Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health

Introduction: The National Residency Matching Program (NRMP) allows post-interview contactbetween residency applicants and residency programs. Thank-you communications representone of the most common forms, but data on their value to applicants and program directors (PD)are limited. The objective of this study was to assess the effect of thank-you communications onapplicant- and residency-program rank lists.

Methods: Two anonymous, voluntary surveys were sent after the 2018 NRMP Match, one toapplicants who were offered an interview at a single academic site in the 2017-2018 Match cycle,and one to EM PDs nationwide. The surveys were designed in conjunction with a nationallyrecognizedsurvey center and piloted and revised based on feedback from residents and faculty.

Results: Of 196 residency applicants, 97 (49.5%) responded to the survey. Of these, 73/95 (76.8%)reported sending thank-you communications. Twenty-two of 73 (30%) stated that they sent thank-youcommunications to improve their spot on a program’s rank list; and 16 of 73 (21.9%) reported that theychanged their rank list based upon the responses they received to their thank-you communications. Of 163 PDs, 99 (60.7%) responded to the survey. Of those PDs surveyed, 22.6% reported that anapplicant could be moved up their program’s rank list and 10.8% reported that an applicant could movedown a program’s rank list based on their thank-you communications (or lack thereof).

Conclusion: The majority of applicants to EM are sending thank-you communications. Asignificant minority of applicants and PDs changed their rank list due to post-interview thank-youcommunications.