Registration for an NRMP Match requires logging in to the R3 system and completing the eleven-step registration process. For the Main Residency Match, processing of up to 20 different program ranks on the primary rank order list and up to 20 different program ranks on all supplemental rank order lists combined; each partner of a couple may process up to 30 unique programs on a primary rank order list and up to 30 unique programs on all supplemental lists combined.

The process begins with an attempt to match an applicant to the program most preferred on that applicant’s rank order list (ROL). If the applicant cannot be matched to that first choice program, an attempt is made to place the applicant into the second choice program, and so on, until the applicant obtains a tentative match or all the applicant’s choices on the ROL have been exhausted.

tentative match means a program on the applicant’s ROL also ranked that applicant and either:

  • The program has an unfilled position, in which case there is room in the program to make a tentative match between the applicant and program, or
  • The program does not have an unfilled position, but the applicant is more preferred by the program than another applicant who already is tentatively matched to the program. In that case, the applicant who is less preferred by the program is removed to make room for a tentative match with the more preferred applicant.

Matches are “tentative” because an applicant who is matched to a program may be removed from that program to make room for an applicant more preferred by the program. When an applicant is removed from a tentative match, an attempt is made to re-match that applicant, starting from the top of the applicant’s ROL. This process is carried out for all applicants until each applicant has either been tentatively matched to the most preferred choice possible or all choices submitted by the applicant have been exhausted.

The applicant registration process requires that all fees be paid in U.S. dollars by credit card through the R3® system. Applicants are allowed to register for and participate in an NRMP Match only after credit card information is entered through the R3 system and processed successfully.

Registration entitles the applicant to the following NRMP services:

  • Access to the NRMP Registration, Ranking, and Results® (R3®) system
  • In the Main Residency Match, processing of up to 20 different program ranks on the primary rank order list and up to 20 programs on all supplemental lists combined In the Specialties Matching Service, processing of an unlimited number of programs In both matching programs, each partner of a couple may rank up to 30 different programs on the primary rank order list and up to 30 programs on all supplemental lists combined

Main Residency Match®

Participant Type

Fee

U.S. Seniors/Non U.S. Seniors

$70

Late Registration Fee

$50 additional

Couples

$15 additional per partner

Additional programs ranked

$30 additional per program

Institution registration fee

$220

Program registration fee

$45

Per applicant matched to program  

$45

For more information please visit the NRMP website.