NRMP Program Director Survey Results, 2021
I
n March 2021, the National Resident Matching Program (NRMP) conducted its survey of directors
of all programs participating in the Main Residency Match
®
. The Program Director Survey usually is a biennial
survey conducted by the NRMP in even years (e.g., 2018, 2020) with the primary purpose of characterizing the
factors that Program Directors use to (1) select applicants to interview, and (2) rank applicants for
the Main Residency Match. However, because of the unprecedented circumstances resulting from the COVID-
19 pandemic and the consequent move to virtual recruitment and interviewing for July 2021 residency
appointments, the NRMP decided to administer the Program Director Survey in 2021.
The survey was issued to program directors who certified a rank order list as part of the 2021 Main Residency
Match. It was fielded during the 11 days between the Rank Order List Certification Deadline and the start of
Match Week to prevent match outcomes from influencing respondents' answers. The survey included many of
the items from the 2020 survey questionnaire along with questions intended to query program directors’
experiences with the virtual recruitment process. Specifically, the survey solicited information on:
• the number of applications received, screened, and reviewed, as well as the number of applicants
interviewed and ranked;
• the frequency with which programs interviewed and ranked specific applicant groups;
• use of test scores in considering which applicants to interview;
• applicant characteristics considered in both interview selection and ranking; and
• experiences with virtual recruitment, including:
o approaches used to engage and communicate with potential applicants,
o potential challenges posed by the virtual environment, and
o whether programs anticipated conducting part or all of the application or selection processes
virtually in the future.
General findings concerning the virtual recruitment experience of programs have been published to the NRMP
website in a research brief; additional analyses will be reported in a future document.
S
ome items from prior administrations of the Program Director Survey were deleted for the 2021
administration in order to allow for robust questioning about the virtual experience while minimizing respondent
burden. Deleted items included questions about:
• specific target scores on USMLE Step 1 and Step 2 CK exams below which programs generally did not
grant interviews and above which they almost always granted interviews;
• whether programs offered more invitations than interview slots and reasons for that practice;
• time allowed for applicants to respond to interview invitations;
• how programs scheduled interviews;
• preferred modes of communication with and about applicants during Supplemental Offer and Acceptance
Program (SOAP) rounds; and
• importance of factors such as professionalism, quality of patient care, clinical competency, and ethics in
as
sessing residents’ success during residency.
Future iterations of the survey will re-introduce questions about interview behaviors and assessment of
applicant success in residency.
T
he overall response rate for all specialties combined was 23.3 percent (n=1,033). Specialty-specific response
rates for Transitional Year programs and programs in the 20 specialties where 10 or more responses were
submitted are presented in the table below. The “All Others” category combines into a single group 23
specialties, including 17 combined programs (e.g., Emergency Medicine/Anesthesiology,
Pediatrics/Psychiatry/Child Psychiatry), that submitted fewer than 10 responses. The “All Others” category was
only used in analyses for all specialties combined.