Updated October 6, 2026 · Guidance for SOAP 2027 · All schedule times are Eastern Time (ET).
Remaining unmatched after SOAP requires a practical review of immediate opportunities and the next application cycle. The result can be difficult, but it should not be interpreted as a complete assessment of a physician’s potential. The useful task is to identify what can be verified, what can be improved, and which training options remain compatible with the applicant’s goals.
This final article in the six-part series outlines a measured plan after the offer rounds.
For 2027, round four runs Thursday, March 18 from 6 PM to 8 PM ET. SOAP ends at 9 PM, when the expanded List of Unfilled Programs becomes available in R3 to eligible unmatched and partially matched applicants. The earlier 5 PM time is the deadline for round three, not the end of SOAP.[1]
Do not begin prohibited outreach while the SOAP communication restrictions still apply. After SOAP concludes, eligible applicants may contact remaining unfilled programs. Existing binding commitments must still be honored.[3]
The expanded list includes remaining programs that did not participate in SOAP. It is a starting point for investigation rather than proof that a position is still available or suitable. Programs may fill vacancies or update requirements as they review applicants.
Confirm the exact track, start year, required prior training, credentials, and sponsorship policy. A partially matched applicant should identify only positions compatible with the training already secured. Avoid distributing the confidential SOAP list publicly.
Contact the person or application channel specified by the program. A concise message should identify the position sought, summarize relevant qualifications, state any material appointment requirements, and explain the basis for fit.
Provide documents through the method the program requests. Keep a record of applications and responses, and follow up with restraint. Do not send inaccurate claims about eligibility or assume that an unfilled position has reduced standards.
If no suitable position is secured, review the prior cycle with an advisor. Separate eligibility barriers from selection factors: incomplete documentation, sponsorship incompatibility, program selection, specialty evidence, interview performance, or communication problems may require different responses.
| Possible next step | Question to resolve first |
|---|---|
| Clinical experience | Will the experience provide relevant exposure, supervision, and a meaningful evaluation? |
| Research | Is there a defined role, appropriate mentorship, and work that supports the intended specialty? |
| Further examination planning | Does the examination address a specific requirement, and are eligibility, cost, and timing manageable? |
| Preliminary or transitional training | How would a one-year position fit the longer training plan without assuming a later categorical appointment? |
No single activity guarantees a stronger outcome. Evaluate its educational value, practical feasibility, and relevance to the identified gap before committing substantial time or money.
Update the structured candidate profile with current scores, graduation date, clinical experience, sponsorship needs, and specialty goals. Use that information to screen program requirements and assess goodness of fit. IMGPrep’s Equitable Match framework supports that review; it is not a Match prediction.
Set specific milestones for documents, examinations where appropriate, specialty preparation, and program research. Reassess the plan when new evidence becomes available rather than repeating the same application strategy unchanged.
For individualized guidance, request a consultation and identify the request as post-SOAP planning. Bring the application history and the questions you need to resolve.
IMGPrep is an independent educational consultancy and is not affiliated with NRMP. Follow the current NRMP agreement, R3 instructions, and your application service’s guidance.