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IMG Competitiveness in the Residency Match by Specialty

Writer's picture: Alyssa HarlowAlyssa Harlow


In this article, we have compiled data from the 2020 NRMP Program Director Survey, as well as both 2020 and 2022 Charting Outcomes in the Match: International Medical Graduates. We have used these findings to present the varying competitiveness by specialty. Please find each specialty in alphabetic order below:



Anesthesiology


  • 2022 Matched US-IMGs - 3.7%

US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

231

237

2022

233

240



  • 2022 Matched Non-US IMGs - 4%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

240

244

2022

234

243

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Step 1 Score

  • Letters of Recommendation in order of importance:

1. Anesthesiology; 2. Surgery; 3. Internal Medicine; 4. Critical Care


 

Dermatology (PGY2)



  • 2022 Matched Non-US IMGs - 1.2%

  • 2022 Matched US IMGs - 1%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

238

246

2022

251

252

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Step 1 Score

  • Letters of Recommendation

 

Emergency Medicine



  • 2022 Matched US IMGs - 6.5%

US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

232

241

2022

227

238


  • 2022 Matched Non-US IMGs - 1.7%

Non-US IMGs

USMLE Step 1​

USMLE Step 2 CK

2020

229

234

2022

231

240

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Letters of Recommendation in Emergency Medicine

  • Step 1 Score

 

Family Medicine


  • 2022 Matched US IMGs - 17.5%

US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

​211

225

2022

211

225


  • 2022 Matched Non-US IMGs - 10.3%

Non-US IMGs

USMLE Step 1​

USMLE Step 2 CK

2020

220

231

2022

219

231

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Commitment to Specialty

  • Letters of Recommendation in Family Medicine

 

General Surgery


  • 2022 Matched US IMGs - 10.8%

US IMGs

USMLE Step 1​

USMLE Step 2 CK

2020

237

245

2022

236

246


  • 2022 Matched Non-US IMGs - 26.4%

Non-US IMGs

USMLE Step 1​

USMLE Step 2 CK

2020

242

249

2022

238

247

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Step Scores

  • Letters of Recommendation

 

Internal Medicine


  • 2022 Matched US IMGs - 12.7%

US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

225

236

2022

225

238

  • 2022 Matched Non-US IMGs - 27.3%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

236

241

2022

238

245

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Step Scores

  • MSPE/Dean's Letter

 

mED/pEDS


  • 2022 Matched US IMGs - 2.3%

​US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

224

233

2022

220

229

  • 2022 Matched Non-US IMGs - 2.6%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

238

240

2022

230

243

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Step Scores

  • MSPE/Dean's Letter

 

neurology


  • 2022 Matched US IMGs - 8.4%

​US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

227

234

2022

225

235

  • 2022 Matched Non-US IMGs - 21.4%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

236

240

2022

239

245

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Letters of Recommendation in Neurology

  • Step Scores

 


obstetrics & genecology


  • 2022 Matched US IMGs - 2.8%

US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

229

238

2022

226

243

  • 2022 Matched Non-US IMGs - 2.7%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

231

237

2022

236

243

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Step 1 Score

  • Letters of Recommendation in Obstetrics & Gynecology

 

Pathology


  • 2022 Matched US IMGs - 10%

US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

226

230

2022

219

228

  • 2022 Matched Non-US IMGs - 34.2%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

230

233

2022

232

238

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Letters of Recommendation in Pathology

  • Commitment to Specialty

 

Pediatrics


  • 2022 Matched US IMGs - 7.8%

​US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

221

232

2022

220

233

  • 2022 Matched Non-US IMGs - 12.2%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

230

238

2022

229

240

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Step 1 Score

  • MSPE/Dean's Letter

 

physical medicine AND rehabilitation


  • 2022 Matched US IMGs - 4.4%

US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

226

235

2022

220

227

  • 2022 Matched Non-US IMGs - 4.4%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

238

242

2022

226

237

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Letters of Recommendation in Physical Medicine & Rehabilitation

  • Commitment to Specialty

 

psychiatry


  • 2022 Matched US IMGs - 9.3%

US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

214

227

2022

216

228

  • 2022 Matched Non-US IMGs - 6.6%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

222

232

2022

229

236

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Commitment to Specialty

  • Personal Statement

 

radiology-Diagnostic (PGY2)



  • 2022 Matched US IMGs - 3.2%

US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

239

242

2022

241

247

  • 2022 Matched Non-US IMGs - 5.9%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

241

243

2022

247

250

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Letters of Recommendation in Radiology

  • Step 1 Score

 

vascular surgery


  • 2022 Matched US IMGs - 1.2%

  • 2022 Matched Non-US IMGs - 7.1%

Non-US IMGs

USMLE Step 1

USMLE Step 2 CK

2020

243

247

2022

241

251

Top Factors for Residency Directors

*information from the 2020 PD Survery

  • Letters of Recommendation in Vascular Surgery

  • Step Scores


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