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The Dirt on SOAP (The Supplemental Offer and Acceptance Program)

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Residency applicants are anxiously awaiting Match Week, starting next Monday. No matter where you stand with interviews, it’s important to have some basic familiarity with the Supplemental Offer and Acceptance Program® (SOAP). SOAP is a standardized process affording unmatched candidates the opportunity to find residency positions. It consists of three rounds during which residency programs make offers to eligible applicants who did not match for residency or who partially matched.

Check out this piece I wrote on SOAP to understand the intricacies of the program and to ensure you are prepared in the worst case scenario. As always, in the application process, it’s better to bring an umbrella and hope it doesn’t rain than get soaked in the unexpected storm.

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Your Residency Application: What to Do if You Receive No or Few Interview Invitations?

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1. Don’t panic.

2. Try contacting – in a professional manner – all institutions to which you have sent your ERAS. You can send an email and call. When you call, be calm, respectful, and enthusiastic. Do not demand to speak to the program director. Let the person who answers the phone know that you are very interested in the program and would appreciate the opportunity to interview. Offer to be on an interview wait list if necessary.

3. Prepare for the Supplemental Offer and Acceptance Program (SOAP). Note that SOAP is not a separate program from the residency Match. So a) your main residency Match user status must be active and b) your credentials must be verified by the Rank Order List Deadline in order to participate in SOAP. Here is more information on SOAP. 

4. Make a plan for what you will do if the Match and SOAP don’t work out for you. What will you do next year? How will you improve your written materials, interview skills, and overall candidacy? If heaven forbid, you do not have success in either the Match or SOAP, please consider getting help from me or a faculty member who is experienced in residency admissions – the sooner the better to improve a candidacy and prepare for a re-application.

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Why did ERAS crash during SOAP?

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Congrats to all of those who Matched last week! And kudos for those of you who managed to make it through this year’s difficult SOAP.

During SOAP (Supplemental Offer and Acceptance Program) last week, the server crashed, leaving many applicants and programs confused and scrambling (no pun intended). The 2019 Match Week and SOAP schedule was, therefore, revised such that all SOAP offer rounds were postponed and limited to Thursday, March 14.

At the time of this writing, it’s unclear what happened. Rumors are that the volume of participants was greater than in past years, leaving ERAS/AAMC unprepared. This might be the case with the opening of many new medical schools and a continued, relative dearth in the number of residency spots available. Read this article for a controversial – but interesting – take on why.

We’ll probably have to wait for this year’s Match numbers for any answers.

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Residency Applicants: The Big Day is Approaching

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Here’s a condensed version of this week’s Match schedule from the NRMP website:

Today

11 am EST: Applicants learn if they matched via email and the R3® system. SOAP-eligible unmatched and partially matched applicants have access to the List of Unfilled Programs in the R3 system.

2 pm EST: SOAP applicants can start preparing and sending applications in the AAMC ERAS® system. Applicants cannot communicate with a program until contacted by that program.

Wednesday

SOAP Round 1

12 pm EST: SOAP Applicants begin receiving offers by logging in to the R3 system. Applicants accept or reject offer(s) once all offers have been generated.

2 pm EST: SOAP Applicant deadline to accept or reject Round 1 offers in R3 system.

2:05 pm EST: List of Unfilled Programs updated in R3 system for SOAP-eligible applicants.

SOAP Round 2

3 pm EST: SOAP Applicants begin receiving offers in the R3 system.

5 pm EST: SOAP Applicant deadline to accept or reject Round 2 offers.

5:05 pm EST: List of Unfilled Programs updated in R3 system for SOAP-eligible applicants.

Thursday

SOAP Round 3

9 am EST: Applicants begin receiving offers in the R3 system.

11 am EST: Applicant deadline to accept or reject Round 3 offers.

SOAP ends

12 pm EST: List of Unfilled Programs accessible from R3 system and updated to include unfilled programs not participating in SOAP. All applicants who are unmatched or partially matched have access to List of Unfilled Programs. Programs not participating in SOAP can be contacted by unmatched or partially-matched applicants, including applicants who were not SOAP-eligible.

Friday – Match Day

1 pm EST: Applicants learn the location of program(s) to which they matched via email and in the R3 system.

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Using SOAP to clean up the NRMP Match

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I’m very hopeful that all blog readers who are residency applicants will be Matching successfully this year. But it is worth understanding how the NRMP SOAP (formerly called “the Scramble”) works.

Years ago, when I was an applicant, the Scramble was all that unmatched candidates had… and it was not great. For a quick history on the Scramble’s transition to SOAP, check out this article.

For details on this year’s SOAP (and Match week) schedule, check out this PDF that includes great details.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to
stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital.
She was appointed to the Assistant Residency Director position for the Harvard Affiliated
Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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