Two weeks after the 2010 NRMP match (which occurred on March 15, 2010), an email survey was conducted among student affairs deans of the 126 US MD medical schools with a 2010 graduating class. Each dean was asked to report the number of seniors participating in the NRMP; number of seniors unmatched after the NRMP; number of seniors without a PGY-1 position 2 weeks after the NRMP; number of fully qualified seniors without a PGY-1 position for July 1, 2010; the dean's opinion of the primary reasons each senior failed to acquire a PGY-1 position; and number of graduates from previous classes participating in and matching during the 2010 NRMP. Ten possible reasons for failing to match were listed, with an open line for “other” also provided (Table). The survey closed on April 20, 2010. Of the 126 deans, 111 (88%) responded; there were no geographic or public/private differences among the nonrespondents. The study was determined to be an exempt form of human subjects research by the Association of American Medical Colleges institutional review board.