REDUCING THE NUMBER OF UNMATCHED CANADIAN MEDICAL GRADUATES
Immediate attention is required to address the growing number of Canadian Medical Graduates (CMGs) who go unmatched after the 2nd iteration of the Canadian Resident Matching Service (CaRMS) match. In 2009 the number of unmatched CMGs was 11. This number has grown steadily since, reaching 46 in 2016 and 68 in 2017. Unmatched CMGs from previous years compete for the same positions as current year CMGs thus the situation is projected to worsen.
Data modelling based on current match factors (i.e. no changes in number of graduates, PGY1 positions, matching patterns, current match rules, etc.) indicates that by 2021 the number of current year unmatched CMGs is projected to exceed 140 while prior year unmatched CMGs will exceed 190.
With a view to identifying immediate, feasible and implementable solutions, in May 2017 the Association of Faculties of Medicine of Canada (AFMC) established an AFMC Resident Matching Committee (ARMC) Technical Subcommittee (TS) reporting to the ARMC to a) examine and identify the specific causal factors contributing to unmatched CMGs, b) outline implications of continued unmatched CMGs, and c) develop recommendations to address the issue. The ARMC TS conducted a detailed CaRMS match data analysis, examined other relevant data sources, and interviewed over 25 undergraduate (UG), postgraduate (PG) and government representatives from across the country to better understand the policy and physician resource planning context in each province.
The ARMC Technical Subcommittee identified some of the key contributing or compounding factors.
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