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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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