Professional Documents
Culture Documents
January 2014
www.nrmp.org
www.ecfmg.org
Questions about the contents of this publication may be directed to Mei Liang, Director of Research, National Resident Matching Program, (202) 400-2233 or mliang@nrmp.org. Questions about the NRMP should be directed to Mona M. Signer, Executive Director, National Resident Matching Program, (202) 400-2233 or support@nrmp.org. Questions about the ECFMG data collections may be directed to John R. Boulet, Ph.D., Vice President, Research and Evaluation, Educational Commission for Foreign Medical Graduates, (215) 823-2227 or jboulet@ecfmg.org. Copyright 2014 National Resident Matching Program and Educational Commission for Foreign Medical Graduates. Revised January 9, 2014. All materials subject to this copyright may be photocopied for the purpose of nonprofit, scientific, or educational advancement. Suggested Citation National Resident Matching Program and Educational Commission for Foreign Medical Graduates. Charting Outcomes in the Match for International Medical Graduates, 2014. National Resident Matching Program and Educational Commission for Foreign Medical Graduates. 2014
Table of Contents
Introduction ..................................................................................................................................................... ii Tables and Charts for All Specialties Chart 1. Active Applicants in the 2013 Main Residency Match .................................................................1 Table 1. Number of IMG Applicants and Positions in the 2013 Main Residency Match ...........................2 Chart 2. Ratio - IMG Applicants Ranking Specialty First / Available Positions ......................................3 Chart 3. Match Rates ...................................................................................................................................4 Table 2. Summary Statistics ........................................................................................................................5 Chart 4. Median Number of Contiguous Ranks ..........................................................................................6 Graph 1. Probability of Matching to Preferred Specialty by Number of Contiguous Ranks ......................7 Chart 5. Mean Number of Different Specialties Ranked.............................................................................8 Chart 6. USMLE Step 1 Scores of Matched Applicants .............................................................................9 Graph 2. Probability of Matching to Preferred Specialty by USMLE Step 1 Score .................................10 Chart 7. Mean Number of USMLE Step 1 Attempts ................................................................................11 Graph 3. Probability of Matching to Preferred Specialty by USMLE Step 1 Attempts ............................12 Chart 8. USMLE Step 2 CK (Clinical Knowledge) Scores of Matched Applicants .................................13 Graph 4. Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) Score ......................................................................................................................................14 Chart 9. Mean Number of USMLE Step 2 CK (Clinical Knowledge) Attempts ......................................15 Graph 5. Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) Attempts .............................................................................................16 Chart 10. Mean Number of Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment) ..................................................................................................17 Chart 11. Mean Number of Months after ECFMG Certification .............................................................18 Chart 12. Mean Number of Years After Graduation ................................................................................19 Chart 13. Percentage of IMG Applicants whose Native Language is English .........................................20 Chart 14. IMG Applicants Citizenship at Birth ......................................................................................21 Chart 15. Country of Medical School.......................................................................................................22 Tables and Charts for Individual Specialties Anesthesiology ..........................................................................................................................................2 Emergency Medicine ................................................................................................................................. Family Medicine........................................................................................................................................5 Internal Medicine.......................................................................................................................................7 Neurology ..................................................................................................................................................8 Obstetrics and Gynecology......................................................................................................................10 Pathology .................................................................................................................................................1 Pediatrics .................................................................................................................................................13 Physical Medicine and Rehabilitation .....................................................................................................15 Psychiatry ................................................................................................................................................16 Radiology ................................................................................................................................................18 Surgery ....................................................................................................................................................
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Introduction
Overview Charting Outcomes in the Match for IMGs is a collaborative publication of the National Resident Matching Program (NRMP) and the Educational Commission for Foreign Medical Graduates (ECFMG). The report focuses on characteristics specific to students and graduates of international medical schools (IMGs) and is derived from the original Charting Outcomes in the Match, a biennial report published by the NRMP and the Association of American Medical Colleges that describes the characteristics of U.S. allopathic senior students and independent applicants* who matched to their preferred specialties in the Main Residency Match. ECFMG and its organizational members define an international medical graduate (IMG) as a physician who received his/her basic medical degree or qualification from a medical school located outside the United States and Canada. The location of the medical school, not the citizenship of the physician, determines whether the graduate is an IMG. Thus, U.S. citizens who graduate from medical schools outside the United States and Canada are considered IMGs. Non-U.S. citizens who graduate from medical schools in the United States and Canada are not considered IMGs. ECFMG Certification International medical graduates must be certified by ECFMG prior to entering accredited residency programs in the United States. Since 2004, to obtain an ECFMG certificate a candidate must (1) document the completion of all requirements for, and receipt of, the final medical diploma, and (2) pass the United States Medical Licensing Examination (USMLE) Step 1 (Basic Science), Step 2 CK (Clinical Knowledge), and Step 2 CS (Clinical Skills). Historically, to achieve ECFMG certification, other examination requirements were in effect. Detailed information on ECFMG certification requirements can be found at: http://www.ecfmg.org. USMLE Step 1 (Basic Science) assesses whether the candidate can understand and can apply important concepts of the sciences basic to the practice of medicine, with special emphasis on principles and mechanisms underlying health, disease, and modes of therapy. USMLE Step 2 CK (Clinical Knowledge) assesses whether the candidate can apply medical knowledge, skills, and understanding of clinical science essential for the provision of patient care under supervision and includes emphasis on health promotion and disease prevention. USMLE Step 2 CS (Clinical Skills) uses standardized patients to test medical students and graduates on their ability to gather information from patients, perform physical examinations, and communicate their findings to patients and colleagues. Detailed information on the USMLE can be found at: http://www.usmle.org. ECFMG Clinical Skills Assessment (CSA) In July of 1998, ECFMG introduced the Clinical Skills Assessment (CSA), a performance test designed to evaluate the clinical skills (e.g., history taking, physical examination, interpersonal skills) of IMGs. The specific purpose of the CSA was to ensure that international medical graduates (IMGs) could demonstrate clinical skills at a level comparable to that of graduating fourth-year U.S. medical students. In 2004, the USMLE introduced Step 2 CS (clinical skills), a similar performance-based examination for U.S. medical students and graduates. At this point, the CSA was discontinued and all IMGs were required to take and pass Step 2 CS to achieve certification. Charting Outcomes for IMGs Charting Outcomes in the Match for IMGs utilizes a different set of measures from the original Charting Outcomes in the Match. Although some applicant characteristics such as number of contiguous ranks, number of specialties ranked, and USMLE scores are included in both reports, other characteristics relevant only to IMGs are added to this report: certification examination attempts, number of months since ECFMG certification, English spoken as a native language, citizenship at birth, country of medical school, and number of years since graduation from medical school.
_____________________________________________________________________________
*Independent applicants include previous graduates of U.S. medical schools, students and graduates of U.S. osteopathic medical schools, U.S. citizen IMGs, non-U.S. citizen IMGs, students and graduates of Canadian medical schools, and graduates of Fifth Pathway programs The Educational Commission for Foreign Medical Graduates (2000). A History: 1956-2000. Educational Commission for Foreign Medical Graduates, Philadelphia, PA
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
ii
Introduction (Continued)
Methods Data from the 2013 Main Residency Match, including applicant type, specialties ranked, number of contiguous ranks, and Match results, were obtained from the NRMP Data Warehouse. ECFMG provided characteristics of the 2013 IMG applicants, namely scores and attempts at USMLE or equivalent historical examinations (i.e., Step 1 or equivalent, Step 2 CK or equivalent, and Step 2 CS/ or ECFMG CSA), date of ECFMG certification, year of graduation, English spoken as a native language, and country of medical school. Data from the two sources were matched using unique identifiers. Ten measures are incorporated in the report for specialty-specific analysis. Each measure is explained separately in the All Specialties section. Twelve specialties with 100 or more IMG applicants in the 2013 Main Residency Match are studied individually: Anesthesiology, Emergency Medicine, Family Medicine, Internal Medicine, Neurology, Obstetrics and Gynecology, Pathology, Pediatrics, Physical Medicine and Rehabilitation, Psychiatry, Radiology, and General Surgery. For purposes of this report, match success is defined as a match to the specialty of the applicants first-ranked program because that is assumed to be the specialty of choice. Because preliminary programs provide only one or two years of prerequisite training for entry into advanced specialty training, applicants who ranked a preliminary program first are considered not to have a preferred specialty. Lack of match success includes matching to another specialty as well as failure to match at all. No distinction was made based on whether applicants matched to their first, second, third, or lower program choice. Applicants who obtained positions in the Match Week Supplemental Offer and Acceptance Program (SOAP) were not included in the analyses. Probability analysis is performed on the number of contiguous ranks, Step 1 scores and Step 1 (or equivalent examination) attempts, Step 2 CK scores and Step 2 CK (or equivalent examination) attempts, and combined Step 2 CS/ECFMG CSA attempts. For each of those measures, probability of matching to a preferred specialty is calculated separately using logistic regression. Summary Some general observations apply to all of the specialties in this report. IMG applicants who are successful in matching to their preferred specialty are more likely to: rank more programs within their preferred specialty have higher USMLE scores have fewer attempts at ECFMG certification examinations be U.S. citizens speak English as a native language have obtained ECFMG certification closer to the Match year (2013) have graduated from medical school closer to the Match year (2013) Although some other measures appear to be related to match success, the relationships were not consistent enough to draw broad conclusions across specialties. In addition, the data sources used for this report do not include other important applicant factors such as course evaluations, reference letters, and the Medical Student Performance Evaluation. Despite the fairly strong relationship between USMLE Step scores and match success, the distributions of scores show that program directors consider other qualifications, and high USMLE scores are not a guarantee of success. Even in the most competitive specialties, a few individuals with higher scores are not successful. Neither is a lower score a bar to success. Program directors and applicants will find the tables and charts for the specialties of their particular interest later in this report. For questions, comments or more information, please contact: Mei Liang, Director of Research John R. Boulet, Vice President, Research and Evaluation National Resident Matching Program Educational Commission for Foreign Medical Graduates Tel: (202) 400-2233 Tel: (215) 823-2227 Email: mliang@nrmp.org Email: jboulet@ecfmg.org
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
iii
Chart 1
U.S. senior 50.9% Non-U.S. IMG 22.0% U.S. IMG 14.8% Osteopathic 7.8% U.S. graduate 4.3% Canadian 0.1% Fifth Pathway 0.1% Total: 100.0%
Fifth Pathway 20
In 2013, 34,355 medical students and graduates participated in the Main Residency Match and submitted certified rank order lists. Half of the applicants (50.9%) were senior students from U.S. allopathic schools. Together, IMGs accounted for more than one third (36.8%) of the applicant pool, including 7,568 non-U.S. citizen IMGs and 5,095 U.S. citizen IMGs.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Table 1
Number of IMG Applicants and Positions in the 2013 Main Residency Match
by Preferred Specialty*
Total Positions Offered 1,653 1,744 3,037 6,612 692 1,237 583 2,699 397 1,362 1,143 1,185 Total Number of Number of Applicants Applicants Per Position 1,846 2,219 4,096 9,193 844 1,613 797 3,258 548 1,921 1,254 1,872 1.1 1.3 1.3 1.4 1.2 1.3 1.4 1.2 1.4 1.4 1.1 1.6 U.S. IMG Matched 95 53 531 841 59 78 46 196 40 203 55 119 Not Matched 65 137 702 753 44 99 69 151 43 256 47 123 Non-U.S. IMG Not Matched Matched 78 31 293 1,690 148 62 151 278 21 163 66 158 85 53 616 1,856 149 120 136 382 26 277 63 150
Preferred Specialty Anesthesiology Emergency Medicine Family Medicine Internal Medicine Neurology Obstetrics and Gynecology Pathology Pediatrics Physical Medicine and Rehabilitation Psychiatry Radiology-Diagnostic Surgery-General
*Preferred specialty is the specialty ranked first on an applicant's rank order list, excluding preliminary programs in specialties except Transitional Year. Note: For those specialties where both exist, PGY-1 and PGY-2 positions have been combined. Only specialties with 100 or more IMG applicants are included Source: NRMP Data Warehouse.
Table 1 provides a summary of applicants and positions for selected specialties. In calculating Total Number of Applicants and Number of Applicants Per Position, all applicant types are considered. For example, 1,846 applicants preferred Anesthesiology (or ranked an Anesthesiology position first), including 160 U.S. IMGs (95 matched and 65 not matched to Anesthesiology) and 163 non-U.S. IMGs (78 matched and 85 not matched to Anesthesiology). For each of the 1,653 Anesthesiology positions there were 1.1 applicants who preferred the specialty. Only those specialties with 100 or more IMG applicants are included in this table.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Chart 2
1.6
U.S. IMG 1.4 1.2 1.0 0.8 0.6 0.4 0.2 0.0 Anesthesiology Emergency Medicine Family Medicine Internal Medicine Neurology
Non-U.S. IMG
0.1 0.1
0.1 0.1
0.1 0.1
0.2 0.1
0.4
0.3
1.1 0.9
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
Chart 2 shows the ratios of applicants preferring each specialty to available positions in that specialty for U.S. IMGs, non-U.S. IMGs, and all other applicant types. The red line marks where the number of preferred applicants equals the number of available positions. For all specialties displayed in the chart, there were more applicants preferring each specialty than there were positions. Overall, General Surgery has the highest ratio of applicants per position; however, the highest ratios for U.S. IMGs are found in Family Medicine and Psychiatry, and for non-U.S. IMGs, in Internal Medicine, Pathology, and Neurology.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Chart 3
100 90 80 70 60 50 40 30 20 10 0
Match Rates
59 48 44 48 37 28 53 43 32 48
57 50 44 34
53 40
57 48 42 45 44 37
54
51
49 51
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
Chart 3 shows the percentages of U.S. IMG and non-U.S. IMG applicants who matched to their preferred specialty. Overall, 48 percent of U.S. IMGs matched to their preferred specialty, ranging from 59 percent (Anesthesiology) to 28 percent (Emergency Medicine). For non-U.S. IMGs, the overall match rate was 44 percent, ranging from 53 percent (Pathology) to 32 percent (Family Medicine). In general, non-U.S. IMG applicants are less successful in matching to their preferred specialty than are U.S. IMGs.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Table 2
Summary Statistics
Measure 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Mean number of contiguous ranks Mean number of distinct specialties ranked Mean USMLE Step 1 score Mean USMLE Step 1 attempts* Mean USMLE Step 2 CK score Mean USMLE Step 2 CK attempts** Mean USMLE Step 2 CS or ECFMG CSA attempts Mean number of months since ECFMG certification Mean number of years since graduation Percentage who speak English as a native language
Sources. NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Table 2 provides summary statistics by IMG applicant type and match outcome on the 10 measures presented in this report. Data on each of these measures are displayed graphically by preferred specialty on the following pages. To be eligible for ECFMG certification and participation in the Main Residency Match, IMGs must satisfy the medical science requirement (USMLE Step 1 and Step 2 CK or equivalent exam) and clinical skills requirement (Step 2 CS or CSA). As a result, there were almost no missing values for USMLE exam scores and number of attempts.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Chart 4
10 8 6 4 2 0
7
U.S. IMG
9 7 5 3 2 2 4 1 1 5 2
Matched
Not Matched
7 5
4 1 1 2 1
4 1
3 1
Emergency Medicine
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
10 8 6 4 2 0
6 3 3 1 3 1 6
Matched
Not Matched
5 2 2
4 1
4 1
5 3 2
Emergency Medicine
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
In general, applicants are more likely to be successful if they rank more programs in their desired specialty. The number of contiguous ranks is the number of programs ranked in the first-choice specialty before a program in another specialty appears on the applicant's rank order list. Chart 4 provides the median number of contiguous ranks for U.S. IMG and non-U.S. IMG applicants who matched and did not match to their preferred specialty. Both panels show some variation across the specialties for IMG applicants. For all specialties, U.S. IMGs who matched to their preferred specialty had median contiguous rank lists that were longer than U.S. IMGs who did not match. A similar pattern can be found for non-U.S. IMG applicants, although their lists are somewhat shorter than those submitted by U.S. IMGs. Non-U.S. IMGs who matched also had longer contiguous lists compared with those who did not match to their preferred specialty. The principal message of these graphs is that applicants with longer rank order lists in their preferred specialty are more successful than those with shorter ones. The NRMP has been recommending longer lists for many years, but some applicants apparently do not heed the advice. Others may have shorter lists because they found only a few programs willing to entertain their applications or because they could not afford a large number of interview trips.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Graph 1
1.00
0.80
0.60
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20
A simple logistic regression is used to calculate the probability of matching to a preferred specialty for different lengths of contiguous ranks. Graph 1 displays the probability curves for U.S. IMG and non-U.S. IMG applicants. This graph confirms the message in Chart 4 that the more programs ranked in the preferred specialty, the higher the probability of matching. For the same number of contiguous ranks, the probability is only slightly higher for U.S. IMGs than for non-U.S. IMGs.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Chart 5
3 2
U.S. IMG
1.8
1.8
1.7
1.7
1.8
1.6
1.6
1.7
1.5
1.4
1.5
1.5
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1.3
1.3
1.2
Emergency Medicine
Family Medicine
Internal Medicine
Neurology
Pathology
1.1
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
3 2
Matched 1.9
1.8
1.8
1.7
1.8
1.7
1.5
1.6
1.5
1.4
1.5
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1.3
1.3
1.2
1.2
Emergency Medicine
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
Chart 5 displays the average number of different specialties ranked by IMG applicant type, preferred specialty, and match outcome. With the exception of those who preferred Radiology and PM&R, U.S. IMGs who matched to their preferred specialty ranked fewer specialties than those who did not match to their preferred specialty. In all specialties, matched non-U.S. IMG applicants ranked fewer specialties than those who did not match.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
1.2
1.3
1.3
1.4
1.4
Chart 6
260 250 240 230 220 210 200 190 180
U.S. IMG
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
260 250 240 230 220 210 200 190 180
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
USMLE Step 1 scores are a measure of an applicants understanding of important basic science concepts and the ability to apply that knowledge to the practice of medicine. Although such knowledge is only one facet of applicant qualifications considered by program directors in their selection process, it is one that is comparable across applicants and available during the interview season and prior to the NRMPs ranking deadline. Overall, matched U.S. IMG applicants have a mean USMLE Step 1 score of 217 (s.d. = 18) and matched non-U.S. IMG applicants have a mean score of 227 (s.d. = 19), both well above the minimum passing score of 188 since 2010 (marked by the red line in the charts). Chart 6 displays the Step 1 scores for matched U.S. IMGs and non-U.S. IMGs by specialty. The horizontal bars are the median values for successful applicants and the vertical lines show the interquartile ranges (between the 25th and 75th percentile). Scores generally are higher for the
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Graph 2
1.00
0.80
0.60
0.40
0.20
0.00
180
200
220
240
260
280
STEP 1 Scores
U.S. IMG Non-U.S. IMG
Sources: NRMP Data Warehouse and ECFMG
The USMLE Step 1 score is one of the most important criteria that residency programs use in evaluating candidates. A simple logistic regression is used to calculate the probability of matching to a preferred specialty by USMLE Step 1 scores. Graph 2 shows that for the same Step 1 score, U.S. IMGs have a better chance of matching to a preferred specialty than do non-U.S. IMGs. The red line marks the passing score of 188 since 2010. All applicants with Step 1 scores below 188 took the test before January 1, 2010.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
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Chart 7
3
U.S. IMG
Matched Not Matched
2.1
1.7
1.7
2.1
1.7
1.4
1.6
1.4
1.7
1.3
1.4
2.2
1.2
1.1
1.1
1.1
1.1
1.1
1.1
1.0
1.0
1.0
1.1
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
3 Matched Not Matched
1.4
1.5
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1.2
1.3
1.2
1.2
1.2
1.2
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1.2
1.4
1.1
1.1
1.1
1.1
1.0
1.0
1.0
1.0
1.0
1.0
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
The number of attempts at USMLE Step 1 (or historical equivalent) was tallied for each IMG applicant. Chart 7 compares the mean number of attempts for matched and unmatched U.S. IMGs and non-U.S. IMGs. Across specialties, matched U.S. IMG and matched non-U.S. IMG applicants made fewer attempts than those who did not match. For U.S. IMGs, the difference in mean number of attempts between matched and unmatched applicants is generally larger than that of the non-U.S. IMGs.
11
1.0
1.1
1.2
1.0
1.2
1.3
Graph 3
1.00
0.80
0.60
0.40
0.20
0.00
10
11
12
13
14
15
STEP 1 Attempts
U.S. IMG Non-U.S. IMG
Sources: NRMP Data Warehouse and ECFMG
Probabilities of matching to a preferred specialty also are calculated for Step 1 attempts using a simple logistic regression. Graph 3 displays the probability curves for U.S. IMG and non-U.S. IMG applicants, and shows an inverse association between the number of Step 1 attempts and the probability of matching to a preferred specialty. Although some applicants did match after taking the exam five or six times, applicants should be aware that medical licensure boards in some states impose limits on the number of attempts taken.
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Chart 8
260 250 240 230 220 210 200 190 180
U.S. IMG
Emergency Medicine
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
260 250 240 230 220 210 200 190 180
Emergency Medicine
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
USMLE Step 2 scores are a measure of an applicant's ability to apply the medical knowledge, skills, and understanding of clinical science essential for providing patient care. Overall, U.S. IMG applicants had mean USMLE Step 2 CK scores of 224 (s.d. = 19) and non-U.S. IMG applicants had mean scores of 233 (s.d. = 19), both well above the 2012 minimum passing score of 196 (marked by the red lines in the chart). Chart 8 shows the Step 2 CK scores for U.S. IMGs and non-U.S. IMG applicants who matched to their preferred specialty. The horizontal bars are the median values for successful applicants and the vertical lines show the interquartile ranges. As was the case for Step 1 scores, the more competitive specialties have higher average Step 2 CK scores. The interquartile ranges are generally larger for non-U.S. IMGs, especially for Emergency Medicine.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
13
Graph 4
1.00
0.80
0.60
0.40
0.20
0.00 180
190
200
210
220
230
240
250
260
270
280
STEP 2 CK Scores
U.S. IMG Non-U.S. IMG
Sources: NRMP Data Warehouse and ECFMG
Probabilities of matching to a preferred specialty also are calculated for scores on Step 2 CK. Graph 4 presents the probability curves for U.S. IMG and non-U.S. IMG applicants. The red line marks the passing score of 196 in 2012. All applicants with Step 2 CK score below 196 took the test before May 17, 2012, when USMLE announced the plan to raise the passing score from 189 to 196.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
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Chart 9
3
U.S. IMG
Matched Not Matched
1.9
1.6
1.8
1.5
1.5
1.4
1.4
1.5
1.3
1.2
1.3
1.4
1.9
1.2
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.0
1.0
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
1.0
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
3
Matched
Not Matched
2 1.4
1.3
1.2
1.2
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1.3
1.1
1.1
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Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
Chart 9 compares the mean number of attempts at Step 2 CK or equivalent historical exams for matched and unmatched U.S. IMGs and non-U.S. IMGs. Across specialties, matched U.S. IMG and matched non-U.S. IMG applicants made fewer attempts than those who did not match. In addition, the difference is generally larger among U.S. IMGs.
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1.0
1.1
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Graph 5
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00 1
10
11
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STEP 2 CK Attempts
U.S. IMG Non-U.S. IMG
Sources: NRMP Data Warehouse and ECFMG
Probabilities of matching to a preferred specialty are calculated for attempts at Step 2 CK or equivalent historical exams using a simple logistic regression. Graph 5 compares the probabilities of matching for different numbers of attempts. Similar to the Step 1 attempts, this graph shows that the more times the exams are attempted, the lower the probability of obtaining a position in a preferred specialty.
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Chart 10
Mean Number Attempts at of USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
by Preferred Specialty, IMG Applicant Type, and Match Status
Matched
U.S. IMG
2
Not Matched
1.6
1.5
1.4
1.4
1.4
1.5
1.3
1.3
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1.2
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.2
1.0
1.0
All Specialties
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
Non-U.S. IMG
2
Matched
Not Matched
1.4
1.4
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1.0 1.1
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SurgeryGeneral
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1.1
1.1
1.1
1.1
1.1
All Specialties
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
1.1
SurgeryGeneral
Passing USMLE Step 2 CS is a requirement for ECFMG certification. Because USMLE reports only pass/fail status on this exam, only the number of attempts at the exam is studied. Chart 10 compares the mean number of attempts at Step 2 CS or equivalent exams for matched and unmatched U.S. IMGs and non-U.S. IMGs. There are limited variations among the specialties. For all specialties except Emergency Medicine, matched U.S. IMG and matched non-U.S. IMG applicants made fewer attempts than those who did not match.
17 Charting Outcomes in the Match for IMGs, 2014
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
1.2
1.2
Chart 11
60 50 40 30 20 10 0
U.S. IMG
19.3 7.6
8.0
3.7
8.6
7.4
Neurology
3.9
Obstetrics and Gynecology
9.2
Family Medicine
Pathology
Pediatrics
SurgeryGeneral
Non-U.S. IMG
60 50 40 30 20 10 0
Matched
Not Matched
25.6 16.0
24.1
29.8
31.3
26.4
35.6 20.4
35.9 22.6
40.8
23.8 16.1
11.5
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
Chart 11 demonstrates the mean number of months after the applicants obtained ECFMG certification, calculated as the number of months between the date of ECFMG certification and March 1, 2013. There are some variations among the specialties and between the two types of IMG applicants, but no obvious specialty-specific pattern exists. Generally, matched applicants of both applicant types obtained ECFMG certification later than those who did not match to their preferred specialty. The difference is more notable among U.S. IMG applicants, averaging almost 18 month between the matched and unmatched applicants.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
18
Chart 12
15
U.S. IMG
Matched Not Matched
11.2
10
6.1
5.9 2.0
5.8
4.6 0.9
Obstetrics and Gynecology
1.7
0
0.5
1.7
Internal Medicine
1.4
Radiology
2.7 1.1
SurgeryGeneral
Neurology
Non-U.S. IMG
15 Matched Not Matched 12.6
10.7
10
11.3 7.3
7.5
5
7.8 4.3
6.6
8.0
4.7
0 All Anesthesiology Emergency Specialties Medicine Family Medicine Internal Medicine Neurology Obstetrics and Gynecology Pathology Pediatrics Physical Medicine & Rehab Psychiatry Radiology SurgeryGeneral
The number of years after graduation is calculated as the difference between the year of graduation and 2013. Chart 12 shows the mean number of years after graduation for matched and unmatched U.S. IMG and non-U.S. IMG applicants. In general, matched applicants of both applicant types graduated later than those who did not match to their preferred specialty. U.S. IMG applicants showed a larger difference of about 6 years for all specialties than the 3-year difference for non-U.S. IMGs. In addition, the average non-U.S. IMGs graduated earlier than their U.S. IMG counterparts.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
19
Chart 13
U.S. IMG
100
91
75
76 56
83 72
83
78 54
82 71 51 71 52 62
87 74 53 29
83
74
73 49
73 53
81
74
50
25
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
100
Matched
Not Matched
75
50
53 28 11 36
58 39 19
Family Medicine
25
24
30 17 14 10
38 17 25 9 7 26 16 12
Physical Medicine & Rehab
18
14
Psychiatry
21
14
20
21
Internal Medicine
Neurology
Pathology
Pediatrics
Radiology
SurgeryGeneral
Chart 13 summarizes the percentage of applicants by applicant type whose native language is English and who were matched or not matched to their preferred specialties. Not surprisingly, more U.S. IMGs speak English as their native language. In most specialties, a larger percentage of matched applicants speak English as their native language.
20
Chart 14
U.S. IMG
Matched
Not Matched
Number of applicants
1,583 1,176
298
183
67
73
57
49
39
50
67
76
209
24
27
35
21
17
14
an
18
es
23
36
ria
hi na
di a
Eg yp
pi ne
de s
Ira
ub
na
Pa ki st
St at
ig e
In
Ba ng
Ph ilip
Matched
Not Matched
860
ni te
Al lO el a zu m
53 32 37 34
Vi et
la
th do Ve ne Al lO th er
555 656
260 152
74 170
72 110
96 225
122 202
101 165
254 429
70 45
53 81
74 56
22 48
15 43
24 47
43 38
38 43
39 40
45 55
52 66
34 18
34 21
24 35
34 29
ol in om ic an bi a R ep ub lic Eg yp t G er m an y
Pe Ph ru ilip Sa pin es ud iA ra bi a Sr iL an ka Su da n
ri Pa a ki st an
al
ex ic o M ya nm ar
Br az il C an ad a
Ko re
ba no
Li by
Jo r
ig e
Ba ng
om
Applicants citizenship at birth is presented in Chart 14. Only countries with at least 50 U.S. IMG applicants or non-U.S. IMG applicants are included. Not counting United States, India contributed the highest number of IMGs to the Match, followed by Pakistan. Other countries with more than 100 applicants in a category include Canada, Nigeria, China, Iran, Iraq, and Egypt. This chart is not presented in specialty-specific analysis.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
21
ni te
Ki ng
la
Le
Sy ria
da n
di a
hi na
Ira
de s
Ira
In
ep
19 32
30 32
85 99
er
332
615
Chart 15
Number of applicants
1,400 1,200 1,000 800 600
532
438
534
258
207
180
139
139
140
189
84
70
77
79
85
65
58
60
54
46
45
45
42
45
38
36
40
29
21
14
23
33
12
12
35
70
200
90
103
G re n
D om
R ep
Ph ilip
An d
an
Sa
Eu st
C ay m
in ic a
D om
tig
An
Sa
in
tK
ua
i tt
Matched
Not Matched
654 789 255 403 52 85 68 29 68 73 23 60 51 64 80 79 35 29
Si nt
An
Si nt
32 41
39 32
An
Match status by country of medical school for U.S. IMG and non-U.S. IMG applicants is presented in Chart 15. Only countries with at least 50 U.S. IMG applicants or non-U.S. IMG applicants are reported. Most U.S. IMGs were trained in the Caribbean countries such as Dominica, Grenada, Antigua and Barbuda, and Sint Maarten. A large number of non-U.S. IMGs were trained in India and Pakistan. Medical schools in Nigeria, China, and Egypt also contributed many physicians to U.S. residency programs.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
22
Pe Ph r ilip u pi ne s R us Sa si in a tK i tt S s a ba An d N Sa ev ud i iA s So r a bi ut a h Ko re a Sy Ve ri ne a zu el a Al lO th er
Source: NRMP Data Warehouse and ECFMG
na
sh
ua
An
Ba
D om
tig
C ol
d Jo rd an Le ba no n Li by a M ex M ico ya nm ar N ep al N ig er Pa ia ki st an
da
Ira
Ira
ad e
C hi
rb u
om
Ba
ng l
Ire
la n
30 29
50 32
Al lO th er
an
M ex ic o
na
nd
ia
ia
Is ra e
at iu s
in ic a
ev is
ds
da
yp
ne
ba
lic
In di
Ira
N ig er
an
ub
Pa ki st
la
C hi
rb u
Eg
pi
Sa
uc
Ba
in
M aa
Is l
Po
tL
rte
ad
120
400
252
546
AN
Anesthesiology
Table AN-1
Anesthesiology
Summary Statistics
U.S. IMG Non-U.S. IMG Matched (n=78) 4 1.7 226 1.1 234 1.0 1.1 24 7.2 28 Unmatched (n=85) 3 1.9 219 1.2 221 1.1 1.3 30 10.7 11
Measure 1. Mean number of contiguous ranks 2. Mean number of distinct specialties ranked 3. Mean USMLE Step 1 score 4. Mean USMLE Step 1 attempts* 5. Mean USMLE Step 2 CK score 6. Mean USMLE Step 2 CK attempts** 7. Mean USMLE Step 2 CS or ECFMG CSA attempts 8. Mean number of months since ECFMG certification 9. Mean number of years since graduation 10. Percentage who speak English as a native language
Sources: NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
25
Chart AN-1
50
Matched
Not Matched
Number of applicants
40 30 20 10 0 1 2 3 4 5 6 9 4 28 19 14 10 10 7 2 7 2 8 9 1 10 10 1 4 11 0 3 12 1 1 13 0 2 14 0 3 15 0 0 16 or More
3 7
Contiguous Ranks
Non-U.S. IMG
50 47
Matched
Not Matched
Number of applicants
40 30 20 10 0 1 2 3 4 5 6 7 20 10 18 13 3 11 5 6 2 6 3 3 0 0 8 0 2 9 1 0 10 2 4 11 0 1 12 0 0 13 0 1 14 0 0 15 0 1 4
16 or More
Contiguous Ranks
26
Graph AN-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Anesthesiology
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
27
Chart AN-2
50
Matched
42
Not Matched
Number of applicants
40 30 20 10 0
38 27 20 15 12 4 0 1 2 3 4 or More
Non-U.S. IMG
45 40
Matched
Not Matched
Number of applicants
40 30 20 10 0 1
25 19 10 12 4 2 3 4 or More 5
28
Chart AN-3
40
Matched
Not Matched
Number of applicants
30
27
25
20 9 0 0 0
Between 181 and 190
15 6 1
Between 191 and 200
17 12 9
14 7 1 9 0
Between 251 and 260
10
1
>260
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
40
Matched
Not Matched
Number of applicants
30
20 11 10 0 0
Between 181 and 190 Between 191 and 200
17 13 5 11
16 12
15
15
13
10 5 3 1
>260
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
29
Graph AN-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Anesthesiology
180
200
220
240
260
280
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
30
Chart AN-4
100
Matched
Not Matched
Number of applicants
90 80 70 60 50 40 30 20 10 0
1
48
1
2
0
3
0
4
0
5
6 and mo e
Step 1 Attempts
Non-U.S. IMG
100
Matched
75
Not Matched
Number of applicants
90 80 70 60 50 40 30 20 10 0
1 2
70
0
3
0
4
0
5
6 and re
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
31
Graph AN-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
32
Chart AN-5
50 40 40 30 30 20 20 10 10 00
Number of applicants
26 26 15 15 55 16 16 7 7 12 12 16 16 16 16 5 5 19 19
11 11
00
11
00
22
11
Between 191 Between 191 and 200 and 200
2 2
Between Between 241 241 and and 250 250
1 1
Between Between 251 251 and and 260 260
5 5 0
>260
Score Unknown
Non-U.S. IMG
50 40 40 30 30 20 20 10 10 00 00 22 11 11 11 44 33
Between 191 Between 191 and 200 and 200
Matched Matched
Number of applicants
13 13 6 6
10 10
10 10
9 9
15 15
17 17 10 10
17 17
11 11
11 11
6 6
4 4
3 3
>260
Score Unknown
33
Graph AN-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
160
180
200
220
240
260
280
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
34
Chart AN-6
100
Matched
Not Matched
Number of applicants
90 80 70 60 50 40 30 20 10 0
1
48
12 1
2
0
3
0
4
0
5
0
6 and m e
Step 2 CK Attempts
Non-U.S. IMG
100
Matched
76 80
Not Matched
Number of applicants
90 80 70 60 50 40 30 20 10 0
1
2
2
0
3
0
4
0
5
0
6 and m e
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
35
Chart AN-7
100 90 80 70 60 50 40 30 20 10 0
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Matched
Not Matched
Number of applicants
52
7
1 2
8 0
3
0
4
0
5
6 and more
Non-U.S. IMG
100 90 80 70 60 50 40 30 20 10 0
1 2
Matched
Not Matched
Number of applicants
70
69
10 0
3
0
4
0
5
6 and more
36
Chart AN-8
60
53
Matched
Not Matched
Number of applicants
50 40 30 20 10 0 less than 1 2 to 6 7 to 12 13 to 24 25 to 48 10 11 6 9 10 5 2 29
14
Non-U.S. IMG
60
Matched
Not Matched
Number of applicants
22 12 0 no data 2
37
Chart AN-9
70 60
Number of applicants
50 40 30 20 10 0 less than 1 1 to 2 3 to 5 14 5 23
20 12 0 6 to 10 4 0 11 to 15 7 0 16 to 25 6 0 0 25 or more
Non-U.S. IMG
70 60
Matched
Not Matched
Number of applicants
50 40 30 20 10 0 less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 8 5 11 3 13 28 27 19 10 11 7 0 1 20
25 or more
38
Chart AN-10
Number of applicants
70 60 50 40 30 20 10 0
Matched 37 24 20 15
All Other
Non-U.S. IMG
Number of applicants
70 60 50 40 30 20 10 0 64 50 25 Matched Not Matched
14 India
39
EM
Emergency Medicine
Table EM-1
Emergency Medicine
Summary Statistics
U.S. IMG Non-U.S. IMG Matched (n=31) 4 1.5 226 1.0 231 1.1 1.2 12 3.3 36 Unmatched (n=53) 2 1.8 217 1.3 220 1.2 1.1 31 5.2 53
Measure 1. Mean number of contiguous ranks 2. Mean number of distinct specialties ranked 3. Mean USMLE Step 1 score 4. Mean USMLE Step 1 attempts* 5. Mean USMLE Step 2 CK score 6. Mean USMLE Step 2 CK attempts** 7. Mean USMLE Step 2 CS or ECFMG CSA attempts 8. Mean number of months since ECFMG certification 9. Mean number of years since graduation 10. Percentage who speak English as a native language
Sources: NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
41
Chart EM-1
70
Matched
Not Matched
Number of applicants
60 50 40 30 20 10 0 1 2 3 4 5 6 7 8 9 9 10 4 14 3 8 6 3 3 4 4 3 4 2 3 0 0 10 2 2 11 0 2 12 0 1 13 2 1 14 0 1 15 0 0 1 35
16 or More
Contiguous Ranks
Non-U.S. IMG
70
Matched
Not Matched
Number of applicants
60 50 40 30 20 10 0 1 2 3 4 6 5 14 6 2 4 1 4 5 0 1 6 0 1 7 1 1 8 0 0 9 0 0 10 0 2 11 0 0 12 0 1 13 1 0 14 0 0 15 1 0 0 33
16 or More
Contiguous Ranks
42
Graph EM-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
43
Chart EM-2
70
Matched
58 48
Not Matched
Number of applicants
60 50 40 30 20 10 0 1 2 25 22
24
5 3
1 4 or More
Non-U.S. IMG
Matched
Not Matched
Number of applicants
60 50 40 30 20 10 0 1 2 3 21 21 6 25
0 4 or More
44
Chart EM-3
40
Matched
Not Matched
Number of applicants
30
27 23 18
28
20
15 7 10 3
Between 191 and 200 Between 201 and 210 Between 211 and 220
11 6
12
13
11 3
10 0 0 2
Between 181 and 190
1
Between 221 and 230 Between 231 and 240 Between 241 and 250
0
>260
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
40
Matched
Not Matched
Number of applicants
30
20 9 4 0 0 0 0
Between 181 and 190
10 0
10 6 5 2
10
10 4 3 3 1
0
>260
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
45
Graph EM-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Emergency Medicine
180
190
200
210
220
230
240
250
260
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
46
Chart EM-4
120
U.S. IMG
Number of applicants
Matched
Not Matched
100 80 60 40 20 0
1
49
12 2
2
2
3
0
4
0
5
6 and mo e
Step 1 Attempts
Non-U.S. IMG
120
Matched
Not Matched
Number of applicants
100 80 60 40 20 0
1
45 30 5
2
0
3
0
4
0
5
6 and
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
47
Graph EM-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
48
Chart EM-5
50 40 40 30 30 20 20 10 10 00
Number of applicants
26 26 14 14 22 33
Between 191 Between 191 and 200 and 200
28 20 20 10 10 8 8 28 20 20 9 9 16 16
10 10
11
00
00
44
Between Between201 201 and and210 210
44
Between Between211 211 and and220 220 Between Between221 221 and and230 230
8 8
4 4
3 3
>260
Score Unknown
Non-U.S. IMG
50 40 40 30 30 20 20 10 10 00 00 11 00 55 12 12 33 33 44 11
Matched Matched
Number of applicants
8 8
12 12 6 6 6 6 4 4
Between Between231 231 and and240 240
4 4
3 3
5 5
3 3
3 3
>260
Score Unknown
49
Graph EM-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
160
180
200
220
240
260
280
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
50
Chart EM-6
120
Matched
Not Matched
Number of applicants
100 80 60 40 23 20 3 0
1 2
50
0
3
0
4
0
5
0
6 and m
Step 2 CK Attempts
Non-U.S. IMG
120
Matched
Not Matched
Number of applicants
100 80 60 40 20 0
1
46 29 2
2
0
3
0
4
0
5
0
6 and m e
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
51
Chart EM-7
140 120
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Matched
Not Matched
Number of applicants
100 80 60 40 20 0
1
50
3
2
12 0
3
0
4
0
5
6 and m e
Non-U.S. IMG
140 120
Matched
Not Matched
Number of applicants
100 80 60 40 20 0
1
45 27 3
2
1
3
0
4
0
5
6 and m e
52
Chart EM-8
60
Matched
Not Matched
Number of applicants
32
Non-U.S. IMG
60
Matched
Not Matched
Number of applicants
53
Chart EM-9
80 70
Number of applicants
60 50 40 30 20 10 0 less than 1 1 to 2 3 to 5 13 5 12 0 6 to 10 33 34
7 0
11 to 15
16 to 25
25 or more
Non-U.S. IMG
80 70
Matched
Not Matched
Number of applicants
60 50 40 30 20 10 0 less than 1 1 to 2 3 to 5 6 to 10 8 13 8 9 14 7 6 1 7 0 1 0 0
11 to 15
16 to 25
25 or more
54
Chart EM-10
Number of applicants
70 60 50 40 30 20 10 0
64
Matched
Not Matched 39
34 17
20
16
All Other
Grenada
Non-U.S. IMG
Number of applicants
70 60 50 40 30 20 10 0 Matched 38 15 Not Matched
31
Grenada
55
FM
Family Medicine
Table FM-1
Family Medicine
Summary Statistics
U.S. IMG Non-U.S. IMG Matched (n=293) 4 1.4 213 1.2 219 1.1 1.1 14 3.6 58 Unmatched (n=616) 3 1.5 204 1.4 210 1.3 1.4 27 7.8 30
Measure 1. Mean number of contiguous ranks 2. Mean number of distinct specialties ranked 3. Mean USMLE Step 1 score 4. Mean USMLE Step 1 attempts* 5. Mean USMLE Step 2 CK score 6. Mean USMLE Step 2 CK attempts** 7. Mean USMLE Step 2 CS or ECFMG CSA attempts 8. Mean number of months since ECFMG certification 9. Mean number of years since graduation 10. Percentage who speak English as a native language
Sources: NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
57
Chart FM-1
400
Matched
Not Matched
Number of applicants
24
10
13
19 10
22
24 12 10
20 11
16 12
11 13
10 14
12 15
23 19 16 or More
Contiguous Ranks
Non-U.S. IMG
400 379
Matched
Not Matched
Number of applicants
16 or More
Contiguous Ranks
58
Graph FM-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Family Medicine
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
59
Chart FM-2
500 450
462 367
Matched
Not Matched
Number of applicants
186 146 37 3
18 1 2
0 4 or More
Non-U.S. IMG
394
Matched
Not Matched
Number of applicants
160 91 50 10 2 3 1 4 or More 8
60
Chart FM-3
300
Matched
Not Matched
Number of applicants
57
36
26
23
12
0
>260
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
300
Matched
Not Matched
Number of applicants
112
28
19
14
0
>260
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
61
Graph FM-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Family Medicine
160
180
200
220
240
260
280
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
62
Chart FM-4
500
Matched
403 330
Not Matched
Number of applicants
183 86 32
1 2 3
95 6
4
44 3
5
22
28
6 and m e
Step 1 Attempts
Non-U.S. IMG
500
Number of applicants
453
Matched
Not Matched
254
113 29
2
9
3
39 0
4
1
5
6 and m e
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
63
Graph FM-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
64
Chart FM-5
300 50 250 40 200 30 150 20 100 10 50 0
138 183
133 105
79 Matched Matched
53
Number of applicants
22 12 35 12 22 7 1 1 7 1 1 2 2 0 0 1 1
<= 180
>260
Score Unknown
Non-U.S. IMG
300 50 250 40 200 30 150 20 100 10 50 0 0 1 1 14 47 14
Between 181 and 190
47
140
59
152
70
138
52 Matched Matched
79
Number of applicants
29 140
30 152 138 70 79 52 30 45 23 23 13 13 12 12 1 1 4 4
59 29
<= 180
>260
Score Unknown
65
Graph FM-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
160
180
200
220
240
260
280
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
66
Chart FM-6
500
Number of applicants
447 364
Matched
Not Matched
193 78 17
1 2 3
67
0
4
39
0
5
14
14
6 and mo e
Step 2 CK Attempts
Non-U.S. IMG
500 479
Matched
Not Matched
Number of applicants
263
103 25 4
3
25
1
4
0
5
0
6 and mo e
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
67
Chart FM-7
500 450 400 350 300 250 200 150 100 50 0
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Matched
Not Matched
Number of applicants
152 48 1
1 2 3
41
0
4
0
5
6 and mo e
Non-U.S. IMG
500 450 400 350 300 250 200 150 100 50 0
1 2
453
Matched
Not Matched
Number of applicants
269
118 20 31
3
0
4
1
5
6 and mo e
68
Chart FM-8
200 180 160 140 120 100 80 60 40 20 0
179
Not Matched
145 126
Number of applicants
67 43
20 no data
Non-U.S. IMG
200 180
Matched
155 124 94 50 34 25 56 61
Not Matched
162
Number of applicants
88
69
Chart FM-9
300 250 200 150 100 50 0
Not Matched
Number of applicants
136 92 65 43 64 26 3 to 5 6 to 10 7 11 to 15 8 16 to 25 66 1 19
less than 1
1 to 2
25 or more
Non-U.S. IMG
300 250 200 150 100 50 0 less than 1 1 to 2 3 to 5 95 35 72 92 52
Matched
Not Matched
223
Number of applicants
113 79 49 12 6 to 10 11 to 15 13 16 to 25 59 0 11
25 or more
70
Chart FM-10
200
Matched 127 78 63 63 12
Ba rb ud a Ar ub a th er
Not Matched
Number of applicants
150 100 50 0
O
133 111 33 49 15
ub a
73 14 16
Eg yp t
37
32
11
Ira n
11
ra el
38
23
28
16
11
25
10 10
Sa ba
29 35
12
14
39
38 27
la nd s
D om om in in ic a ic an R ep ub lic
In di a
re na da
ex ic o
ta n Ph ilip pi ne s
Po la nd
s N ev i
ay m an
An tig ua
Non-U.S. IMG
200 182 140 130 45 45 10
ig er ia ya nm ar
Matched
Not Matched
Number of applicants
150 100 50 0
16
hi na th er
22 24
56 10
ta n
Sa in t
Ki tts
17
Eg yp t
23
18
In di a
12
Ira n
20
Ira q
20
Ph ilip pi ne s
14
si a
re na da
Sa ba
om in ic
Pa ki s
us
Al l
71
Sa in t
Ki tts
An d
ev i
Lu ci Si a nt Eu st at iu s Si nt M aa rte n
Pa ki s
Is
Is
An d
Sa in t
Al l
An d
25 15
33 32
IM
Internal Medicine
Table IM-1
Internal Medicine
Summary Statistics
U.S. IMG Non-U.S. IMG Matched (n=1,690) 7 1.3 231 1.0 236 1.0 1.1 15 4.3 19 Unmatched (n=1,856) 3 1.4 217 1.2 221 1.1 1.3 22 6.6 17
Measure 1. Mean number of contiguous ranks 2. Mean number of distinct specialties ranked 3. Mean USMLE Step 1 score 4. Mean USMLE Step 1 attempts* 5. Mean USMLE Step 2 CK score 6. Mean USMLE Step 2 CK attempts** 7. Mean USMLE Step 2 CS or ECFMG CSA attempts 8. Mean number of months since ECFMG certification 9. Mean number of years since graduation 10. Percentage who speak English as a native language
Sources: NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
73
Chart IM-1
1,000
Matched
Not Matched
Number of applicants
66
136
49 60
45 33
56 28
44
12
48 7
16
45 8
12
43 9
57
13
43 11
41 12
45 13
35 14
29 2 15
75
10
16 or More
Contiguous Ranks
Non-U.S. IMG
1,000 912
Matched
Not Matched
Number of applicants
800 600 400 240 200 0 1 2 3 4 5 6 7 8 178 360 182 224 140 125 134 60 125 31 99 34 86 22 89 9 15 73 19 67 11 8 66 12 3 33 6 13 35 5 14 34 4 15 109 28
10
16 or More
Contiguous Ranks
74
Graph IM-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
75
Chart IM-2
1,400
Matched
Not Matched
Number of applicants
1,200 1,000 800 600 400 200 0 1 2 604 405 203 259 25 3 70 9 4 or More 12
Non-U.S. IMG
1,317 1,268
Matched
Not Matched
Number of applicants
1,200 1,000 800 600 400 200 0 1 2 3 289 67 123 11 4 or More 27 432
76
Chart IM-3
450
Matched
Not Matched
Number of applicants
146 76 8
Between 241 and 250
21
0
>260
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
450
Matched
384 337 281 227 144 86 76 333 383
Not Matched
340 235 163 110 33 55 7
>260
Number of applicants
329
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
77
Graph IM-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
160
180
200
220
240
260
280
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
78
Chart IM-4
1,800
Number of applicants
40
9
3
50
6
4
23
1
5
11
15
6 and mo e
Step 1 Attempts
Non-U.S. IMG
1,800 1,647
Number of applicants
1,632
Matched
Not Matched
39
2
163 3
3
44
1
4
10
0
5
6 and mo e
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
79
Graph IM-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
80
Chart IM-5
50 450 400 40 350 300 30 250 200 20 150 100 10 50 0
Number of applicants
29 209 153 13 6 0 6 13
Between 181 and 190
150 158 85
188 98
158 114 41
14 61 14
11 11
Between 251 and 260
61
43
29
2 2
<= 180
>260
Score Unknown
Non-U.S. IMG
50 450 400 40 350 300 30 250 200 20 150 100 10 50 0 6 0 6 16
74
46
185
94
268
173 383
243
72
146
Number of applicants
243 18
<= 180
Score Unknown
81
Graph IM-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
160
180
200
220
240
260
280
300
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
82
Chart IM-6
1,800
Number of applicants
28
6
3
45
2
4
20
0
5
1
6 and mo e
Step 2 CK Attempts
Non-U.S. IMG
1,800 1,669 1,693
Matched
Not Matched
Number of applicants
20
2
133
0
3
23
1
4
0
5
0
6 and m e
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
83
Chart IM-7
1,600 1,400
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Internal Medicine U.S. IMG
Matched
Not Matched
Number of applicants
791 543
45
152 3
3
45
1
4
0
5
6 and mo e
Non-U.S. IMG
1,600 1,400 1,534 1,430
Matched
Not Matched
Number of applicants
353 138 12
3
61
5
4
1
5
6 and mo e
84
Chart IM-8
800
Number of applicants
600
102
124
75 9
23 no data
0 less than 1 2 to 6
more than 48
Non-U.S. IMG
800 713 575 502 346 201 66 0 less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 40 172 35
Matched
567
Not Matched
Number of applicants
600
400
200
158
157 1 13 no data
85
Chart IM-9
700 600
Number of applicants
444
237 144
less than 1
1 to 2
11 to 15
16 to 25
25 or more
Non-U.S. IMG
700 600 656 664
Matched
Not Matched
575
Number of applicants
1 to 2
3 to 5
6 to 10
11 to 15
25 or more
86
Number of applicants
200 0 400 600 200 400 600
Number of applicants
Chart IM-10
Al l O th er Ba ng la de sh
10 21 11 16 11 28 16 196 90 21 15
Eg yp t G re na da In di a Ira n Is M ra el ex ic o Ba rb ud a
200 283
An d th er
An tig ua Al l O
136 156
U.S. IMG
Non-U.S. IMG
50 69
C D om in ic a C D hi na hi na
Internal Medicine
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Ec ua do r Et hi op ia G re ec e
45 72 18 12 29 16 15 20 14 40 77 24 15 16 11 50 34 10 475 583
D om om in in ic ic a an R ep ub lic
Ba ng la de C ay sh m an Is la nd s
H ai ti
20 201 61 27 47
Ira n Ire la nd
25 41 28 44 17 12 14
Matched
Matched
Ja pa n Le ba n on M ex ic o N ep al Pa ki s
16 18 25 20
N ig er ia Pa ki s
87
55 28 31 19 15 27 19 20 18 30 32 33 45 79
ta n Ph ilip pi ne s Sa in t Ki tts R An d So ut h us N si a ev i
Not Matched
Not Matched
17 19 48 20 16 30 33 178 188
ta n Ph ilip pi ne s Po la nd R Sa in t s Ko re a Sy U ria kr ai ne Ve ne zu el us Ki tts si a Sa ba An d Sa in t N ev i s
10 13 19 24 17 10 17 29 11 16 29 34 11 11 10
a
16 26 18 15 12 13 12 15 57 31 11
18 10
Lu ci Si a nt Eu st at iu Si s nt M aa rte n
10 63 31
Neurology
Table N-1
Summary Statistics
Neurology
U.S. IMG Non-U.S. IMG Matched (n=148) 6 1.7 230 1.1 236 1.0 1.1 19 5.4 14 Unmatched (n=149) 2 1.8 214 1.2 217 1.1 1.4 29 7.7 10
Measure 1. Mean number of contiguous ranks 2. Mean number of distinct specialties ranked 3. Mean USMLE Step 1 score 4. Mean USMLE Step 1 attempts* 5. Mean USMLE Step 2 CK score 6. Mean USMLE Step 2 CK attempts** 7. Mean USMLE Step 2 CS or ECFMG CSA attempts 8. Mean number of months since ECFMG certification 9. Mean number of years since graduation 10. Percentage who speak English as a native language
Sources: NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
89
Chart N-1
100
Matched
Not Matched
Number of applicants
90 80 70 60 50 40 30 20 10 0 1 2 3 14 5 29 8
4 4
4 5
3 6
2 7
2 8
1 9
3 10
2 11
3 12
3 13
3 14
4 15
16 or More
Contiguous Ranks
Non-U.S. IMG
100 96
Matched
Not Matched
Number of applicants
90 80 70 60 50 40 30 20 10 0 1 2 3 4 5 6 25 22 25 16 12 13 17 5 6 7 0 7 7 2 6 8 0 9 10 1 1 10 0
7 11
4 12
4 13
4 14
2 15
16 or More
Contiguous Ranks
90
Graph N-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
91
Chart N-2
80
Matched
Not Matched
Number of applicants
70 60 50 40 30 20 10 0 1 2 3 30 18 17
12
10
11 1 4 or More 3
Non-U.S. IMG
64 67 63
Matched
57
Not Matched
Number of applicants
70 60 50 40 30 20 10 0
16
16 5 6 4 or More
92
Chart N-3
50
Matched
Not Matched
Number of applicants
40 30 20 10 0 0 0 2
Between 181 and 190 Between 191 and 200
11
10
13
14 6
12
9 4
Between 221 and 230
1
>260
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
50
Matched
36 30 21 15 8 11 21 30 25
Not Matched
Number of applicants
40 30 20 10 0 0 0 2
Between 181 and 190 Between 191 and 200 Between 201 and 210
34 23 16 10 4 2
Between 251 and 260 >260
9 0 0 0
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
93
Graph N-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
180
200
220
240
260
280
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
94
Chart N-4
150
Number of applicants
120 90 60 30 0
1
57
24 1
2
11
0
3
1
4
0
5
6 and m re
Step 1 Attempts
Non-U.S. IMG
150 141
Matched
132
Not Matched
Number of applicants
120 90 60 30 6 0
1 2
13 1
3
0
4
0
5
6 and mo e
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
95
Graph N-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
96
Chart N-5
50 40 40 30 30 20 20 10 10 00
Number of applicants
10 10 00 00 33
Between 181 Between 181 and 190 and 190
6 6
10 10
7 7
12 12 6 6
11 11
15 15 3 3 5 5 3 3 6 6 1 1
Between Between 241 241 and and 250 250
3 3
0 0
>260
Score Unknown
Non-U.S. IMG
50 40 40 30 30 20 20 10 10 00 00 00 22
Between 181 Between 181 and 190 and 190
Matched Matched 38
38 25 25 15 15 8 8 33
Between 191 Between 191 and 200 and 200 Between Between201 201 and and210 210 Between Between211 211 and and220 220 Between Between221 221 and and230 230
32 32 21 21 12 12 1
>260
Number of applicants
28 28 17 17 10 10
25 25
Score Unknown
97
Graph N-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
180
200
220
240
260
280
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
98
Chart N-6
150
Number of applicants
120 90 60 30 0
1
55 25 3
2
11
1
3
0
4
0
5
0
6 and o e
Step 2 CK Attempts
Non-U.S. IMG
150 146 137
Matched
Not Matched
Number of applicants
120 90 60 30 0
1
2
2
10
0
3
0
4
0
5
0
6 and m re
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
99
Chart N-7
150 120 90 60 30 0
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Neurology U.S. IMG
Matched
Not Matched
Number of applicants
56 32 3
1 2
0
3
0
4
0
5
6 and o e
Non-U.S. IMG
150 129 120 90 60 36 30 0
1 2
Matched
Not Matched
Number of applicants
101
17 1
3
1
4
0
5
6 and mo e
100
Chart N-8
60
Number of applicants
Non-U.S. IMG
60 57
Matched
45 32 45
Not Matched
Number of applicants
50 40 30 20 10 0 1 1 2 to 6 7 to 12 17 11
34 26 14 14
less than 1
101
Chart N-9
80 70
Number of applicants
60 50 40 30 20 10 0 less than 1 1 to 2 3 to 5 6 to 10 11 to 15 5 14 12 4 10 2 9 34
16 to 25
25 or more
Non-U.S. IMG
80 70 61
Matched
Not Matched
Number of applicants
60 50 40 30 20 10 0 less than 1 1 to 2 5 2 18 32
57 40 32 19 12 6 12 0 1
3 to 5
6 to 10
11 to 15
16 to 25
25 or more
102
Chart N-10
Number of applicants
80 70 60 50 40 30 20 10 0
Not Matched
39
10 Grenada
Non-U.S. IMG
Number of applicants
80 70 60 50 40 30 20 10 0 77 63 45 11 All Other China India Country of Medical School Matched Not Matched 57
12 Iran
14 Pakistan
18
103
OB
Table OB-1
Summary Statistics
Measure 1. Mean number of contiguous ranks 2. Mean number of distinct specialties ranked 3. Mean USMLE Step 1 score 4. Mean USMLE Step 1 attempts* 5. Mean USMLE Step 2 CK score 6. Mean USMLE Step 2 CK attempts** 7. Mean USMLE Step 2 CS or ECFMG CSA attempts 8. Mean number of months since ECFMG certification 9. Mean number of years since graduation 10. Percentage who speak English as a native language
Sources: NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
105
Chart OB-1
80
Matched
Not Matched
Number of applicants
70 60 50 40 30 20 10 0 1 2 3 4 5 6 10 16 5 5 12 3 6 7 6 11 8 0 15 1 16 or More 46
5 7
1 8
4 9
4 10
4 12
4 13
5 14
Contiguous Ranks
Non-U.S. IMG
80
Matched
Not Matched
Number of applicants
70 60 50 40 30 20 10 0 1 11
69
11
17 4 2 3
11
7 4
5 5
7 6
6 7
2 8
1 9
4 10
1 11
0 12
1 13
0 14
1 15
16 or More
Contiguous Ranks
106
Graph OB-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
107
Chart OB-2
80
Matched
Not Matched
Number of applicants
70 60 50 40 30 20 10 0
26 13 4 1 2 3 14 1 4 or More 4
Non-U.S. IMG
74
Matched
Not Matched
Number of applicants
70 60 50 40 30 20 10 0 1 2 3 8 2 29 13 0 4 or More 4 52
108
Chart OB-3
50
Number of applicants
40 30 20 10 0 0 0 2
Between 181 and 190 Between 191 and 200 Between 201 and 210 Between 211 and 220
26 20 14 10 10 21
25 18 8 8
6 0
0
>260
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
50
Matched
Not Matched
Number of applicants
40 30 20 10 0 0 1 0
Between 181 and 190
20
24
25 17 19 14 11 9 8 2 2 1
>260
4
Between 191 and 200
11
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
109
Graph OB-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
160
180
200
220
240
260
280
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
110
Chart OB-4
110
Number of applicants
100 90 80 70 60 50 40 30 20 10 0
1
77
75
13 0
2
0
3
1
4
0
5
6 and o e
Step 1 Attempts
Non-U.S. IMG
110
Number of applicants
100 90 80 70 60 50 40 30 20 10 0
1
102
Matched
Not Matched
61
11 1
2
0
3
0
4
0
5
6 and m
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
111
Graph OB-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
112
Chart OB-5
50 40 40 30 30 20 20 10 10 00
Matched Matched
Number of applicants
21 8 8 10 10 11 11
17 17
14 14
17 17 9 9 1 1
11 11 0 0
Between Between 251 251 and and 260 260
00
00
11
>260
Score Unknown
Non-U.S. IMG
50 40 40 30 30 20 20 10 10 00 00 00 11
Between 181 Between 181 and 190 and 190
Matched Matched
Number of applicants
22 17 17 8 8 33
Between 191 Between 191 and 200 and 200
22 14 14 7 7 55
15 15 8 8
13 13
17 17
12 12
16 16
11 11
7 7 2
4 4
>260
Score Unknown
113
Graph OB-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
180
200
220
240
260
280
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
114
Chart OB-6
120
Number of applicants
100 80 60 40 20 0
1
75
83
2
2
1
3
0
4
0
5
0
6 and m e
Step 2 CK Attempts
Non-U.S. IMG
120 110
Matched
Not Matched
Number of applicants
100 80 60 40 20 0
1
62
0
2
0
3
0
4
0
5
0
6 and m
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
115
Chart OB-7
100 90 80 70 60 50 40 30 20 10 0
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Matched
Not Matched
Number of applicants
3
1 2
9 0
3
0
4
0
5
6 and m
Non-U.S. IMG
100 90 80 70 60 50 40 30 20 10 0
1 2
93
Matched
Not Matched
Number of applicants
57
18 5 0
3
0
4
0
5
6 and m
116
Chart OB-8
50
Matched
Not Matched
Number of applicants
40 33 30 20 10 0 less than 1 2 to 6 7 to 12 13 to 24 25 to 48 29 27 17 7 16 5 17
Non-U.S. IMG
50
Matched
38
Not Matched
Number of applicants
40 30 20 10 0 less than 1 2 to 6 7 8 17 8 19
30 19 15 14 3 7 to 12 13 to 24 25 to 48 3 no data
1 more than 48
117
Chart OB-9
60 50 40 30 20 10 0
Number of applicants
30 21
30
11 3 less than 1 1 to 2 3 to 5 0 6 to 10
9 1
8 1
8 0 2
11 to 15
16 to 25
25 or more
Non-U.S. IMG
60 50 40 30 20 10 0 less than 1 1 to 2 3 to 5 17 9 14 15 26
Matched
Not Matched
Number of applicants
36
20 13 14 2 6 to 10 11 to 15 12 0 16 to 25 0 2
25 or more
118
Chart OB-10
100
Not Matched
Number of applicants
80 60 40 20 0
25
26
Grenada
Non-U.S. IMG
100 90 62 30 Matched Not Matched
Number of applicants
80 60 40 20 0
India
119
PTH
Pathology
Non-U.S. IMG Matched (n=151) 6 1.3 226 1.0 228 1.1 1.2 21 9.4 9 Unmatched (n=136) 3 1.3 214 1.2 216 1.2 1.6 30 12.6 7
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
121
Chart PTH-1
80
Matched
Not Matched
Number of applicants
70 60 50 40 30 20 10 0 1 2 3 4 5 6 6 4 10 3 6 6 41
1 7
0 8
1 9
2 10
5 11
1 12
3 13
1 14
1 15
16 or More
Contiguous Ranks
Non-U.S. IMG
80
Number of applicants
70 60 50 40 30 20 10 0 1 25
71
Matched
Not Matched
18
24 10 16 17 4 3 4 5 11 0 6 11 3 7 15 3 6 8 2 7 9 2 3 10 4 6 11 1 5 12 0 1 13 0 2 14 0 2 15 1 12 5 16 or More
Contiguous Ranks
122
Graph PTH-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
123
Chart PTH-2
120
Matched
Not Matched
Number of applicants
100 80 60 40 20 0 1 2 41 51
0 3
0 4 or More
Non-U.S. IMG
115 103
Matched
Not Matched
Number of applicants
100 80 60 40 20 0 1 2 3 29 28 5 4 2 4 or More
124
Chart PTH-3
50
Matched
Not Matched
Number of applicants
40 30 20 10 0 0 2 20 13 3
Between 181 and 190
15 4
Between 191 and 200
4
Between 201 and 210
9 4 4
Between 231 and 240
6 1
Between 241 and 250
0
>260
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
50
Matched
Not Matched
Number of applicants
40 30 20 10 0 0 0
Between 181 and 190 Between 191 and 200 Between 201 and 210 Between 211 and 220
35 28 23 17 8 12 8 15 23 25
32
29
15 7 7
0
>260
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
125
Graph PTH-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
160
180
200
220
240
260
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
126
Chart PTH-4
150
Number of applicants
120 90 60 30 0
1
44
47
0
2
10
1
3
1
4
0
5
6 and m e
Step 1 Attempts
Non-U.S. IMG
150 148
Matched
120
Not Matched
Number of applicants
120 90 60 30 0
1
3
2
0
3
0
4
0
5
6 and m
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
127
Graph PTH-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
128
Chart PTH-5
50 40 40 30 30 20 20 10 10 00
Number of applicants
21 21 11 11 00 22 11
Between 181 Between 181 and 190 and 190
9 9 11
Between 191 Between 191 and 200 and 200
13 13
11 11
10 10
9 9 3 3
4 4
7 7 2 2 1 1
7 7 1 1
Between Between 251 251 and and 260 260
>260
Score Unknown
Non-U.S. IMG
50 40 40 30 30 20 20 10 10 00 00 00 8 8 8 8 19 19 21 16 16 21 21 21 37
Matched Matched
30 30 22 22
Number of applicants
37
24 17 17 24 12 12 6 6 5 5 2 1
44
>260
Score Unknown
129
Graph PTH-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
160
180
200
220
240
260
280
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
130
Chart PTH-6
150
Number of applicants
120 90 60 30 0
1
42
47 14 1
2 3
0
4
0
5
0
6 and m
Step 2 CK Attempts
Non-U.S. IMG
150 145 120
Matched
Not Matched
Number of applicants
120 90 60 30
4 0
1 2
12
0
3
2
4
0
5
0
6 and m
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
131
Chart PTH-7
150 120 90 60
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Matched
Not Matched
Number of applicants
39 30
46 15 2
2 3
4 0
1
1
4
0
5
6 and
Non-U.S. IMG
150 125 120 90 60 30 0
1 2
Matched
Not Matched
Number of applicants
78
41 25 1
3
11
0
4
0
5
6 and o e
132
Chart PTH-8
60
Matched
Not Matched
Number of applicants
Non-U.S. IMG
60 50 40 30 20 10 0 10 3 0 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 28 51
Matched
47 41
Not Matched
Number of applicants
34 28 21 12 12 0 no data 0
less than 1
133
Chart PTH-9
60 50 40 30 20 10 0
Number of applicants
26 13 1 1 to 2 3 to 5 2 6 to 10 16 10 2 11 to 15 4 16 to 25 2 5
9 2 less than 1
12
25 or more
Non-U.S. IMG
60 50 40 30 20 10 0 8 0 less than 1 1 to 2 6 26 20
Matched
55
Not Matched
Number of applicants
40 35 33 33 23
3 3 to 5 6 to 10 11 to 15 16 to 25
25 or more
134
Chart PTH-10
80
Number of applicants
69 35
Matched
Not Matched
11
Non-U.S. IMG
80
Number of applicants
69
Matched 62 40 42
Not Matched
60 40 20 0 All Other
28
22
14 Iran
10
India
135
PD
Pediatrics
Table PD-1
Summary Statistics
Pediatrics
U.S. IMG Non-U.S. IMG Matched (n=278) 6 1.3 223 1.0 231 1.0 1.1 12 3.9 25 Unmatched (n=382) 2 1.5 211 1.2 217 1.1 1.3 24 7.2 16
Measure 1. Mean number of contiguous ranks 2. Mean number of distinct specialties ranked 3. Mean USMLE Step 1 score 4. Mean USMLE Step 1 attempts* 5. Mean USMLE Step 2 CK score 6. Mean USMLE Step 2 CK attempts** 7. Mean USMLE Step 2 CS or ECFMG CSA attempts 8. Mean number of months since ECFMG certification 9. Mean number of years since graduation 10. Percentage who speak English as a native language
Sources: NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
137
Chart PD-1
250
Matched
Not Matched
Number of applicants
17
16 11
14 12
8 13
8 14
8 15
20
16 or More
Contiguous Ranks
Non-U.S. IMG
250 222
Matched
Not Matched
Number of applicants
11
13
10 8
11 9
14 10
10 11
11 12
6 13
5 14
2 15
16 or More
Contiguous Ranks
138
Graph PD-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Pediatrics
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
139
Chart PD-2
300
Matched
Not Matched
Number of applicants
163
Non-U.S. IMG
258
Matched
Not Matched
Number of applicants
214
87 53 11 1 2 3 26 0 4 or More 9
140
Chart PD-3
100 90
Matched
Not Matched
Number of applicants
80 70 60 50 40 30 20 10 0 0 1 8
Between 181 and 190 Between 191 and 200 Between 201 and 210 Between 211 and 220
51 30 29
49 38 37 18 9
Between 221 and 230
29
29 11 1
Between 241 and 250
3
Between 231 and 240
0
>260
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
100 90
95 77
Matched
Not Matched
Number of applicants
80 70 60 50 40 30 20 10 0 0 1 6
Between 181 and 190
71 51 34 23 41
60 45
57 48
22 6 12 4 6 1
>260
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
141
Graph PD-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Pediatrics
160
180
200
220
240
260
280
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
142
Chart PD-4
350
Number of applicants
180
76 11
51 4
3
15
1
4
0
5
6 and m e
Step 1 Attempts
Non-U.S. IMG
350 332 266
Matched
Not Matched
Number of applicants
11
1 2
36 1
3
10
0
4
0
5
6 and m e
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
143
Graph PD-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
144
Chart PD-5
50 100
Matched Matched
45
Number of applicants
80 40 60 30 40 20 20 10 0 0 2 2 2 2
34
21 21 0
27
9 9 0
Between 251 and 260
3 3
<= 180
>260
Score Unknown
Non-U.S. IMG
50 100 40 80 60 30 40 20 20 10 0 0 1 2 2 11 11 10 10
51
83 83
88
57 Matched Matched
68
88 37 68 57 65
Number of applicants
51
23 37 23
45
44
26 20 20 26 8 8
Between 251 and 260
14 14 7 7
<= 180
>260
Score Unknown
145
Graph PD-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
160
180
200
220
240
260
280
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
146
Chart PD-6
350
Matched
Not Matched
Number of applicants
189
103 35 5
2
2
3
11
0
4
0
5
0
6 and m e
Step 2 CK Attempts
Non-U.S. IMG
350 344 271
Matched
Not Matched
Number of applicants
7
1 2
32 0
3
0
4
0
5
0
6 and m
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
147
Chart PD-7
300 250 200 150 100 50
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Matched
Not Matched
Number of applicants
186
114
9 0
1 2
25 1
3
0
4
0
5
6 and e
Non-U.S. IMG
300 250 200 150 100 50 0
1 2
285
Matched
Not Matched
255
Number of applicants
80 19
4
3
14
0
4
0
5
6 and m
148
Chart PD-8
120
Not Matched
Number of applicants
100 80 60 40 20 0
28 15
19
25
31 16 0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
Non-U.S. IMG
120 111 111 100 80 60 40 20 0 less than 1 2 to 6 7 to 12 18 4 57 33
Matched
104
Not Matched
89
Number of applicants
149
Chart PD-9
150 120 90 60 30 0
U.S. IMG
Matched
Not Matched
Number of applicants
32
42
40 22 9 4 3 to 5 6 to 10 24 2 11 to 15 16 0 16 to 25 14 0 2
less than 1
1 to 2
25 or more
Non-U.S. IMG
150 120 90 60 30 9 0 less than 1 1 to 2 3 to 5 80 48 85 117
Matched
Not Matched
132
Number of applicants
57
41
51 21 2 16 to 25 1 3
12 6 to 10 11 to 15
25 or more
150
Chart PD-10
Number of applicants
Matched
Not Matched
83 51 18 All Other 15 38 20
Dominica
Non-U.S. IMG
Number of applicants
180 150 120 90 60 30 0 170 137 64 13 All Other China 11 Egypt 11 Grenada India 12 10 11 10 19 Nigeria 123 Matched Not Matched
37 Pakistan
11 Philippines
11 Syria
10 Venezuela
151
PM
Table PM-1
Summary Statistics
Measure 1. Mean number of contiguous ranks 2. Mean number of distinct specialties ranked 3. Mean USMLE Step 1 score 4. Mean USMLE Step 1 attempts* 5. Mean USMLE Step 2 CK score 6. Mean USMLE Step 2 CK attempts** 7. Mean USMLE Step 2 CS or ECFMG CSA attempts 8. Mean number of months since ECFMG certification 9. Mean number of years since graduation 10. Percentage who speak English as a native language
Sources: NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
153
Chart PM-1
20
Matched
Not Matched
Number of applicants
18 16 14 12 10 8 6 4 2 0 1 2 3 4 5 4 2 3 6 2 3 2 0 3 1 6 7 8 3 3 4 1 2 0 9 10 4 1 11 4 2 0 12 0 0 13 0 14 0 0 15 0 5 2 0 16 or More 14 12
Contiguous Ranks
Non-U.S. IMG
20
Matched
Not Matched
Number of applicants
18 16 14 12 10 8 6 4 2 0 1 4
16
7 4 2 0 2 3 0 4 1 0 5 1 6 4 2 0 7 0 0 8 0 9 2 0 1 10 0 1 11 0 0 12 0 0 13 1 0 14 0 1 15 0 0 0
16 or More
Contiguous Ranks
154
Graph PM-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
155
Chart PM-2
20 18
19
Matched
16
Not Matched
Number of applicants
16 14 12 10 8 6 4 2 0 1
6 2
1 2 3 4 or More
Non-U.S. IMG
Matched
Not Matched
Number of applicants
16 14 12 10 8 6 4 2 0 1 2 3 0 4 or More 1 5 10 10 10 6
156
Chart PM-3
20 18
Not Matched
Number of applicants
16 14 12 10 8 6 4 2 0 0 0 1
Between 181 and 190 Between 191 and 200 Between 201 and 210 Between 211 and 220 Between 221 and 230 Between 231 and 240
10 8 5 3 6 7 7 5 3 3 4 0
Between 241 and 250
4 0
Between 251 and 260
0
>260
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
20 18
Matched
Not Matched
Number of applicants
16 14 12 10 8 6 4 2 0 0 0 0
Between 181 and 190
9 7 4 2 1
Between 191 and 200 Between 201 and 210
8 4 2 2
3 1 0 1 0 0
>260
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
157
Graph PM-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
180
190
200
210
220
230
240
250
260
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
158
Chart PM-4
40
Number of applicants
35 30 25 20 15 10 5 0
1
2
2
5 0
3
4 0
4
0
5
6 and mo e
Step 1 Attempts
Non-U.S. IMG
40
Matched
Not Matched
Number of applicants
35 30 25 20 15 10 5 0
1 2
19
21
0
3
0
4
0
5
6 and m re
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
159
Graph PM-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
160
Chart PM-5
50 20 40 15 30 10 20 5 10 00
Number of applicants
14 10 10
9 6 6 00
Between 191 Between 191 and 200 and 200
9 5 1 1 5 0 0 0
>260
14 2 2
Between Between201 201 and and210 210
10
10
4 2 2 4 0 0
00
00
1 1
1 1
Score Unknown
Non-U.S. IMG
50 20 40 15 30 10 20 5 10 00 00 00 00
Between 181 Between 181 and 190 and 190
Matched Matched
Number of applicants
5 5 2 2 3 3
4 4
5 5 2 2
5 5
4 4
4 4
4 4
4 4
4 4 0 0 1 1 0 0 0 0 0 0
>260
Score Unknown
161
Graph PM-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
180
200
220
240
260
280
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
162
Chart PM-6
40
Matched
Not Matched
Number of applicants
35 30 25 20 15 10 5 0
1
6 2
2
5 0
3
0
4
0
5
0
6 and mo e
Step 2 CK Attempts
Non-U.S. IMG
40
Matched
Not Matched
Number of applicants
35 30 25 20 15 10 5 0
1 2
20
22
0
3
0
4
0
5
0
6 and m
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
163
Chart PM-7
50 40 30 20 10 0
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Matched
Not Matched
Number of applicants
5 1
1 2
0
3
0
4
0
5
6 and m e
Non-U.S. IMG
50 40 30 20 10 2 0
1 2
Matched
Not Matched
Number of applicants
19
18
7 0
3
0
4
0
5
6 and m
164
Chart PM-8
20 18
Matched
16 14 15
Not Matched
Number of applicants
16 14 12 10 8 6 4 2 0
6 2
7 3 0 1 more than 48 3
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
no data
Non-U.S. IMG
20 18
Matched
Not Matched
Number of applicants
165
Chart PM-9
30 25 20 15 10 5 0
Number of applicants
13 10 4 0 3 to 5 6 to 10
2 less than 1 1 to 2
3 0 11 to 15 0
16 to 25
25 or more
Non-U.S. IMG
30 25 20 15 10 5 0 less than 1 1 to 2 3 to 5 7 3 1 1 2 2
Matched
Not Matched
Number of applicants
6 3
8 5 2 16 to 25 1 1
6 to 10
11 to 15
25 or more
166
Chart PM-10
50
Matched 29 29
Not Matched
Number of applicants
40 30 20 10 0
11
14
Dominica
Non-U.S. IMG
50 Matched Not Matched 26
Number of applicants
167
Psychiatry
Table P-1
Psychiatry
Summary Statistics
U.S. IMG Non-U.S. IMG Matched (n=163) 5 1.2 214 1.2 219 1.1 1.2 20 6.0 26 Unmatched (n=277) 2 1.3 205 1.4 208 1.3 1.4 36 9.9 14
Measure 1. Mean number of contiguous ranks 2. Mean number of distinct specialties ranked 3. Mean USMLE Step 1 score 4. Mean USMLE Step 1 attempts* 5. Mean USMLE Step 2 CK score 6. Mean USMLE Step 2 CK attempts** 7. Mean USMLE Step 2 CS or ECFMG CSA attempts 8. Mean number of months since ECFMG certification 9. Mean number of years since graduation 10. Percentage who speak English as a native language
Sources: NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
169
Chart P-1
160
Matched
Not Matched
Number of applicants
10
11 7
7 8
5 9
13 10
11 11
4 12
4 13
4 14
5 15
16 or More
Contiguous Ranks
Non-U.S. IMG
160 154
Matched
Not Matched
Number of applicants
4 10
6 11
4 12
5 13
5 14
1 15
16 or More
Contiguous Ranks
170
Graph P-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
171
Chart P-2
220 200
Matched
184
Not Matched
Number of applicants
56
50 11 2 3 16 1 4 or More 4
Non-U.S. IMG
214
Matched
Not Matched
Number of applicants
172
Chart P-3
100 90
Matched
Not Matched
Number of applicants
80 70 60 50 40 30 20 10 0 1
19
26 10 12 4 4
0
>260
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
100 90
Matched
83
Not Matched
Number of applicants
80 70 60 50 40 30 20 10 0 0 0
Between 181 and 190 Between 191 and 200 Between 201 and 210 Between 211 and 220 Between 221 and 230 Between 231 and 240
57 46 34 36 31
49 26 17 12 8 3 5
21 10
1
>260
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
173
Graph P-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
160
180
200
220
240
260
280
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
174
Chart P-4
210
Number of applicants
147 107 71 33 17 38 21 3
4
2
5
12
6 and e
Step 1 Attempts
Non-U.S. IMG
210 206
Matched
Not Matched
Number of applicants
137
51 20 6 14
0
4
0
5
6 and e
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
175
Graph P-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
176
Chart P-5
50 100 90 80 40 70 60 30 50 40 20 30 20 10 10 0
Matched Matched
Number of applicants
40
24
28
2 2
2 2
<= 180
>260
Score Unknown
Non-U.S. IMG
50 100 90 40 80 70 60 30 50 40 20 30 20 10 10 0 0 0
Between 181 and 190
60
78 78
Matched Matched 48
39 32 48 32
Number of applicants
29 20 29 9 9
<= 180
60
29
29 20
32
32
39
17 17
17 17
14 14 5 5 7 7 3 3
>260
Score Unknown
177
Graph P-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
140
160
180
200
220
240
260
280
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
178
Chart P-6
210
Not Matched
Number of applicants
64 36 7
1 2 3
40 3
4
12
3
5
1
6 and e
Step 2 CK Attempts
Non-U.S. IMG
210 204
Matched
Not Matched
Number of applicants
146
54 15 16
3
0
4
0
5
0
6 and o e
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
179
Chart P-7
200 180
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Psychiatry U.S. IMG
173 162
Matched
Not Matched
Number of applicants
72
24 4
2 3
17
2
4
0
5
6 and mo e
Non-U.S. IMG
200 180 160 140 120 100 80 60 40 20 0
1 2
191
Matched
Not Matched
Number of applicants
137
69
22 3
3
14
1
4
0
5
6 and m re
180
Chart P-8
100 90
Matched
Not Matched
82 61 44
Number of applicants
80 70 60 50 40 30 20 10 0 less than 1 2 to 6 7 to 12 13 to 24 25 to 48 15 41 21 25 27 29 58
23
26 6 no data
1 more than 48
Non-U.S. IMG
100 90
Matched
Not Matched
93
Number of applicants
181
Chart P-9
140 120
Number of applicants
25 or more
Non-U.S. IMG
140 120
Matched
Not Matched
116
Number of applicants
45
25 or more
182
Chart P-10
Number of applicants
120 100 80 60 40 20 0
104 82
Matched
Not Matched
19 All Other
15
10 Bangladesh
18 Cayman Islands
34
23
27
14
13
23
25
12
13
16
11
Dominica
Grenada
India
Pakistan
Sint Maarten
Non-U.S. IMG
Number of applicants
120 100 80 60 40 20 0 109 114 Matched Not Matched 90 44 16 All Other China India Country of Medical School Nigeria 16 10 Pakistan 41
183
DR
Radiology-Diagnostic
Table DR-1
Radiology-Diagnostic
Summary Statistics
U.S. IMG Non-U.S. IMG Matched (n=66) 4 1.7 232 1.0 238 1.0 1.1 23 6.2 21 Unmatched (n=63) 3 1.8 219 1.2 220 1.2 1.3 41 7.9 14
Measure 1. Mean number of contiguous ranks 2. Mean number of distinct specialties ranked 3. Mean USMLE Step 1 score 4. Mean USMLE Step 1 attempts* 5. Mean USMLE Step 2 CK score 6. Mean USMLE Step 2 CK attempts** 7. Mean USMLE Step 2 CS or ECFMG CSA attempts 8. Mean number of months since ECFMG certification 9. Mean number of years since graduation 10. Percentage who speak English as a native language
Sources: NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
185
Chart DR-1
50
Matched
Not Matched
Number of applicants
40 30 20 10 0 1 2 3 4 5 9 5 8 7 6 8 2 5 5 0 6 26
1 7
1 8
2 9
2 10
1 11
3 12
4 13
0 14
1 15
16 or More
Contiguous Ranks
Non-U.S. IMG
50
Matched
Not Matched
Number of applicants
40 30 20 10 0 1 15
38
14 8 7 6 7 2 4 2 5 3 5 4 7 3 8 3 9 3 11
1 6
1 10
0 12
1 13
0 14
1 15
16 or More
Contiguous Ranks
186
Graph DR-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Radiology-Diagnostic
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
187
Chart DR-2
50
Matched
Not Matched
Number of applicants
40 30 22 20 10 0 1 2 3 4 or More
25 16 14 9 4 8 4
Non-U.S. IMG
Matched
36
Not Matched
Number of applicants
40 33 30 20 10 0 1
19 9 12 10 2 2 3 4 or More 8
188
Chart DR-3
30
Matched
Not Matched
Number of applicants
25 20 15 10 5 0 0 0 0
Between 181 and 190
15 11 7 3 0
Between 191 and 200
13 10 9 10 3 0 0
>260
7 2 4 4 4
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
30
Matched
Not Matched
Number of applicants
25 20 15 10 5 0 0 0 5 1
Between 181 and 190 Between 191 and 200 Between 201 and 210 Between 211 and 220 Between 221 and 230 Between 231 and 240 Between 241 and 250
19 12 8
10 6 7 4 6
10
10
11 6 7 2
Between 251 and 260
4 1
>260
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
189
Graph DR-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Radiology-Diagnostic
180
200
220
240
260
280
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
190
Chart DR-4
80
Matched
Not Matched
Number of applicants
70 60 50 40 30 20 10 0
1
54 42
1
2
0
3
0
4
0
5
6 and mo e
Step 1 Attempts
Non-U.S. IMG
80
Matched
65 50
Not Matched
Number of applicants
70 60 50 40 30 20 10 0
13 1
1 2
0
3
0
4
0
5
6 and mo e
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
191
Graph DR-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
0.8
1.2
1.6
2.0
2.4
2.8
3.2
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
192
Chart DR-5
50 40 40 30 30 20 20 10 10 00
Number of applicants
8 8 00 00 11 00 00
Between 191 Between 191 and 200 and 200
22
6 6
7 7
6 6
6 6
8 8
9 9
11 11
10 10
13 13 5 5 3 3
Between Between 251 251 and and 260 260
7 7 0
>260
Score Unknown
Non-U.S. IMG
50 40 40 30 30 20 20 10 10 00 00 00 22 55 7 7 22
Between 191 Between 191 and 200 and 200
Matched Matched
Number of applicants
13 13 33
Between Between201 201 and and210 210
6 6
9 9
10 10
9 9
11 11
8 8
13 13
8 8
11 11 2 2
8 8 2
>260
Score Unknown
193
Graph DR-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
180
200
220
240
260
280
300
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
194
Chart DR-6
80
Matched
Not Matched
Number of applicants
70 60 50 40 30 20 10 0
1
54 41
1
2
0
3
0
4
0
5
0
6 and mo e
Step 2 CK Attempts
Non-U.S. IMG
80
Matched
66 56
Not Matched
Number of applicants
70 60 50 40 30 20 10 0
0
1 2
0
3
0
4
0
5
0
6 and mo e
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
195
Chart DR-7
80 70
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Matched
Not Matched
Number of applicants
60 50 40 30 20 10 0
51 35
10 3
1 2
0
3
0
4
0
5
6 and mo e
Non-U.S. IMG
80 70 61 46
Matched
Not Matched
Number of applicants
60 50 40 30 20 10 0
13 4
1 2
1
3
0
4
0
5
6 and m re
196
Chart DR-8
30
Matched
Not Matched
Number of applicants
16 11
Non-U.S. IMG
30
Matched
Not Matched
22
Number of applicants
25 20 15 10 5 0 9 5 1 0 2 to 6 7 to 12 13 to 24 25 to 48 6 8 10 10 20 19 18
less than 1
197
Chart DR-9
50 40 30 20
Number of applicants
13 10 0 less than 1 1 to 2 3 to 5 5 3 3
12 8 3 6 to 10 1 3 1 16 to 25 7 0 1
11 to 15
25 or more
Non-U.S. IMG
50 40 30 20 10 0 7 1 less than 1 1 to 2 8 4 3 to 5
Matched
Not Matched
Number of applicants
24 16 18
22 13 4 6 to 10 11 to 15 4 3
16 to 25
25 or more
198
Chart DR-10
50
47 24
Matched
Not Matched
Number of applicants
12
Non-U.S. IMG
50
Number of applicants
40 30 20 10 0
41
47
Matched
Not Matched
15
16
10 Iran
All Other
199
GS
Surgery-General
Table GS-1
Surgery-General
Summary Statistics
U.S. IMG Non-U.S. IMG Matched (n=158) 3 1.2 233 1.0 240 1.0 1.1 16 4.4 20 Unmatched (n=150) 3 1.4 221 1.1 224 1.1 1.2 24 6.3 21
Measure 1. Mean number of contiguous ranks 2. Mean number of distinct specialties ranked 3. Mean USMLE Step 1 score 4. Mean USMLE Step 1 attempts* 5. Mean USMLE Step 2 CK score 6. Mean USMLE Step 2 CK attempts** 7. Mean USMLE Step 2 CS or ECFMG CSA attempts 8. Mean number of months since ECFMG certification 9. Mean number of years since graduation 10. Percentage who speak English as a native language
Sources: NRMP Data Warehouse and ECFMG *USMLE Step 1 or equivalent examination **USMLE Step 2 CK or equivalent examination
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
201
Chart GS-1
100
Matched
Not Matched
Number of applicants
90 80 70 60 50 40 30 20 10 0 1 2 3 4 5 30 34 24 12 15 15 5 12 3 2 6 0 7 7 1 3 8 0 1 9 1 5 10 1 1 11 0 0 12 0 3 13 0 3 14 0 0 15 0 1 1 62
16 or More
Contiguous Ranks
Non-U.S. IMG
100 94
Matched
Not Matched
Number of applicants
90 80 70 60 50 40 30 20 10 0 1 2 3 4 5 47 34 27 24 11 4 10 1 6 6 1 5 7 0 5 8 1 1 9 1 3 10 4 0 11 0 0 12 0 0 13 0 0 14 0 0 15 1 1 5
22
16 or More
Contiguous Ranks
202
Graph GS-1
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Surgery-General
10
11
12
13
14
15
16
17
18
19
20
U.S. IMG
Non-U.S. IMG
203
Chart GS-2
150
Matched
Not Matched
Number of applicants
120 99 90 60 35 30 0 1 2 18 2 3 7 80
0 4 or More
Non-U.S. IMG
127
Matched
103
Not Matched
Number of applicants
120 90 60 30 0 1
26
34 4 2 3 9 1 4 or More 2
204
Chart GS-3
50
Matched
Not Matched
Number of applicants
40 30 22 20 10 0 0 0 0
Between 181 and 190
25
27
31 20 24 18 19 10 3 2 2
>260
10 4
14
11
<= 180
Score Unknown
Step 1 Scores
Non-U.S. IMG
50
Matched
Not Matched
38 28 39
Number of applicants
40 30 20 10 0 0 0 7 6 17 10
25 16
25
22
24 15
20
4
>260
<= 180
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
205
Graph GS-2
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Surgery-General
180
200
220
240
260
280
U.S. IMG
Step 1 Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
Non-U.S. IMG
206
Chart GS-4
160
Matched
Not Matched
Number of applicants
117
105
2
2
10
0
3
0
4
0
5
6 and mo e
Step 1 Attempts
Non-U.S. IMG
160 153 134
Matched
Not Matched
Number of applicants
3
2
12
2
3
0
4
0
5
6 and m
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
207
Graph GS-3
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
U.S. IMG
Non-U.S. IMG
Step 1 Attempts
Source: NRMP Data Warehouse and ECFMG.
208
Chart GS-5
50 50 40 40 30 30 20 20 10 10 00
Number of applicants
30 30 25 25 20 20 14 14 55 55
26 26 16 16
29 29 20 20 15 15 9 9 12 12 3 3
8 1
>260
00
22
00
22
Score Unknown
Non-U.S. IMG
50 50 40 40 30 30 20 20 10 10 00 00 11 11
Between 181 Between 181 and 190 and 190
Matched Matched
Number of applicants
28 28 17 17 88 11 11 44
Between 191 Between 191 and 200 and 200
24 24
27 27
27 27
26 26 19 19
29 29 20 9 9 4 0 0
12 12 44
Between Between201 201 and and210 210 Between Between211 211 and and220 220 Between Between221 221 and and230 230 Between Between231 231 and and240 240 Between Between 241 241 and and 250 250
>260
Score Unknown
209
Graph GS-4
1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00
Probability of Matching
160
180
200
220
240
260
280
U.S. IMG
Non-U.S. IMG
Step 2 CK Score
Source: NRMP Data Warehouse and ECFMG.
Copyright 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.
210
Chart GS-6
160
Matched
118 105
Not Matched
Number of applicants
1
1 2
10
0
3
0
4
0
5
0
6 and o e
Step 2 CK Attempts
Non-U.S. IMG
160 153 140 120 100 80 60 40 20 0
1 2
142
Matched
Not Matched
Number of applicants
0
3
0
4
0
5
0
6 and mo e
Step 2 CK Attempts
Source: NRMP Data Warehouse and ECFMG.
211
Chart GS-7
140 120
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Matched
Not Matched
Number of applicants
100 80 60 40 20 0
1
17 2
2
1
3
0
4
0
5
6 and mo e
Non-U.S. IMG
140 120 139 120
Matched
Not Matched
Number of applicants
100 80 60 40 20 0
1 2
28 17 2
3
0
4
0
5
6 and m re
212
Chart GS-8
70
Number of applicants
60 50 40 30 20 10 0 less than 1 2 to 6 7 to 12 13 to 24 25 to 48 39 18 36 20 15 21 17
10
Non-U.S. IMG
70 60 51
Matched
57 48 29 16 19
Not Matched
Number of applicants
50 40 30 20 10 0 less than 1 2 to 6 8
36 24 13 2 0 no data 1
4 7 to 12 13 to 24 25 to 48
more than 48
213
Chart GS-9
80 70
Not Matched
Number of applicants
60 50 40 30 20 10 0 less than 1 1 to 2 3 to 5 6 to 10 11 to 15 6 30 15 4 41
9 2 2 0
16 to 25
25 or more
Non-U.S. IMG
80 70 68
Matched
Not Matched
Number of applicants
60 50 40 30 20 10 0 less than 1 1 to 2 3 to 5 6 to 10 11 to 15 13 36 27 43 30 14 1 16 to 25 47
10
11 0 0
25 or more
214
Chart GS-10
Number of applicants
120 100 80 60 40 20 0
Matched 62 31 32
Not Matched
47
All Other
Non-U.S. IMG
Number of applicants
120 100 80 60 40 20 0 97 102 Matched Not Matched
10
22
18 Pakistan
12
11 Venezuela
215