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Rapports & Statistiques - Rapports des jumelages R-1 - 2003

  First Iteration  
   
     
  Second Iteration  
   
 
  This report covers application patterns and the match results for the 2003 PGY-1 Match for positions to begin July 1, 2003 in each of the medical schools participating in CaRMS. The match is run in two iterations and the results are reported here in two separate sections.  
     
  Summary  
     
  The 2003 Match is characterized by an increased graduating class size, fewer extra positions in the Match than in the previous two years and a sharp decline in interest in family medicine which was first seen as a 37% drop in the number of applicants to family medicine. Ninety percent (90%) of matched Canadian medical school applicants matched to their firs t choice discipline.  
     
  First Iteration  
     
  Applicant Registration  
  Eligibility for the 2003 PGY-1 Match was governed at the medical schools by the Association of Canadian Medical College’s policy, first implemented in 1994, which states that only students graduating from Canadian medical schools and prior year Canadian graduates who had not completed any postgraduate training were eligible to be ranked in the First Iteration of the 2003 PGY-1 Match.  
     
  The graduating class of 2003 was larger than last year, with approximately 100 more students than in 2002, graduating from the 13 schools participating in CaRMS. As in other matches, 23 prior year graduates also applied for postgraduate training this year. For the first time International Medical Graduates (IMGs) who met the criteria of the Collège des médecins du Québec (CMQ), were eligible to apply in the First Iteration to programs in Quebec. As McGill participates in the Match, there were 13 IMGs in the First Iteration. Eight (8) applicants were graduates from medical schools in the U.S. who were Canadian citizens wanting to return to Canada for postgraduate training.  
     
  Graduating Students in NRMP  
  There were 95 Canadian students registered in the NRMP Match for a postgraduate position in the U.S. Many of these graduates are students here in Canada on a student VISA who cannot be ranked in most of the provinces.  
     
  National Defense  
  Ten Canadian medical students were sponsored by the military for family medicine training, all of whom were matched.  
     
  Table 1 Applicant Registration in the 2003 First Iteration  
 
University Total 2003 Graduates 2003 Visa Graduates Initial Registration Withdrawn Final Participation
Memorial 66 10 58 2 56
Dalhousie 86 8 81 1 80
Laval 132 2 20 16 4
Sherbrooke 104   10 9 1
Montreal 157   43 33 10
McGill 121 26 112 21 91
Total Quebec 514 26 185 79 106
Ottawa 90   91 4 87
Queen's 80   80 1 79
Toronto 182   181 4 177
McMaster 114 2 113 2 111
Western 101 6 101 2 99
Total Ontario 567   566   553
Manitoba 75 1 73   73
Saskatchewan 56   57 2 55
Alberta 105 2 104 1 103
Calgary 98 8 88   88
Total Alberta 203   192   191
British Columbia 118   118 1 117
Total Canadians 1685 65 1330 99 1231
United States Medical Graduates 8
International Medical Graduates 13
Total 1252
 
     
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  Initially 17 graduates from U.S. medical schools registered with CaRMS and applied in this match. All 17 were Canadian citizens. This is a large increase over other years. Nine (9) of them withdrew and probably were matched in the U.S. In addition 73 students from the three non participating schools in Quebec registered with CaRMS and applied to programs across Canada. All but 15 eventually withdrew. Most accepted a position in Quebec.  
     
  Program Registration  
  Although there were 57 more positions submitted to the Match this year than for the 2002 PGY-1 Match, the additional graduates meant that whereas in 2002 there were an extra 143 positions for the eligible graduates, this year there were only 65. Of the 57 new positions in PGY-1, 53 were in specialties and 4 were in family medicine .  
     
  Table II 2003 Residency Positions in the Match  
 
University 2003 Students and Graduates in the Match Royal College Positions 2003 Family Medicine Positions 2003 % of Family Medicine Positions Total Positions 2003
Memorial 56 40 20 33 60
Dalhousie 80 56 40 42 96
McGill (incl. 3 Quebec schools) 106 64
McGill only 		41
McGill only		 39 105
McGill only
Ottawa 87 55 46 46 101
Queen's 79 38 31 45 69
Toronto 117 152 66 30 218
McMaster 111 64 41 39 105
Western 99 70 27 28 97
Total Ontario 553 379 211 36 590
Manitoba 73 53 24 31 77
Saskatchewan 55 35 22 39 57
Alberta 103 65 50 44 115
Calgary 88 53 40 43 93
Total Alberta 191 118 90 43 208
British Columbia 117 78 46 37 124
Total Canadians 1231* 823 494 38 1317

*includes 23 previous year Canadian graduates

 
     
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  Table III - Active Canadian Application Counts by Specialty 2003  
 
Specialties Applicants to this Specialty Only Total Applicants to this Specialty
Anatomical Pathology - 28
Anesthesia 38 125
Cardiac Surgery 2 18
Community Medicine - 20
Dermatology 2 30
Diagnostic Radiology 18 114
Emergency Medicine 9 52
Family Medicine 235 598
Family Medicine / Community Medicine - 13
General Pathology - 6
General Surgery 25 137
Hematological Pathology - 6
Internal Medicine 118 390
Laboratory Medicine - 31
Medical Biochemistry - 2
Medical Genetics 1 15
Medical Microbiology - 2
Neurology (+ Ped. Neuro) 2 57
Neuropathology - -
Neurosurgery 14 35
Nuclear Medicine - 25
Obstetrics/Gynecology 34 112
Occupational Medicine - 4
Ophthalmology 14 41
Orthopedic Surgery 38 74
Otolaryngology 5 40
Pediatrics 42 170
Physical Medicine and Rehabilitation 2 11
Plastic Surgery 3 51
Psychiatry 44 139
Radiation Oncology 6 48
Urology 6 45
 
     
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  Application Statistics  
 

The final match results can be predicted by reviewing the application patterns of the graduates. The disciplines that increased the applicant pool this year included obstetrics/gynecology, neurosurgery, radiation oncology and orthopedic surgery. The disciplines that experienced a significant decline in their applicant pool includes family medicine, emergency medicine, neurology, PM & R and urology.

 
     
  The application patterns of 2003 graduates differed from previous years in important ways. This class applied to fewer programs than any graduating class since 1994 and applied to fewer disciplines than previous graduating classes. I believe that this application pattern had a negative effect on the overall match results for students.  
     
  Table IV - Application Statistics 8 Year Comparison  
 
Year Average # of Applications Average # of Disciplines
2003 10.9 1.9
2002 13.0 3.0
2001 13.4 3.0
2000 13.8 2.7
1999 13.5 2.2
1998 13.2 2.2
1997 14.3 2.1
1996 13.4 2.1
 
     
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  e-CaRMS  
  Applicants entered their applications through our new electronic application service called e-CaRMS. This is an electronic, internet based application service with three components: Applicant Web Station (AWS), the Program Directors Web Station (PDWS) and the CaRMS Application Web Station (CAWS). The introduction of the e-CaRMS allowed CaRMS to move deadlines for application and program selection from the end of September to the end of November, giving graduating students eight (8) more weeks to consider their career options and complete electives and core rotations prior to deciding on a discipline. There were some initial problems with the delivery of the in-house servers and capacity but by the end of November these issues had been corrected.  
     
  Residency Programs  
  One system administrator account was set up for each of the 298 programs participating in the Match. The system administrator was the gatekeeper, with the capability of setting up new users for their program.  
     
  All programs went on-line to begin assessing their files on December 2. In response to concerns of programs CaRMS produced a CD for each program which contained all of the applicant files as of the first week of December. Unfortunately, not all reference letters had arrived by the time the CDs were prepared and some programs were reluctant to go on-line and review the amendments or additions to their application files .  
     
  Programs had a three week window to review the files and select the applicants they wished to interview. Interviews began the second week of January. The interviews ended on January 31 and the programs had until February 7 to complete their rank order lists.  
     
  For the first time since 1986, no applicants requested to have changes made to their rank order list after the deadline of February 12. Congratulations to the class of 2003!  
     
  First Iteration Match Results  
     
  The Match results were posted on the web this year with no paper follow-up. The results were released in two stages; on Monday March 12, results were released indicating whether students were matched or unmatched. The detailed match results were posted on Wednesday, March 14 at noon EST. No serious problems were reported on either day although the volume was high.  
     
  Table V - All Applicants Match Results 1993-2003  
 
Year Participants Positions Ratio % Matched % Matched 1st Choice Rank List % Matched Within 3rd Choice Rank List % Matched First Choice Discipline
2003 1252* 1317 1/1.07 90.7 56.5 76.7 81.2
2002 1117 1260 1/1.13 95.6 60.2 84.9 84.5
2001 1132 1219 1/1.07 94.2 58.6 79.8 86.3
2000 1154 1187 1/1.03 93.9 57.5 80.6 88.2
1999 1149 1186 1/1.04 94.3 56.7 78.3 88.6
1998 1172 1196 1/1.01 94.0 55.8 79.0 87.0
1997 1169 1214 1/1.04 95.4 57.4 80.1 88.0
1996 1268 1279 1/1.01 94.3 55.4 77.5 88.4
1995 1305 1330 1/1.02 94.9 56.1 79.4 87.3
1994 1307 1280 1.03/1 90.3 53.9 74.7 84.0
1993 1300 1309 1/1.01 96.4 50.9 73.4 77.3

* includes eligible IMGs and U.S. applicants

 
     
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  Overall match results each year appear to be affected by the proportion of positions to applicants as can be seen in Table V. The reduced ratio of positions to applicants, and the application patterns of the 2003 class resulted in more unmatched students and fewer students matched to programs within their top three choices.  
     
  International Medical Graduates. Thirteen (13) IMGs who were CMQ approved entered the First Iteration to apply exclusively to McGill programs. Six (6) of the IMGs chose family medicine first and the first choices of the remaining seven were: anatomical pathology, dermatology, internal medicine, ophthalmology, pediatrics, plastic surgery and radiation oncology. Eight (8) IMG applicants were matched.  
     
  International Medical Graduates First Iteration
Match Results - 2003 		 
 
Anatomical Pathology 2   Family Medicine 5
Radiation Oncology 1   Total 8
 
     
  Table VI - Match Results for All Applicants, Prior Graduates and Couples 2001-2003  
 
  # of Applicants # matched to first ranked choice % matched to first choice # matched within top three programs % matched within top three choices % Unmatched
2003 Match
All Applicants 1231 695 56.5 944 76.7 9.3
Prior Year Graduates 23 7 30.4 10 43.5 47.8
Couples 28 9 32.1 17 61.0 3.6
2002 Match
All Applicants 1117 693 62.0 949 85.0 4.4
Prior Year Graduates 22 11 50.0 15 68.2 18.2
Couples 40 21 52.5 28 70.0 2.5
2001 Match
All Applicants 1132 663 58.6 904 79.8 5.8
Prior Year Graduates 23 12 52.0 16 70.0 13.8
Couples 48 17 35.4 40 83.3 0
 
     
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  History of Unmatched Couples 1999-2003  
 
2003 1 unmatched couple, 2 couples chose to have one partner unmatched
2002 1 unmatched couple, 3 couples chose to have one partner unmatched
2001 All couples matched, 3 couples chose to have one partner unmatched
2000 All couples matched, 1 couple chose to have one partner unmatched
1999 1 unmatched couple
 
     
  Alternate Career Matches. One hundred and seventeen (117) or 11% of Canadian medical school graduates were matched to a discipline that was not their first choice. One hundred and two (102) were matched to their second choice, (of which 41 went to family medicine, 20 to internal medicine and 11 to general surgery ). Thirteen (13) were matched into their third choice and only two (2) people were matched to lower than their third choice discipline.  
     
  Table VII - First Choice of those Students Matched to Alternate Career Choice 2003  
 
Anatomical Pathology 1 Obstetrics/Gynecology 7
Anesthesia 6 Ophthalmology 1
Cardiac Surgery 1 Orthopedic Surgery 3
Dermatology 6 Otolaryngology 8
Diagnostic Radiology 21 Pediatrics 13
Emergency Medicine 7 Plastic Surgery 11
Family Medicine 2 Psychiatry 5
Internal Medicine 10 Radiation Oncology 2
Medical Genetics 1 Urology 8
Neurology 4
Total 117
 
     
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  Results of First and Lower Career Choice by Specialty. Family medicine, internal medicine and general surgery are the three most frequent alternate career choices for graduates. See Table XXX, Page 29.  
     
 

First and Lower Career Choice by Medical School. Ottawa had the highest proportion of their graduating class matched to their first choice specialty, followed closely by Queen’s, Western Ontario and Manitoba graduating classes.

  
     
  Table VIII - Results of Matched Canadian Students and Graduates 2003  
 
Medical School Matched to First Choice Discipline % Matched to 2nd Matched to 3rd Matched to 4th Total
Memorial 48 90.6 5     53
Dalhousie 66 90.4 7     73
Sherbrooke 3         3
Laval 1         1
Montreal 7 2       9
McGill 71 89.9 6 2   79
Ottawa 72 96.0 3     75
Queen's 68 95.8 3     71
Toronto 146 87.4 19 2   167
McMaster 95 86.4 9 4 2 110
Western 88 95.7 4     92
Manitoba 57 95.0 2 1   60
Saskatchewan 46 90.2 5     51
Alberta 68 77.3 20 1   88
Calgary 68 86.1 10     79
British Columbia 95 90.5 7 3   105
Total 999 89.5 102 13 2 1116
 
     
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  Table VIIIa - 2003 Matching Results of Graduates to First and Lower Choice Preference (available only on web)  
     
 
Medical School Canadian Graduates 1st Choice Rank List % 2nd Choice Rank List 3rd Choice Rank List 4th Choice Rank List 5th Choice Rank List 6th Choice Rank List 7th Choice or Lower Unmatched Total
Memorial 56 41 73.2 7 3 1 - - 1 3 56
Dalhousie 80 43 53.8 15 2 5 4 2 2 7 80
Quebec * 15 8 53 4 - 1 - - - 2 15
McGill 91 54 59.3 11 7 1 3 3 - 12 91
Ottawa 87 54 62.1 4 7 2 2 1 5 12 87
Queen's 79 40 50.6 12 6 5 1 3 4 8 79
Toronto 177 112 63.3 15 11 7 10 8 4 10 177
McMaster 111 71 64 14 11 3 1 3 7 1 111
Western 99 59 59.6 15 9 5 4 - - 7 99
Manitoba 73 38 52.1 12 5 1 - 1 3 13 73
Saskatchewan 55 32 58.2 10 3 4 - 2 - 4 55
Alberta 103 39 37.9 17 4 6 3 5 14 15 103
Calgary 88 41 46.6 14 8 8 5 - 3 9 88
British Columbia 117 63 53.8 16 7 6 4 1 8 12 117
Total 1231 695 56.5 166 83 55 37 29 51 115 1231
%   56.5   13.5 6.7 4.5 3.0 2.4 4.1 9.3 100
 
  *Includes Université de Montréal, Université Laval and Université de Sherbrooke  
     
  Career Choice of Canadian Students and Graduates  
  2003 graduates differed from previous classes a number of ways: proportionately more chose careers in anesthesia, diagnostic radiology, obstetrics/gynecology, orthopedics, and neurosurgery; and fewer graduates chose to train in family medicine, general surgery, ophthalmology, physical medicine or rehabilitation programs.  
     
  Family Medicine as a Career Choice  
  Family medicine declined sharply as a career choice for the graduates of 2003 compared to other years as can be seen in Table IX. CaRMS has been tracking the interest of the graduating students in a career in family medicine as evidenced by family medicine as a first choice discipline in the PGY-1 Match. Although the opportunity remains relatively constant, the interest has fallen off.  
     
  Table IX - History of Family Medicine as the Career Choice of Canadian Graduates  
 
Years % Graduates Choosing Family Medicine % of Total Positions # of Positions
Between 1986 & 1991   29 377
1992 44 38 499
1993 38 37 606
Until 1994 more than 50% of graduates entered family practice or general practice after postgraduate training
1994 32.4 39.6 507
1995 33.8 37.7 504
1996 32.6 37.9 485
1997 34.7 38.6 469
1998 31.5 37.9 454
1999 32.2 37.1 440
2000 29.3 38.0 451
2001 28.2 39.0 476
2002 29.6 38.8 489
2003 24.8 38.0 494
 
     
  Table X looks at the proportion of each graduating class that chose family medicine as their first choice of training; the proportion of the positions in family medicine filled in that university; and the number of vacancies left in family medicine in each university. The Universities of Saskatchewan and Calgary had the highest proportion of graduates choosing family medicine and the University of Alberta had the lowest at 16%. This is a significant change in University of Alberta where in 2002, 28% of Alberta graduates chose family medicine. Two other schools experienced a large decline in interest in family medicine since 2002, Dalhousie had 36% of the class ranking family medicine first last year and McMaster had 52%. This year that interest had dropped to 22% at Dalhousie and 30% at McMaster. The Universities of Ottawa, Alberta, McMaster and Dalhousie have traditionally the largest proportion of their graduates choosing a career in family medicine.  
     
  Table X - Proportion of 2003 Graduates Choosing Family Medicine  
 
School % of Graduates Choosing Family Medicine % of Program Quota Filled # of Family Medicine Positions Offered # of Vacancies in Family Medicine
Memorial 26.8 55.0 20 9
Dalhousie 22.6 77.5 40 9
McGill 17.6¹ 68.3 41 13
Ottawa 29.9 84.8 46 7
Queen’s 24.1 100.0 31 -
Toronto 22.1 100.0 66 -
McMaster 30.6 46.3 41 22
Western Ontario 26.3 62.9 27 10
Manitoba 23.3 20.8 24 19
Saskatchewan 32.7 45.4 22 12
Alberta 16.5 40.0 50 30
Calgary 31.8 92.5 40 3
UBC 23.1 89.1 46 5
Totals 24.8 71.8 494 139
 
  ¹ McGill graduates also chose other Quebec programs not in CaRMS  
     
  Reversions of Quota in the CaRMS Match  
  The Match Program has always provided the functionality to revert quota from a program which did not fill during the match directly to another program during the running of the match.  
     
  In 1996, at the request of the Postgraduate Deans, CaRMS introduced an added feature for reversions. Postgraduate Deans can elect to move quota from one or more programs that did not fill , into a pool. The Postgraduate Dean provides CaRMS with a list of programs that would receive an additional position from the pool. This added feature allows the optimal use of vacancies without having to guess where the vacancies will occur.  
     
  The benefit of the reversion process is to use an unfilled position to increase the quota in another program that may have more opportunity to match. Ultimately, more students are matched into preferred positions and therefore it is a benefit to students as well as programs.  
     
  Table XIa and XIb below, show the programs by discipline that donated quota and the programs that received quota through the reversion process in the first iteration of the match 2003  
     
  Table XIa - Donating Programs Reversion Report 2003 Match  
 
Donating Programs Total Quota Donated Total Vacancies across Canada
Community Medicine 1 2
Family Medicine 4 139
Laboratory Medicine 1 2
Medical Genetics 1 -
PM & R 1 4
 
     
  The Postgraduate Programs that reverted programs were McGill University converting a medical genetics position to pediatrics, Queen’s University converting a laboratory medicine position to diagnostic radiology, University of Toronto converting a PM & R position to internal medicine, McMaster converting community medicine to emergency medicine; two (2) positions in family medicine to internal medicine and Western Ontario converting two (2) family medicine positions, one to laboratory medicine and one to internal medicine.  
     
  Table XIb - Receiving Programs Reversion Report Match 2003  
 
Receiving Program Quota Increases # Receiving Positions Filled Total Vacancies Across Canada
Diagnostic Radiology 1 - -
Emergency Medicine 1 - -
Internal Medicine 4 - -
Laboratory Medicine 1 - 2
Pediatrics 1 - -
 
     
  Table XIa for the programs that donated quota during the first iteration shows which disciplines donated quota and how many positions were donated and how many vacancies occurred nationally in this discipline.  
     
  Table XIb indicates the receiving programs by discipline and how many positions were increased in each discipline. The second column indicates the number of positions that filled in the receiving program and the next column shows the total number of vacancies in that discipline (nationally).  
     
  Match Results by Geographic Location  
  Universities of Toronto, Manitoba and Saskatchewan have the highest proportion of their graduating class staying home for postgraduate training. Conversely, Queen’s, McMaster and Alberta have the highest proportion of their graduates matched away for postgraduate training. Only 39% (compared to 43% of the 2002 graduates) were matched to their home school and 61% will begin postgraduate training in a different faculty after graduation. Twenty-four percent (24%) were matched to schools in the same province as their medical school and 36% left the province to train. Understandably, one of the most important outcomes of a national match is the opportunity to match to out-of-town and out-of-province locations, providing truly national opportunities for graduating students. See Table XXXII, Page 32.  
     
  Results by Gender  
  For several years, women have had better match results than their male classmates when comparing the percent who are matched to first choice discipline. In the 2003 Match results, 83% of women matched to their first choice discipline compared to 70% of men. Additionally more women matched to an alternate discipline, whereas more men were unmatched. Perhaps women were more likely to rank alternate disciplines rather than being unmatched.  
     
  Table XII - First Choice Discipline by Gender 2003 Residency Match  
 
Specialties Female n=610 Male n=621
1st Choice Matched to 1st 1st Choice Matched to 1st
# % # % # % # %
Anesthesia 37 6.1 27 4.4 46 7.4 35 5.6
Diagnostic Rad 21 3.4 11 1.8 59 9.5 32 5.1
Emergency Med 11 1.8 10 1.6 17 2.7 10 1.6
Family Med * 197 32.3 194 31.8 111 17.9 107 17.2
Internal Med 90 14.8 78 12.8 96 15.5 80 12.9
Lab Med ** 7 1.2 5 0.8 15 2.4 13 2.1
Neurology 11 1.8 8 1.4 11 1.8 10 1.6
Obs/Gyn 52 8.5 40 6.6 6 1.0 5 0.8
Pediatrics 65 10.7 46 7.6 26 4.2 21 3.4
Psychiatry 36 5.9 33 5.4 36 5.8 31 4.9
Surgery *** 58 9.5 39 6.4 176 28.3 129 20.8
Other **** 25 4.1 17 2.8 22 3.5 18 2.9
Total 1st Career Choice 61 100.0 508 83.3 621 100.0 491 79.1
Matched to second career choice and lower 63 10.3   54 8.7
Unmatched 39 6.4   76 12.2
 
  * Includes rural family medicine, 10 military programs and 1 integrated rural family medicine and community medicine  
     
  Table XIIa - 2003 Residency Match  
 
**Lab Med Specialties Female n=610 Male n=621
1st Choice Matched to 1st 1st Choice Matched to 1st
# % # % # % # %
Anatomical Pathology 1 0.2 - - 4 0.6 3 0.5
General Pathology - - - - 1 0.2 1 0.2
Hematological Pathology - - - - - - - -
Laboratory Medicine 6 1.0 5 0.8 10 1.6 9 1.4
Total 7 1.2 5 0.8 15 2.4 13 2.1
 
     
  Main Table  
     
  Table XIIb - 2003 Residency Match  
 
***Surgery Specialties Female n=610 Male n=621
1st Choice Matched to 1st 1st Choice Matched to 1st
# % # % # % # %
Cardiac Surgery 3 0.5 3 0.5 6 1.0 4 0.7
General Surgery 17 2.8 17 2.8 29 4.7 29 4.7
Neurosurgery 1 0.2 1 0.2 21 3.4 16 2.6
Ophthalmology 5 0.8 5 0.8 17 2.7 12 1.9
Orthopedic Surgery 8 1.3 6 1.0 44 7.1 36 5.8
Otolaryngology 8 1.3 3 0.5 17 2.7 9 1.5
Plastic Surgery 11 1.8 3 0.5 19 3.1 9 1.5
Urology 5 0.8 1 0.2 23 3.7 14 2.3
Total 58 9.5 39 6.4 176 28.3 129 20.8
 
  Main Table  
     
  Table XIIc - 2003 Residency Match  
 
****Other Specialties Female n=610 Male n=621
1st Choice Matched to 1st 1st Choice Matched to 1st
# % # % # % # %
Community Medicine 3 0.5 3 0.5 - - - -
Dermatology 7 1.1 2 0.3 5 0.8 3 0.5
Medical Genetics 4 0.7 3 0.5 - - - -
Nuclear Medicine - - - - 2 0.3 - -
Medical Microbiology - - - - - - - -
Occupational Medicine - - - - 1 0.2 1 0.2
PM&R 2 0.3 2 0.3 3 0.5 3 0.5
Radiation Oncology 9 1.5 7 1.2 11 1.8 11 1.8
Total 25 4.1 17 2.8 22 3.5 18 2.9
 
     
  Main Table  
     
  There was in increase in the number of men and women choosing anesthesia and diagnostic radiology this year. There was a 70% increase in the pool of women choosing obstetrics/gynecology but only six (6) men chose obstetrics/gynecology, down from seven (7) in 2002. More men and women chose internal medicine training than in 2002. More men were interested in orthopedics but fewer men chose general surgery. Fifty percent (50%) more men also showed interest in a career in psychiatry this year than 2002.  
     
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  Table XIII - Canadian Students in the U.S. Match (NRMP) 2003  
 
School 2003 students matched in NRMP Previous year grads matched in NRMP # of identified Visa students in 2003 Match
Memorial 1 4 10
Dalhousie 2   8
Laval 1   2
Sherbrooke 1   2
Montreal 1    
McGill 27 1 26
Ottawa 1    
Queen's 1 1  
Toronto 4    
McMaster 1   2
Western Ontario 3   6
Manitoba     1
Saskatchewan      
Alberta 2   2
Calgary 1   8
UBC 1 1  
Total 46 7 65
 
  *may include visa  
     
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  Unmatch Day Results  
     
  Unfilled Positions. Beginning with program results, there were 189 vacancies after the first iteration. Seventy-four percent (74%) of them were in programs in family medicine. Laboratory medicine disciplines accounted for 10 vacancies (28%). Psychiatry had 13 unfilled positions (16%) of their positions and general surgery was left with 10 unfilled (14% of their total positions). See Table XXV, Page 24  
     
  Table XIV - Vacancies in 2003 Match, by Discipline  
 
Anatomical Pathology 5   Laboratory Medicine 2
Cardiac Surgery 1 Neurology Adult & Pediatric 2
Community Medicine 2 Nuclear Medicine 1
Emergency Medicine 1 Obstetrics / Gynecology 1
Family Medicine 139 Occupational Medicine 2
General Pathology 2 PM&R 4
General Surgery 10 Psychiatry 13
Hematological Pathology 1 Radiation Oncology 2
Internal Medicine 1 Total 189
 
     
  Table XV - Vacancies in 2003 Match, by School  
 
Memorial 21   Western Ontario 10
Dalhousie 13 Manitoba 25
McGill 15 Saskatchewan 18
Ottawa 13 Alberta 39
Queen's 1 Calgary 3
Toronto 1 UBC 7
McMaster 23 Total 189
 
     
  Unmatched Students . One hundred and fifteen (115) graduates were unmatched after the First Iteration. Eleven (11) were prior year graduates with no postgraduate training and 104 were graduating students. Each medical school had a few unmatched. There were also four unmatched U.S. graduates and five (5) unmatched IMGs .  
     
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  Table XVI - Distribution of Unmatched Canadian Applicants & Vacant Positions - 2003  
 
School Unmatched Students and Graduates Vacant Positions
# % # %
Memorial 3 5.4 21 3.5
Dalhousie 7 8.8 13 13.5
Laval 1      
Montreal 1      
McGill 12 13.2 15 14.3
Ottawa 12 13.8 13 12.9
Queen's 8 10.1 1 1.5
Toronto 10 5.7 1 0.5
McMaster 1 0.9 23 21.9
Western Ontario 7 7.7 10 10.3
Manitoba 13 17.8 25 32.5
Saskatchewan 4 7.3 18 31.6
Alberta 15 14.6 39 33.9
Calgary 9 10.2 3 3.2
UBC 12 10.3 7 5.7
Total 115   189  
 
     
     
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  Table XVII - First Choice of Unmatched Students/Graduates 2003  
 
Anatomical Pathology 1   Nuclear Medicine 2
Anesthesia 15 Obstetrics/Gynecology 6
Cardiac Surgery 1 Ophthalmology 4
Dermatology 1 Otolaryngology 5
Diagnostic Radiology 16 Orthopedic Surgery 7
Emergency Medicine 1 Pediatrics 11
Family Medicine 5 Plastic Surgery 7
Internal Medicine 18 Psychiatry 3
Laboratory Medicine 2 Urology 5
Neurosurgery 5 Total 115
 
     
  Twenty-nine 29 (25%) of the unmatched had selected a surgical discipline as first choice. Internal medicine, diagnostic radiology, anesthesia, pediatrics and obstetrics/gynecology were the other most frequent career choices of the unmatched students.  
     
  Top  
     
     
  Second Iteration of the 2003 Match  
     
  Applicant Registration  
  The Second Iteration of the Match is open to all qualified applicants who wish to enter postgraduate medical training in Canada. The positions they are applying to and competing for are the vacancies from the First Iteration. Not all positions are available to all graduates as Ontario does not consider International Medical Graduates (IMGs) or licensed physicians in the Second Iteration and Quebec will only consider CMQ approved IMG applicants.  
     
  2003 Canadian Medical School Graduates. Of the 104 unmatched students from the First Iteration, 83 (80%) participated in the Second Iteration. Two (2) 2003 francophone medical school graduates registered just for the Second Iteration bringing the student total to 85. Seven (7) of the 11 unmatched prior year graduates also participated in the Second Iteration. Twenty-one (21) unmatched students did not participate in the Second Iteration. Many went to U.S. programs.  
     
  Prior Year Graduates. Twenty seven (27) previous year graduates registered exclusively for the Second Iteration Match of which nine (9) were enrolled in a residency program.  
     
  U.S. Applicants. There were two U.S. graduates registered and they went unmatched in the Second Iteration.  
     
  International Medical Graduates. Initially 953 international medical graduates registered in the second phase of the match. Seven hundred and five (705) IMGs completed the electronic application and of those, 625 submitted rank lists. One CMQ approved IMG who did not match in the First Iteration matched to family medicine in the Second Iteration.  
     
  Second Iteration Results  
     
  Canadian Medical School Students and Graduates. Eighty-one (72%) of the 115 unmatched students/graduates were matched in the Second Iteration. Seventy-eight percent (78%) of the Canadian applicants were matched to the discipline they listed as their first choice in the Second Iteration.  
     
  CaRMS – A Pathway for Switching. Nine (9) prior year graduates who submitted rank order lists in the Second Iteration were enrolled in a residency program. Three (3) were matched.  
     
  CaRMS – A Pathway For Re-entry. Six (6) prior year graduates who submitted rank order lists in the Second Iteration were previously in practice. Two (2) were matched.  
     
  Table XVIII - 2003 Second Iteration Canadian Students/Graduates Matched Discipline  
 
Anatomical Pathology 2   Nuclear Medicine 1
Community Medicine 1 Obstetrics/Gynecology 1
Family Medicine 69 PM&R 3
General Surgery 9 Psychiatry 4
Internal Medicine 1 Radiation Oncology 2
Neurology 1 Total 94
 
     
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  Table XIX - History of Second Iteration Match Results 1995-2003  
 
Year # of Cdn Students Unmatched 1st Iteration # of Students Submitting Rank Order Lists 2nd Iteration # of Positions 2nd Iteration # of Cdn Students Matched # of Unmatched # of Positions Vacant After 2nd Iteration
2003 105 85 189 81 4 28
2002 45 37 188 32 5 53
2001 63 42 153 40 2 58
2000 65 43 99 40 3 13
1999 61 42 98 35 7 10
1998 70 48 94 43 5 26
1997 51 40 99 32 8 32
1996 71 38 81 32 6 28
1995 64 44 91 31 13 26
 
     
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  Prior Year Graduates. Thirteen (13) of the 27 prior year graduates registered in the Second Iteration were successfully matched to the following disciplines. Of the 13 matched, five (5) were prior year graduates without postgraduate training, who had not matched in the First Iteration and came forward to the Second Iteration, and two (2) were re-entry physicians.  
 
Community Medicine 1   Nuclear Medicine 1
General Surgery 1   Psychiatry 2
Family Medicine 8      
 
     
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  Table XX - Second Iteration Match Results for Prior Year Graduates 1995-2003  
 
Year # of Prev Yr. Grads in match # Matched %
2003 27 13 48.2
2002 23 15 65.2
2001 14 5 35.7
2000 13 5 38.5
1999 27 14 51.9
1998 38 6 15.8
1997 36 18 50.0
1996 25 7 28.0
1995 23 11 47.8
 
     
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  International Medical Graduates. There were 67 (10.7%) international medical graduates matched.  
     
  Table XXI - Second Iteration Match Results for IMGs 1995-2003  
 
Year International Medical Graduate Participation¹ Match Results Percentage
2003 625 67 10.7
2002 496 83 16.7
2001 387 60 15.5
2000 294 39 13.3
1999 231 35 15.2
1998 205 19 9.3
1997 208 16 8.0
1996 236 11 4.6
1995 240 23 9.6
 
     
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  Table XXII - Match Results of International Medical Graduates in the Second Iteration - 2003 Match  
 
Anatomical Pathology 3   Neurology - Pediatric 1
Community Medicine 1 Occupational Medicine 2
Family Medicine 47 PM&R 1
General Pathology 2 Psychiatry 8
Laboratory Medicine 2 Total 67
 
     
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  Table XXIII - Matched Programs Locations of International Medical Graduates 2003 Match  
 
Memorial 15   Alberta 15
Dalhousie 8 Calgary 1
McGill 1 UBC 6
Manitoba 5    
Saskatchewan 16 Total 67
 
     
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  Positions Left Unfilled after the Second Iteration 2003  
  Twenty-eight (28) positions were left unfilled after the Second Iteration. Again the majority were in family medicine, 19 plus four (4) rural family medicine positions unfilled.  
     
  Table XXIV - Unfilled Positions after Second Iteration 2003  
 
Discipline Mun Dal McGill Ottawa Queen's Mac UWO Man Sask Alberta UBC Total
Cardiac Surgery           1           1
Emergency Medicine     1                 1
Family Medicine 1   1 6   3 3 8   1   23
General Surgery     1                 1
Hematological Pathology                   1   1
Psychiatry               1       1
Total 1   3 6   4 3 9   2   28
 
     
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  Table XXV - Summary of Vacancies in the 2003 First Iteration Residency Match by Faculty and Discipline  
 
Disciplines Memorial Dalhousie McGill Ottawa Queen's Toronto McMaster Western Manitoba Sask Alberta Calgary UBC Total
Anatomic Pathology 2               1   2     5
Cardiac Surgery             1             1
Community Medicine                 1       1 2
Emergency Medicine     1                     1
Family Medicine 9 9 13 7     22 10 19 12 30 3 5 139
General Pathology 1                 1       2
General Surgery 3   1 5             1     10
Hematological Pathology                     1     1
Internal Medicine       1                   1
Laboratory Medicine   2                       2
Neurology                 1       1 2
Nuclear Medicine   1                       1
Obstetrics/Gynecology                   1       1
Occupational Medicine                     2     2
PM&R         1 1   1 1         4
Psychiatry 6             1 3 3       13
Radiation Oncology   1           1           2
Total 21 13 15 13 1 1 23 10 25 18 39 3 7 189
 
     
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  Table XXVII - Career Choices of Canadian Students and Graduates 2003 Residency Match  
 
Discipline First Choice Discipline % Total Choices Quota Offered % Total Quota Total Quota after Reversion Quota Filled Quota Vacant
Anesthesia 83 6.7 66 5.0 66 66 0
Anatomical Pathology 5 0.4 10 0.8 10 5 5
Cardiac Surgery 9 0.7 8 0.6 8 7 1
Community Medicine 3 0.2 7 0.5 7 5 2
Dermatology 12 1.0 5 0.4 5 5 0
Diagnostic Radiology 80 6.5 46 3.5 46 46 0
Emergency Medicine 28 2.3 22 1.7 22 21 1
Family Medicine 306 24.9 494* 37.5 494 355 139
Integrated Fam Med and Comm 2 0.1 1 0.1 1 1 0
General Pathology 1 0.1 3 0.2 3 1 2
General Surgery 46 3.7 70 5.3 70 60 10
Hematological Pathology 0 0.0 1 0.1 1 0 1
Internal Medicine 186 15.1 181 13.7 181 180 1
Laboratory Medicine 16 1.3 17 1.3 17 15 2
Medical Microbiology 0 0.0 1 0.1 1 1 0
Medical Genetics 4 0.3 3 0.2 3 3 0
Neurology 19 1.5 18 1.4 18 17 1
Pediatric Neurology 3 0.2 3 0.2 3 2 1
Neurosurgery 22 1.8 17 1.3 17 17 0
Nuclear Medicine 2 0.2 5 0.4 5 4 1
Obstetrics/Gynecology 58 4.7 49 3.7 49 48 1
Occupational Medicine 1 0.1 3 0.2 3 1 2
Ophthalmology 22 1.8 17 1.3 17 17 0
Orthopedic Surgery 52 4.2 43 3.3 43 43 0
Otolaryngology 25 2.0 12 0.9 12 12 0
Pediatric 91 7.4 74 5.6 74 74 0
Physical Med and Rehab 5 0.4 10 0.8 10 6 4
Plastic Surgery 30 2.4 12 0.9 12 12 0
Psychiatry 72 5.9 81 6.2 81 68 13
Radiation Oncology 20 1.6 21 2.0 21 19 2
Urology 28 2.3 17 1.3 17 17 0
Total 1231   1317   1317 1128 189
 
  *includes 10 to Military Programs  
     
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  Table XXVIII - Summary of Matching Results - 2003 Residency Match  
 
University Est. Curr Grads Current Grads CaRMS % in CarMS Prev Grads CaRMS Total CaRMS Grads Match Results Unmatched Quota Filled Unfilled
Current Grads % Previous Year Grads Total % Current Grads Previous Year Grads Quota % Quota
Memorial 63 53 84.1 3 56 52 98.1 1 53 94.6 1 2 60 39 65.0 21
Dalhousie 89 79 88.8 1 80 72 91.1 1 73 91.3 7 - 96 83 86.5 13
Quebec* 380 13 3.4 2 15 12 80.0 1 13 86.7 1 1 - - - -
McGill 127 88 69.3 3 91 79 89.8 - 79 86.8 9 3 105 90 85.7 15
Ottawa 91 87 95.6 - 87 75 86.2 - 75 86.2 12 - 101 88 87.1 13
Queen's 82 79 96.3 - 79 71 89.9 - 71 89.9 8 - 69 68 98.6 1
Toronto 179 174 97.2 3 177 168 94.8 2 167 94.4 9 1 218 217 99.5 1
McMaster 114 111 97.4 - 111 110 99.1 - 110 99.1 1 - 105 82 78.1 23
Western Ontario 106 97 91.5 2 99 91 93.8 1 92 92.9 6 1 97 87 89.7 10
Manitoba 76 73 96.1 - 73 60 82.2 - 60 82.2 13 - 77 52 67.5 25
Saskatchewan 54 53 98.1 2 55 49 92.5 2 51 92.7 4 - 57 39 68.4 18
Alberta 120 101 84.2 2 103 88 87.1 - 88 85.4 13 2 115 76 66.1 39
Calgary 96 86 89.6 2 88 78 90.7 1 79 89.8 8 1 93 90 96.8 3
British Columbia 115 114 99.1 3 117 102 89.5 3 105 89.7 12 - 124 117 94.4 7
TOTAL 1692 1208 71.4 23 1231 1104 91.4 12 1116 90.7 104 11 1317 1128 85.6 189
 
  *includes Laval, Sherbrooke, Montreal  
     
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  Table XXIX - Canadian Graduates' Matching Results -2003 Match  
 
University Curr Grads No. In Match % Prev yr Grads in Match Total Grads in Match Matched Total % Local (same city etc.) % Other in Prov % Out of Prov %
Memorial 63 53 84.1 3 56 53 94.6 20 37.7 9 17.0 24 45.3
Dalhousie 89 79 88.8 1 80 73 91.3 28 38.4 - - 45 61.6
Laval,Mtl,Sherbrooke 380 13 9.5 2 15 13 86.7 - - 7 53.9 6 46.2
McGill 127 88 69.5 3 91 79 86.8 47 59.5 - - 32 40.5
Ottawa 91 87 95.6 - 87 75 86.2 28 37.3 32 42.7 15 20.0
Queen's 82 79 96.3 - 79 71 89.9 16 22.5 36 50.7 19 26.8
Toronto 179 174 97.2 3 177 167 94.4 97 58.1 47 28.1 23 13.8
McMaster 114 111 97.4 - 111 110 99.1 28 25.5 58 52.7 24 21.8
Western Ontario 106 97 91.5 2 99 92 92.9 34 37.0 41 44.6 17 18.5
Manitoba 76 73 96.1 - 73 60 82.2 24 40.0 1 1.7 35 58.3
Saskatchewan 54 53 98.1 2 55 51 92.7 1 2.0 22 43.1 28 54.9
Alberta 120 101 84.2 2 103 88 85.4 29 33.0 12 13.6 47 53.4
Calgary 96 86 89.6 2 88 79 89.8 29 36.7 12 15.2 38 48.1
UBC 115 114 99.1 3 117 105 89.7 40 38.1 18 17.1 47 44.8
TOTAL 1692 1208 71.4 23 1231 1116 90.7 421 37.7 295 26.4 400 35.8
 
     
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  Table XXX - Students Matched to Specialty Choice by Specialty 2003 Match  
 
Specialty Matched to 1st Choice Specialty 2nd Choice Specialty 3rd Choice Specialty 4th Choice Specialty 5th Choice Specialty Total
Anatomical Pathology 3 0 0 0 0 3
Anesthesia 62 3 1 0 0 66
Cardiac Surgery 7 0 0 0 0 7
Community Medicine 3 1 1 0 0 5
Dermatology 5 0 0 0 0 5
Diagnostic Radiology 43 3 0 0 0 46
Emergency Medicine 20 1 0 0 0 21
Family Medicine + MOTP 300 41 7 1 0 349
Integrated Rural FM & CM 1 0 0 0 0 1
General Pathology 1 0 0 0 0 1
General Surgery 46 11 1 1 0 59
Internal Medicine 158 20 1 0 0 179
Laboratory Medicine 14 1 0 0 0 15
Medical Genetics 3 0 0 0 0 3
Medical Microbiology 0 1 0 0 0 1
Neurology - Adult & Pediatric 18 1 0 0 0 19
Neurosurgery 17 0 0 0 0 17
Nuclear Medicine 0 4 0 0 0 4
Obstetrics/Gynecology 45 3 0 0 0 48
Occupational Medicine 1 0 0 0 0 1
Ophthalmology 17 0 0 0 0 17
Orthopedic Surgery 42 1 0 0 0 43
Otolaryngology 12 0 0 0 0 12
Pediatrics 67 6 1 0 0 74
Physical Med & Rehab 5 1 0 0 0 6
Plastic Surgery 12 0 0 0 0 12
Psychiatry 64 2 1 0 0 67
Radiation Oncology 18 0 0 0 0 18
Urology 15 2 0 0 0 17
Total 1116
 
     
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  Table XXXI - First Choice for Graduates of 2003 by Discipline and Medical School (calculated in percent)  
 
Discipline % of total quota Mun Dal McGill Ottawa Queen's U of T Mac UWO Man Sask U of A Calg UBC Overall %
Anesthesia 5.0 7.1 7.5 3.3 11.5 7.6 7.9 3.6 5.1 6.8 9.1 3.9 5.7 10.3 6.7
Radiology (Diagnostic & Oncology) 5.5 8.9 3.8 8.8 8.0 11.4 9.6 8.1 7.0 1.4 10.9 10.6 6.8 8.6 8.1
Emergency Medicine 1.7 1.8 2.5 - 1.1 5.1 - 1.8 2.0 2.7 1.8 5.8 4.5 2.6 2.3
Family Medicine 37.5 26.8 22.6 17.6 29.9 24.1 22.1 30.6 26.3 24.7 32.7 17.5 31.8 23.1 25.0
Laboratory Medicine* 2.5 - 2.5 1.1 1.1 1.3 2.8 - 1.0 2.8 - 4.8 - 3.4 1.8
Internal Medicine 13.7 19.6 16.3 22.0 13.8 12.7 22.0 13.5 12.1 12.3 9.1 11.7 13.6 12.8 15.1
Neurology (Adult & Pediatrics) 1.6 1.8 2.6 4.4 - - 2.8 3.6 - - - 2.9 2.3 0.9 1.7
Obstetrics/Gynecology 3.7 7.1 7.5 3.3 5.7 5.1 2.3 4.5 8.1 2.7 5.5 5.8 6.8 1.7 4.7
Pediatrics 5.6 5.4 10.0 9.9 5.7 11.4 4.5 9.9 7.1 11.0 5.5 6.8 4.5 6.8 7.4
PM&R 0.8 - - - 1.1 - - - - 2.7 1.8 - - 0.9 0.4
Psychiatry 6.2 7.1 7.5 3.3 8.0 3.8 5.6 7.2 5.1 8.2 3.6 5.8 5.7 3.4 5.8
Surgery ** 14.9 14.3 14.0 25.3 11.3 16.5 18.7 16.2 26.2 23.1 18.1 21.3 17.1 23.2 18.9
Other*** 1.7 - 3.8 1.1 2.2 1.3 1.7 0.9 9 1.4 1.8 2.9 1.1 2.6 1.8
 
     
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  Table XXXI a  
 
Discipline % of total quota Mun Dal McGill Ottawa Queen's U of T Mac UWO Man Sask U of A Calg UBC Overall %
Cardiac Surgery 0.6 - - 3.3 - - 0.6 - 2.0 1.4 1.8 1.0 - - 0.7
General Surgery 5.3 1.8 1.3 4.4 2.3 5.1 2.8 2.7 7.1 6.8 5.5 2.9 5.7 2.6 3.7
Neurosurgery 1.3 - - 5.5 1.1 2.5 1.1 1.8 1.0 2.7 1.8 2.9 1.1 1.7 1.8
Ophthalmology 1.3 1.8 1.3 1.1 1.1 1.3 2.3 0.9 1.0 - 1.8 4.9 2.3 2.6 1.8
Orthopedic Surgery 3.3 8.9 2.5 4.4 2.3 2.5 4.0 5.4 5.1 6.8 3.6 2.9 2.3 6.0 4.2
Otolaryngology 0.9 - 3.8 1.1 - 2.5 2.8 1.8 3.0 2.7 3.6 2.9 - 1.7 2.0
Plastic Surgery 0.9 1.8 1.3 4.4 1.1 1.3 1.7 1.8 4.0 2.7 - 1.9 2.3 6.0 2.4
Urology 1.3 - 3.8 1.1 3.4 1.3 3.4 1.8 3.0 - - 1.9 3.4 2.6 2.3
 
     
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  Table XXXI b  
 
Discipline % of total quota Mun Dal McGill Ottawa Queen's U of T Mac UWO Man Sask U of A Calg UBC Overall %
Anatomical Pathology 0.8 - - - 1.1 - - - - 1.4 - 2.9 - - 0.4
General Pathology 0.2 - - - - - - - - 1.4 - - - - 0.1
Hematological Pathology 0.1 - - - - - - - - - - - - - 0.0
Laboratory Medicine 1.3 - 2.5 1.1 - 1.3 2.8 - 1.0 - - 1.9 - 3.4 1.3
Medical Microbiology 0.1 - - - - - - - - - - - - - 0.0
 
     
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  Table XXXI c  
 
Discipline % of total quota Mun Dal McGill Ottawa Queen's U of T Mac UWO Man Sask U of A Calg UBC Overall %
Community Medicine 0.5 - - - 1.1 1.3 - 0.9 - - - - - - 0.2
Dermatology 0.4 - 1.3 1.1 - - 1.7 - - 1.4 - 1.9 1.1 2.6 1.0
Medical Genetics 0.2 - 2.5 - - - - - - - - 1.0 - - 0.3
Nuclear Medicine 0.4 - - - - - - - - - 1.8 - - - 0.2
Occupational Medicine 0.2 - - - 1.1 - - - - - - - - - 0.1
     
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  Table XXXII - Geographical Distribution of Matched Applicants by Medical School - 2003 Match  
     
 
   

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