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ACP-ASIM Pressroom

1999 Internal Medicine Match Results

Slight Drop Offset by Increase in DOs and IMGs

PHILADELPHIA (March 18, 1999) - Results of the National Resident Matching Program (NRMP) Match, released today, show stable growth for internal medicine, according to the American College of Physicians-American Society of Internal Medicine (ACP-ASIM).

Despite a slight overall decline in U.S. medical school seniors matching to the three residency program types that prepare students for internal medicine, results show overall numbers of applicants matched to those internal medicine preparatory programs rose 0.2 percent in 1999 to 5,393. The fill rate was 93.6 percent with 367 vacancies after the Match.

The categorical internal medicine residency attracted 2,862 U.S. seniors, 2.4 percent less than in 1998. Three hundred and forty-seven U.S. seniors were matched to primary care internal medicine residency positions, a drop of 8.4 percent. In medicine-pediatrics, the number was also 347, representing a drop of 7.8 percent. However, increased numbers of osteopathic school graduates and international medical graduates placed through the Match compensated for these decreases.

Preliminary internal medicine positions showed a growth of 12.1 percent over last year. These 1,057 U.S. seniors are likely to pursue anesthesiology, radiology and dermatology after one year of internal medicine training.

It should be noted that there was a decline in the number of medicine-pediatrics programs in the 1999 Match, the first after more than a decade of steady growth. In the other primary care specialties, results were also mixed. A record high of 1,742 U.S. seniors were matched to positions in pediatrics programs, the highest number in the 1990s. In contrast, the 2,015 U.S. seniors matched to family practice positions represented an 8.1 percent fall from 1998.

For the three primary care specialties, the total number of applicants matched to first-year positions was 10,153. This differs from last year's total by less than 1 percent. The 3.4 percent overall slippage in U.S. seniors matched was almost compensated for by the increased number of osteopathic school graduates (DOs) and international medical graduates (IMGs) placed.

According to Herbert Waxman, MD, ACP-ASIM Senior Vice President for Education, "The message in the 1999 Match appears to be a slight lessening of attraction of U.S. seniors to primary care specialties after several years of growth. Whether this represents a short-term 'blip'or the beginning of a sustained diminution in popularity remains to be seen."

While virtually all U.S. medical school graduates are matched to residencies through the NRMP, several thousand additional positions will be filled by IMGs and DOs. Therefore, according to Dr. Waxman, "The results of the Match provide only a partial view of the resident workforce in our specialty and others as well."

ACP-ASIM is the nation's largest medical specialty organization. ACP, founded in 1915, and ASIM, founded in 1956, merged in July 1998. Membership comprises more than 115,000 internal medicine physicians and medical students. Internists provide the majority of health care to adults in America.


Lynda Teer, 215-351-2655 or 800-523-1546, ext. 2655

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