Ask the Experts: NRMP's Supplemental Offer and Acceptance Program (SOAP)Ask the Experts: NRMP's Supplemental Offer and Acceptance Program (SOAP)

The Supplemental Offer and Acceptance Program (SOAP) is the process through which unmatched residency positions are filled by unmatched residency applicants during Match Week. Developed by the National Resident Matching Program® (NRMP®) in partnership with the Association of American Medical Colleges (AAMC), SOAP replaced the “post-Match Scramble” as the process for obtaining post-Match appointments. SOAP is a standardized and uniform process for applicants who did not secure a residency position or who only partially matched, and for participating residency programs with unfilled positions after the matching algorithm has been processed.

How does SOAP work?
SOAP is a series of rounds during which programs make offers to registered and eligible Match applicants who did not match or only partially matched. It is not a second Match. Unmatched applicants must apply to unfilled programs through the Electronic Residency Application Service (ERAS®), using the AAMC’s MyERAS website. Programs must list their preferred applicants in the NRMP Registration, Ranking, and Results® (R3®) system. Offers are then sent through the R3 system to applicants. Applicants can receive multiple offers during each round and must decide rather quickly which they would prefer, as these offers are valid only for a two-hour period. Positions offered and accepted during SOAP establish a binding commitment, as enforced by the NRMP Match Participation Agreement. After each round, the list of unfilled positions is updated and available for applicants to review.

Do’s and Don’ts during SOAP

Do make sure you are eligible for the Match. If you are not, you will not have access to the list of unfilled programs published by the NRMP at the beginning of Match Week.

Do apply to only the unfilled programs for which you are eligible. This needs to be done through the AAMC’s MyERAS using your previously uploaded ERAS application.

Do accept positions only through SOAP if you are an unmatched applicant. If you wish to apply to programs that are not participating in the Match, you must wait until after Match Week.

Don’t use phone, fax, e-mail, or other services to contact unfilled programs.

Don’t have another individual or entity contact programs on your behalf; this includes your medical school! Only programs can initiate contact with applicants regarding their SOAP applications.


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