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Matchmaking: trends in the nrmp sleep match.
Victor Chun1, Varun Badami2, Armand Ryden3
1Division of Pulmonary and Critical Care Medicine, University of California at San Diego, CA.
ATS Scholar
|May 20, 2026
Summary
Recent changes to the Sleep Fellowship application process, including virtual interviews and match date alignment, increased applicant numbers. However, this rise is partly due to more applicants listing sleep medicine as a non-preferred specialty.
Area of Science:
- Medical Education
- Graduate Medical Education
- Sleep Medicine Fellowship
Background:
- The Sleep Fellowship application process underwent significant changes.
- Virtual interviews were implemented in 2020.
- The fellowship match date was aligned with the American Medical Board Specialties match in 2021.
Purpose of the Study:
- To evaluate the impact of recent changes on applicant numbers and feeder specialties.
- To assess program directors' perspectives on the outcomes of these changes.
Main Methods:
- A survey was distributed to program directors of ACGME-accredited Sleep Fellowship programs.
- Aggregate, deidentified applicant rank list and match data were collected from 2012 to 2024.
Main Results:
- Program directors reported an increase in applicants post-2020 but felt recruitment was unaffected.
- The applicant-to-position ratio exceeded 1.0 for the first time in 2021.
- Applicant increases in 2022-2023 were primarily driven by individuals ranking sleep as a non-preferred specialty.
Conclusions:
- Virtual interviews and match date alignment increased applicant numbers for Sleep Fellowships.
- A portion of the applicant increase is attributed to individuals applying to sleep medicine as a less preferred option.
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