2020 Match List analysis - Part 2 of 2
So in our strongest specialty at UMKC, both in terms of the number of people who matched into that field, as well as to our student’s overall exposure in the curriculum, Internal Medicine (IM), the programs our students were mainly able to match into were at lower-tier & middle-tier (although a select few stronger middle-tier at places like UAB, Baylor, & UC-San Diego) IM programs, excluding the 2 matches at Mayo and Michigan (both of which are Midwest programs like UMKC and matched into by AOA students). No top-tier places on the coasts like Hopkins Osler, Mass General, UCSF, Brigham and Women’s, Duke, Penn, etc. In the past, we have had 1-2 students in a particular year match into places like Mayo and Wash U for IM (again in the Midwest) which in recent years tends to be AOA candidates.
Keep in mind, in comparison to traditional graduates, we do 4 more months of inpatient Internal Medicine than everyone else, not including our weekly half-day IM clinics for 4 years, at which other schools, at most, do one month of ambulatory clinic. I think this confuses applicants & parents, since the amount of Internal Medicine education we get at UMKC is much more when compared to other medical schools, so you’d think that we’d be matching more people into very strong middle-tier and top-tier IM institutions easily in this field, since we get the additional IM exposure and maybe greater confidence that students at other schools don’t get heading into IM residency. Of course, it’s much more complicated than this, which I won’t go into here, but clearly just having more student curricular exposure is not the only factor in selection for the top-tier IM residency programs, or it’s not enough on its own to justify taking someone, as that’s what residency training is for, in which the learning curve is very steep and thus people at other schools can catch up quickly. Most people going for IM tend to go with the intention of becoming subspecialists thru fellowship - Cardiology, GI, Heme/Onc, Allergy, etc. although people also can become hospitalists as well.
For Pediatrics, most students matched into middle-tier Pediatrics residency programs, with two top-tier program matches (one student being AOA and the other having quite a bit of research productivity). In Peds, the rate of subspecializing after residency is different from IM, as the income factor discrepancy isn’t as pronounced in the Peds world from generalist to specialist, as it can sometimes be in the IM world. In Obstetrics & Gynecology, we had 5 people match, all in lower-tier programs.
As is pretty typical for our student match lists, very few in total of our students go for Surgery, whether that’s General Surgery or the surgical subspecialties (Urology, ENT, Plastics, Neurosurgery, Cardiothoracic, Orthopaedic Surgery), for a total of 15 this year, as our school’s overall emphasis is much more on Internal Medicine (thru the Docent system) and primary care specialties (Family Medicine and Pediatrics). Our only surgical residencies we have at UMKC are General Surgery and Orthopedic Surgery. For all the others, you will be dependent on institutions outside of UMKC for matching into that field. Most of the General Surgery matches were in lower-tier programs, outside of one middle-tier and one military match. Orthopaedic Surgery matches were mainly in lower-tier and middle-tier (and those in the middle tier were AOA candidates), except the one top-tier match which was by an AOA candidate. Both the Plastics & Urology matches were AOA candidates.
In terms of the more ancillary specialties: Rads, Ophtho, Anesthesia, Derm, PM&R, etc., with two of these specialties being very competitive (one of which we have a home residency in - Ophtho), you can see we tend to have a much lower total number of people entering these fields, for a variety of reasons. Those in the 2 very competitive specialties in this category coming from UMKC tended to be those who were more academically competitive and more often AOA. Radiology residency, has gotten MUCH less competitive over the years in terms of matching (it used to be on par with Derm), with the competitiveness now having shifted to Interventional Radiology, which now has its own separate residency track (it used to be a highly competitive fellowship after completing Diagnostic Radiology residency). So accordingly, our match lists have opened up to more people being able to match into Radiology coming from UMKC. For Ophtho, both were AOA candidates, with one being an MD-only student with several publications at the place of matching at a top-tier institution. For Derm, it was the AOA candidate w/a few research publications completed at the place where she eventually ended up matching. For Anesthesiology, it was mainly lower tier programs except for the top-tier match which was the AOA candidate. For Emergency Medicine, it was mainly lower tier programs except for the top-tier match which was the AOA candidate.
One thing I did notice in this year’s match is how much being AOA dictated being able to match beyond just the lower-tier programs. In comparison to years past, there were quite a few examples of students who were maybe not AOA, but were still matching into at least strong middle-tier, if not higher tier, programs but that didn’t seem to be the case this year. This might be just a one off fluke event or this might be due to the residency match getting tighter due to more newer medical schools being built in the last decade and thus more incoming med school classes who then later enter the match. I would NOT read too much into this particular characteristic this year.
I would say overall for this year’s match list, taking into account the overall breadth & variety of specialties matched into, residency program institutional caliber (even for the non-competitive specialties), geographical distribution, I would say this year’s match list overall is below average/weaker compared to previous years’ match lists for UMKC. Keep in mind that UMKC Med has always been a smaller, lower-tier medical school so the spectrum of specialties / programs that a student is able to match into coming from here (even with taking a year off for research) will be different than medical schools that are middle-tier/solid middle-tier and those in the top-tier.