The Graduate Medical Education Compliance Project (GMECP)

Divergent Paths

Page created: 16 May 2018

Updated: 17 May 2018


Under construction




<brief description of residency match, process>


We will talk about taking a path that diverges from the norm.


How do you find a different residency program when the one you matched into is no longer a viable option? (e.g. it’s toxic, it’s closing, you want to change fields,…)


Residency search for Open Training Positions:

Association of Residency Program Directors, e.g. the Association of Program Directors in Surgery (APDS)

This is a pay site. ?<$100 for 90 day access.

From their site: “Most comprehensive database of unfilled residency vacancies. In addition to openings that are posted directly on, or reported by the members, ResidentSwap continually monitors over 50 websites that publicly advertise openings. This makes ResidentSwap the largest single database of residency vacancies.”


ACGME program search – look for unfilled positions <hyperlink to search page; sample table of potentially unfilled positions>







<links to articles/sites to physicians who have followed atypical paths to residency completion>


Assistant/Associate Physicians


What do you do if you can’t get into a residency at all (as apparently hundreds are unable to do, and thus unable to finish the one to two years (for FMGs) of residency required in order to acquire a state medical license)? <insert statistics, references>


The Association of Medical Doctor Assistant Physicians

From their site: “An Assistant Physician (In some states called an Associate Physician) is a new breed of provider.  These highly educated Doctors were specifically made to tackle the tasks of Primary Care in Medically Under Served Areas and work with a collaborating physician.  They have completed medical school, are nationally ECFMG/ACGME Certified, and are a great asset to any hospital, clinic, or urgent care facility.”


Missouri State Medical Association statement on the Assistant Physician Law. 

Excerpt: “Missouri’s Assistant Physician law, the first in the nation, allows medical school graduates who have passed the prescribed medical examinations and who have not entered into postgraduate residency training to serve as Assistant Physicians. The law took effect August 28, 2014, and rules were promulgated in early 2017.”



News coverage, Kansas City, Dec 2017.




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