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IMG Competitiveness in the Residency Match by Specialty



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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