In a nutshell: Under the All-in Model, independent applicants, Canadian, Caribbean, and international medical student applicants will no longer be able to secure residency positions in the U.S. prior to the formal residency match that takes place in March. Independent applicants, such as osteopathic students and graduate applicants and past allopathic medical graduate applicants, will not be privy to pre-match practices after the 2012 match year.
The NRMP (National Residency Matching Program) has announced that starting in 2013, participating residency institutions will not be able to offer a portion of their positions to students prior to the match. The NRMP Board of Directors decided unanimously in favor of the All-in Policy which states that U.S. residency programs must place all positions in the NRMP match or none. This greatly changes the landscape for both international medical graduates and U.S. medical graduates competing for very valuable residency positions. (Read NRMP announcement here: http://www.nrmp.org/ )
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