far from finished," he added, noting that the country still is far short of recommendations made in a 2010 report titled "Council on Graduate Medical Education (COGME) Twentieth Report, Advancing Primary Care" (66-page PDF; About PDFs).
Authors of the COGME report called for an increase in the percentage of U.S. primary care physicians from 32 percent to 40 percent of the total U.S. physician workforce. Authors also called for a narrowing of the payment gap between primary care and specialty care physicians.
Positive Student Trends
As for the AAFP, "We must continue our efforts to show students the value that family medicine brings to the U.S. health care system," said Cain. "In addition, the Academy must support graduate medical education reforms that are good for primary care because continuing to tilt our health care system in a way that favors a higher ratio of subspecialists in the physician workforce moves our country in the wrong direction."
Despite some concerns about the 2013 Match results, Cain ticked off several positive trends that signal the student interest pendulum is poised to swing family medicine's way in the near future. For example, AAFP student membership numbers have surged to an all-time high of 20,600. Medical student attendance at the AAFP's National Conference for Medical Students and Family Medicine Residents increased to a new high of 889 in 2012.
Furthermore, family medicine interest groups -- located on medical school campuses and vital to AAFP efforts to expose medical students to the joys and challenges of family medicine -- are at a record high of 147 groups.
"I believe that students can see the value of what we do as family physicians, both for our patients and for our country, and that's an important step in reaching our goals, said Cain.
Ready, Set, SOAP
NRMP Set to Proceed With New Program During 2012 Match Week
Family Medicine Match Rate Increases Slightly