The NRMP Rank Order List Due Date is Fast Approaching: Check Yourself Before You Wreck Yourself

The rank list deadline is March 4, 2026 at 9 PM EST, however waiting until the last minute and making impulsive changes to your list is not a great idea ;).

Ensure you avoid simple missteps in creating your list. Improving written materials and interview skills is important, but all of that work can go down the drain if applicants do not understand basic strategies for the Match. In November 2015, the NRMP published an article called, "Understanding the Interview and Ranking Behaviors of Unmatched International Medical Students and Graduates in the 2013 Main Residency Match" in the Journal of Graduate Medical Education. The data is still relevant today and especially important for IMGs who represented the majority of unmatched candidates.

Sadly, the authors found that some applicants made strategic errors including the below:

- Not attending all interviews, thus failing to capitalize on every opportunity to market themselves.

- Declining to rank all programs at which they interviewed or not ranking all programs they would be willing to attend.

- Misunderstanding the Match and ranking programs at which applicants did not interview.

- Failing to rank programs based on true preferences or ranking programs based on the perceived likelihood of matching.

Here is a video explanation of the Match algorithm. If you do not understand how the Match works, it is absolutely critical that you learn about it to avoid destructive errors.

How are Residency Programs Managing the $100,000 Fee for New H-1B Visa Applications?

The Association of American Medical Colleges (AAMC) recently published a piece on the effect H-1B visa fees will have on the Match, hospitals, and access to medical care going forward unless there is an exception made for the healthcare field. The article also explains the distinctions between the H-1B and J-1 visas for physicians.

Andrea Price-Carter, MPA, director of health equity advocacy and government relations for the AAMC points out that J-1 and H-1B visa holders do not displace U.S. medical graduates, and instead, fill gaps where there is a shortage of needed professionals.

Here's the AAMC piece.

AW(e)SOM(e)

This week a friend texted me a PBS NewsHour segment she saw about the Alice L. Walton School of Medicine (AWSOM) that opened for its inaugural class this cycle. The school is located in Bentonville, Arkansas, and its mission is to provide an innovative program that incorporates art and humanities. The school shares a campus with the Crystal Bridges Museum of American Art, and medical students are encouraged to learn the "art of healing." Importantly, for the first five cohorts, tuition is free, so the admission process is fierce. 

Take a look here at the PBS segment.

Some Faculty are Using AI to Craft Letters of Recommendation

The AAMC recently published a piece about faculty members who use artificial intelligence to craft first drafts – at least –  of recommendation letters for students. 

I understand the pull of AI for this purpose, but even if the flow and syntax are better, I'm concerned these letters will sound generic and unoriginal. Letters of recommendation can make a huge difference in a student's candidacy, and submitting something iterative or bland could be a real disservice to the applicant.

The article ends with a quote from a urologist advising that faculty members tell students and the institutions that receive their letters that they use AI to help compose the text, but I would go further and say that if a faculty member is planning to use AI, s/he should tell the student before writing the letter so the applicant can decline the recommendation if s/he wants to.