The American Academy of Family Physicians' (AAFP's) brief analysis of family medicine results from the annual National Resident Matching Program Main Residency Match® (NRMP) provides a snapshot of a major input into the primary care workforce pipeline. For historical comparison, this analysis also includes insights into match data reported by the American Osteopathic Association regarding the AOA Intern/Resident Registration Program (AOA Match) prior to 2020.
For more analysis, download the AAFP's full 2021 Match Results for Family Medicine.
While the residentcy match results reflect momentum for family medicine, the pace needs to accelerate dramatically to reach a national goal of 25% of U.S. allopathic and osteopathic seniors and graduates pursuing family medicine while maintaining opportunities for internatinal medical graduates who already make a strong contribution to the workforce. The U.S. medical education system is far from delivering the primary care medical workforce needed in the country it serves, and whose taxpayers fund it. The composition of residency training positions must reflect the composition needed in the workforce, and as such, needs to increase steeply in family medicine, other primary care specialties, and a few subspecialties. Health care, education, and societal systems need to incentivize, recruit, and support a more diverse medical student population that better represents the U.S. population and that is more likely to choose primary care careers and practice in underserved areas. Substantial increases in the family medicine and primary care workforce—while also accounting for the composition, distribution, and quality—are needed to improve the health of Americans and the sustainability of the health care system.
These results are a combination of all PGY-1 positions that result in eligibility for licensure and board certification in family medicine. Those include family medicine categorical and combined residency programs. Broken down:
The NRMP Match in not the only mechanism through which medical students or graduates are matched with their required graduate medical education. The following resources provide a more in-depth look at the family medicine workforce pipeline: