National Matching Services


Reversions

The 2018 ASHP Match


What Are Reversions

A reversion is a mechanism to move one or more positions that remain unfilled from one Rank Order List to a second Rank Order List within the matching process, so that an attempt can be made to fill the available position(s) with applicants on the second list. Within the matching process, unfilled positions are "reverted" from one list (the "Donor") to another (the "Receiver").

Reversions can be useful in some cases where a program may submit a Rank Order List of applicants, but the program may not ultimately be successful in filling all of the positions. In this situation, the program may wish to move the unfilled position(s) to another related or affiliated program where the position(s) may be able to be filled, in order to increase the likelihood of filling all available positions in the organization.

  • The Difference Between Reversions and Changing the Number of Available Positions

    Reverting an unfilled position within the matching process is different from deciding before the Rank Order List deadline to move a position from one program to another.

    Moving a Position Before the Deadline

    An organization offering multiple programs in the Match may decide, in advance of the Rank Order List deadline, to move a position from one program (e.g., because it has an insufficient number of acceptable applicants) to another program (which has many acceptable applicants). In this case, no attempt will be made to fill that position in the original program within the matching process. Program Directors can adjust the number of positions to be offered by each program in the Match at any time prior to the Rank Order List deadline using the online NMS Match System.

    Reverting a Position Within the Matching Process

    Reverting a position within the matching process applies when an attempt is made to fill the position in the original program within the matching process but the position remains unfilled. The option to revert an unfilled position within the matching process should be used only when the final decision to move the position from one program to another cannot be made in advance of the Rank Order List deadline, but depends on whether or not the position is filled in the original (Donor) program within the matching process.

Examples of Reversions

Any type of program can revert unfilled positions to any other type of program. Some situations where reversions might be used are described below.

  • Reversions Between Multiple Residencies

    An organization with multiple residencies may wish to revert unfilled positions from the Rank Order List of one residency to the Rank Order List of another, in order to maximize the overall number of positions filled in the organization. For example, if a position remains unfilled on the Rank Order List for a PGY2 program, that position can be moved within the matching process to the Rank Order List for another type of program (either another PGY2 program or a PGY1 program) where the position may be able to be filled.

  • Reversions Between Tracks of a Single Residency

    A similar situation may occur within a single residency that offers multiple types of training or tracks, where each track is set up as a separate program in the Match. For example, a PGY1 residency offering both a regular PGY1 program and a PGY1-Ambulatory Care program can specify that any positions that remain unfilled on the Rank Order List for the PGY1-Ambulatory Care program should revert to the Rank Order List for the regular PGY1 program, and an attempt should be made to fill the positions moved to the regular PGY1 program with additional applicants on the Rank Order List for that program.

  • Obtaining a Specific Distribution of Applicants Based on Characteristics of Applicants

    Reverting unfilled positions from one Rank Order List to another can also be used by a single program in the Match that is submitting multiple Rank Order Lists in order to match with a particular "mix" or distribution of applicants based on specific applicant characteristics.

Procedures for Submitting Reversions

To request the reversion of unfilled positions within the matching process, a program must provide written instructions to NMS. The request for a reversion must be submitted by the program that wishes to transfer some or all of its unfilled positions to another program - i.e., the Donor program.

Download Reversion Request Form and Instructions

Please Note: The reversion of positions from one Rank Order List to another is permitted only in Phase I of the Match. This option will not be available in Phase II of the Match.

Forms must be completed, signed and submitted to NMS by March 6, 2018, either as a scanned e-mail attachment to ashprmp@natmatch.com or by fax to 844-977-0555. After sending the form to NMS, please wait at least one business hour (9:00 a.m. to 5:00 p.m. ET Monday to Friday) and then contact NMS by telephone to confirm that the form has been received and is legible.

Rules For Reverting Unfilled Positions Between Lists

Please note the following rules when submitting a request to revert unfilled positions between Rank Order Lists.

A) Reporting of Unfilled Positions After the Match

Any position that is reverted from one program to another will be reported after the Match as belonging to the Receiver program to which it was finally reverted (even if the position remains unfilled in the Receiver program).

For example, suppose Program A enters the Match with 3 positions, Program B starts with 2 positions, and Program A is to revert all unfilled positions to Program B. Then if Program A fills only 1 position in the Match, the 2 remaining unfilled positions will revert to Program B. In that case, after the Match, Program A will be reported as having 1 filled position and no unfilled positions, and Program B will be reported as having 4 positions (whether or not all 4 were filled in Program B).


B) Number of Positions To Revert

A Donor can revert some or all of its unfilled positions. It can also revert unfilled positions to more than one Receiver.

For example, if Program A has 3 unfilled positions it can choose to revert its first unfilled position to Program B, its second unfilled position to Program C, and it can choose not revert the third unfilled position to any other program.


C) Chained Reversions

Reversions of unfilled positions can be "chained"; for example, List A can revert unfilled positions to List B, and if some positions remain unfilled on List B, then these positions can revert to List C, and so on.

However, a chain of reversions cannot "loop back" to the beginning. For example, if you request that List A revert unfilled positions to List B, then you cannot also request that List B revert unfilled positions to List A. Similarly you cannot request a chain of reversions that moves unfilled positions from List A to List B, then from List B to List C, and then from List C back to List A.

Positions that are Reverted But Not Filled In Phase I

Program with positions that remain unfilled in Phase I of the Match must offer those positions to applicants in Phase II of the Match. When requesting the reversion of unfilled positions from one program to another, you need to consider the implications for Phase II of the Match if the reverted position(s) do not fill in the Receiver program.

For example, suppose Program A reverts all its unfilled positions to Program B, but one or more of the reverted positions does not fill in Program B. There are two options for offering the unfilled position(s) in Phase II:

  • The unfilled position(s) can remain in Program B (the Receiver program) for Phase II, and Program B will participate in Phase II of the Match in order to fill the position(s) in Program B.
  • The unfilled position(s) can be moved back to Program A (the original Donor program) for Phase II, and Program A will participate in Phase II of the Match in order to fill the position(s) in Program A.

When requesting the reversion of position(s) within Phase I of the Match, you must specify which program (the Donor program or the Receiver program) should offer the position(s) in Phase II of the Match if any of the reverted position(s) remain unfilled in Phase I. This specification must be provided to NMS when submitting the request for a reversion in Phase I.

A program that reverts all its unfilled positions to another program, and the positions either fill in the other program or remain in that program and are not moved back to the Donor program, will have no positions available after Phase I of the Match and therefore will not participate in Phase II of the Match.

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