Charting Outcomes™: U.S. MD Seniors 2024 Match Outcomes (PDF)

Charting Outcomes™: Characteristics of U.S. MD Seniors Who Matched to Their Preferred Specialty 2024 Main Residency Match® 4th Edition Prepared by: National Resident Matching Program www.nrmp.org August 2024 Questions about the contents of this publication may be directed to National Resident Matching Program, (202) 400-2233 or [email protected]. Questions about the NRMP should be directed to Donna L. Lamb, D.HSc., M.B.A., B.S.N., President and CEO, National Resident Matching Program, (202) 400-2233 or [email protected]. Copyright ©2024 National Resident Matching Program, 455 Massachusetts Avenue NW, Suite 310, Washington, DC 20001 USA. All rights reserved. Permission to use, copy and/or distribute any documentation and/or related images from this publication shall be expressly obtained from the NRMP. National Resident Matching Program, Charting Outcomes in the Match: Senior Students of U.S. Medical Schools, 2024. National Resident Matching Program, Washington, DC 2024. 2024 Table of Contents Introduction..................................................................................................................................................... ii Tables and Charts for All Specialties Chart 1. Active Applicants in the 2024 Main Residency Match...............................................................2 Table 1. Number of Applicants and Positions in the 2024 Main Residency Match.................................. 3 Chart 2. Ratio of U.S. MD Seniors Ranking Specialty First / Available Positions.................................. 4 Chart 3. Match Rates of U.S. MD Seniors................................................................................................5 Table 2. Summary Statistics on U.S. MD Seniors....................................................................................6 Chart 4. Median Number of Contiguous Ranks of U.S. MD Seniors.......................................................7 Chart 5. Mean Number of Different Specialties Ranked of U.S. MD Seniors.........................................8 Chart 6. USMLE Step 1 Scores of U.S. MD Seniors................................................................................9 Chart 7. USMLE Step 2 CK Scores of U.S. MD Seniors.......................................................................10 Chart 8. Mean Number of Research Experiences of U.S. MD Seniors..................................................11 Chart 9. Mean Number of Abstracts, Presentations, and Publications of U.S. MD Seniors...................12 Chart 10. Mean Number of Work Experiences of U.S. MD Seniors........................................................13 Chart 11. Mean Number of Volunteer Experiences of U.S. MD Seniors.................................................14 Chart 12. Percentage of U.S. MD Seniors Who are Members of AOA....................................................15 Chart 13. Percentage of U.S. MD Seniors Graduating from One of the 40 Medical Schools with the Highest NIH Funding..................................................................................................16 Chart 14. Percentage of U.S. MD Seniors Who Have a Graduate Degree...............................................17 Tables and Charts for Individual Specialties Anesthesiology..........................................................................................................................................18 Child Neurology........................................................................................................................................28 Dermatology.............................................................................................................................................38 Diagnostic Radiology...............................................................................................................................48 Emergency Medicine................................................................................................................................58 Family Medicine.......................................................................................................................................68 General Surgery........................................................................................................................................78 Internal Medicine......................................................................................................................................88 Internal Medicine/Pediatrics.....................................................................................................................98 Interventional Radiology.........................................................................................................................108 Neurological Surgery..............................................................................................................................118 Neurology..............................................................................................................................................128 Obstetrics and Gynecology.....................................................................................................................138 Orthopaedic Surgery...............................................................................................................................148 Otolaryngology.......................................................................................................................................158 Pathology................................................................................................................................................168 Pediatrics................................................................................................................................................178 Physical Medicine and Rehabilitation....................................................................................................188 Plastic Surgery........................................................................................................................................198 Psychiatry...............................................................................................................................................208 Radiation Oncology.................................................................................................................................218 Vascular Surgery.....................................................................................................................................228 Copyright ©2024 NRMP. Reproduction prohibited without the i Charting Outcomes in the Match: written permission of the NRMP. MD Seniors, 2024 2024 Introduction Background The first edition of Charting Outcomes in the Match was published in August 2006 to document how applicant qualifications affect success in the Main Residency Match®. The report was published biennially between 2007 and 2011 and was a collaboration of the National Resident Matching Program® (NRMP®) and the Association of American Medical Colleges® (AAMC®). Match outcome data from the NRMP were combined with applicant characteristics from the AAMC’s Electronic Residency Application Service (ERAS®) and United States Medical Licensing Examination (USMLE®) scores from the AAMC data warehouse. Starting with the 2014 Main Residency Match, the NRMP added a Professional Profile section to its Match registration process to collect the USMLE scores and other applicant characteristics, and those have been used to independently produce all subsequent Charting Outcomes in the Match reports. Prior to 2016, this report examined the Match success of only two applicant groups: senior students from U.S. MD medical schools ("U.S. seniors" or "U.S. MD seniors") and independent applicants. Independent applicants included all applicant types other than U.S. seniors: graduates of U.S. MD medical schools, students/graduates of U.S. DO medical schools, students/graduates of Fifth Pathway programs, students/graduates of Canadian medical schools, and U.S. citizen and non-U.S. citizen students/graduates of international medical schools (IMGs). Because independent applicants are a heterogeneous group, a decision was made in 2016 to report data separately for U.S. MD medical school seniors, students/graduates of U.S. DO medical schools, U.S. citizen students/graduates of international medical schools, and non-U.S. citizen students/graduates of international medical schools. In 2018, upon requests from U.S. DO medical schools, the Charting Outcomes in the Match report was redesigned to include only senior students of U.S. DO medical schools ("U.S. DO seniors"), eliminating the reporting on U.S. DO graduates because their numbers are so small. The 2024 Charting Outcomes in the Match reports marks the fourth iteration of publications for U.S. MD Seniors, U.D. DO seniors and U.S. citizen/non-U.S. citizen IMGs. This report examines the characteristics of U.S. MD seniors. Data Match outcome, specialty preference, and ranking information were collected through the Main Residency Match. The 40 U.S. medical schools receiving the highest totals of National Institutes of Health (NIH) grants were obtained from the NIH website. Other applicant characteristics, including USMLE Step 1 and Step 2 Clinical Knowledge (CK) scores, academic degrees, abstracts/presentations/publications, Alpha Omega Alpha Honor Medical Society (AOA) membership, and research, work, and volunteer experiences, were self-reported through the Academic Information section of the NRMP’s Applicant Registration Form for the Match. Completion of the form was optional. It is important to note that due to the transition of USMLE Step 1 to pass/fail (i.e., tests taken after January 26, 2022, only receive a pass/fail rather than a numeric score), the number of applicants reporting Step 1 scores is decreasing and will continue to decrease in upcoming years. In 2024, only 13.3 percent of U.S. MD seniors who consented to provide their academic information upon registration to the Match self-reported numeric Step 1 scores. While low rates of Step 1 numeric scores being reported was expected due to the transition, nearly all U.S. MD seniors who consented to provide their academic information (99.6%) provided their Step 1 pass/fail status. A total of 19,755 U.S. MD seniors submitted certified rank order lists in the 2024 Main Residency Match. After excluding the 18.7 percent of U.S. MD seniors who did not give consent to provide their academic information for use in research, 16,054 applicants were included in the final dataset. Missing data were found in Step 2 CK scores (1.6%), number of research experiences (14.9%), number of abstracts, presentations, and publications (14.1%), number of work experiences (16.1%), number of volunteer experiences (15.6%), Ph.D. degree (5.7%), other graduate degree (5.9%), and AOA membership (7.0%). To ensure that USMLE Step scores were not misreported, the NRMP asked medical schools to verify the scores of their U.S. MD seniors. In 2024, 85.0 percent of the Step 1 scores and 85.2 percent Step 2 CK scores used in this report were verified, corrected, or supplied by U.S. medical schools (i.e., remaining applicant self-reported scores were not verified by medical schools). Because the self-reported scores are highly accurate (the intraclass correlation coefficient (ICC) between the self-reported scores and school-verified scores was 0.991 (99% CI [0.990, 0.992]) for Step 1 scores and 0.882 (99% CI [0.877, 0.887]) for Step 2 CK scores), both verified and unverified scores were used to prepare this report. Methods Specialties that offered 50 or more positions in the 2024 Main Residency Match are included in this report. Transitional Year programs were excluded beginning with the 2011 report because they are not viewed as a preferred specialty choice. Copyright ©2024 NRMP. Reproduction prohibited without the ii Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 2024 Introduction (continued) Twelve measures are incorporated in this report. Probability analysis using a simple logistic regression model was introduced in 2009 to evaluate the relationship between Match success and contiguous ranks and USMLE Step 1 scores. Probability analyses in this report used data on U.S. MD seniors who participated in the Match in 2022, 2023, and 2024. It is important to note that for purposes of this report, Match success is defined as a match to the specialty of the applicant’s first -ranked program, or "preferred specialty," because that is assumed to be the specialty of choice. No distinction was made based on applicants' program choice. Summary Some general observations apply to all specialties in this report. U.S. MD seniors who are successful in matching to their preferred specialty (compared to those who do not match to their preferred specialty) are more likely to: · Rank more programs within their preferred specialty · Have higher USMLE Step 1 and Step 2 scores · Be members of Alpha Omega Alpha Honor Medical Society · Have graduated from one of the 40 U.S. medical schools with the highest NIH funding Although other measures may be related to Match success for some specialties, the relationships are not consistent enough to draw broad conclusions across specialties. In addition, the data sources used for Charting Outcomes in the Match do not include other important applicant factors such as course evaluations, reference letters, and the Medical School Performance Evaluation (MSPE). Despite the fairly strong relationship between USMLE Step scores and Match success, the distributions of scores show that program directors do consider other qualifications. A high score is not a guarantee of success, and a low score is not a bar to success. Even in the most competitive specialties, a few individuals with high scores are not successful. In the less competitive specialties, U.S. MD seniors with scores slightly above passing usually match to their preferred specialties. The data are reassuring because they indicate that at least some programs do not employ an arbitrary cutoff or decline to consider applicants with less than excellent test performance. The data in this report support the following straightforward advice for applicants: · Rank the programs with which you’ve interviewed in the order you most prefer them. · Include a mix of both competitive and less competitive programs within your preferred specialty. · Include all programs on your list where you would be willing to train if matched. · Include all of your qualifications in your application but know that you do not have to be AOA, have the highest USMLE scores, have publications, or have participated in research projects to match successfully. For questions, comments or more information, please contact: National Resident Matching Program 455 Massachusetts Avenue NW, Suite 310 Washington, DC 20001 Tel: (202) 400-2233 Email: [email protected] Copyright ©2024 NRMP. Reproduction prohibited without the iii Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 Tables and Charts for All Specialties Copyright ©2024 NRMP. Reproduction prohibited without the 1 Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 Chart Active Applicants in the 2024 Main Residency Match 1 by Applicant Type Students/Graduates of Senior students of U.S. Canadian Medical MD Medical Schools Schools and Fifth Pathway Programs 19,755 15 U.S. Citizen Students/Graduates of International Medical Schools 4,751 Graduates of U.S. DO Medical Schools 616 Graduates of U.S. MD Medical Schools 1,662 Non-U.S. Citizen Students/Graduates of International Medical Schools 10,021 Senior students of U.S. DO Medical Schools 8,033 Chart 1 shows the number of active applicants (i.e., applicants who have certified a rank order list) by applicant type in the 2024 Main Residency Match. A total of 44,853 active applicants participated in the 2024 Main Residency Match. U.S. MD seniors constituted the largest group, comprising 44.0 percent of applicants in the Match. The second largest group of active applicants were Non-U.S. IMGs at 22.3 percent, followed by U.S. DO seniors at 17.9 percent. The number of students and graduates of Canadian medical schools and Fifth Pathway programs remains small (n=15). Copyright ©2024 NRMP. Reproduction prohibited without the 2 Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 Table Number of Applicants and Positions in the 2024 Main Residency Match 1 by Preferred Specialty* Total Total Number of Number of U.S. MD Seniors Number of Positions Number of All Applicants Not U.S. MD Seniors Preferred Specialty Offered All Applicants Per Position Matched Matched Total Per Position Anesthesiology 2,135 2,933 1.37 1,387 241 1,628 0.76 Child Neurology 212 211 1.00 134 4 138 0.65 Dermatology 576 916 1.59 424 177 601 1.04 Diagnostic Radiology 1,186 1,566 1.32 777 122 899 0.76 Emergency Medicine 3,026 2,980 0.98 1,246 26 1,272 0.42 Family Medicine 5,213 4,702 0.90 1,427 17 1,444 0.28 General Surgery 1,717 2,529 1.47 1,028 229 1,257 0.73 Internal Medicine 10,681 13,143 1.23 3,699 83 3,782 0.35 Internal Medicine/Pediatrics 390 488 1.25 337 55 392 1.01 Interventional Radiology 190 256 1.35 144 30 174 0.92 Neurological Surgery 241 414 1.72 204 93 297 1.23 Neurology 1,126 1,476 1.31 600 40 640 0.57 Obstetrics and Gynecology 1,539 2,034 1.32 1,100 184 1,284 0.83 Orthopaedic Surgery 916 1,448 1.58 726 267 993 1.08 Otolaryngology 382 496 1.30 339 75 414 1.08 Pathology 628 942 1.50 257 18 275 0.44 Pediatrics 3,139 2,904 0.93 1,438 4 1,442 0.46 Physical Medicine and Rehabilitation 577 740 1.28 291 52 343 0.59 Plastic Surgery 213 350 1.64 188 65 253 1.19 Psychiatry 2,261 2,859 1.26 1,304 159 1,463 0.65 Radiation Oncology 203 201 0.99 119 3 122 0.60 Vascular Surgery 100 139 1.39 77 10 87 0.87 * Preferred specialty is the specialty of the first-ranked program on an applicant's rank order list, excluding preliminary programs in specialties. Source: NRMP Data Warehouse. Table 1 provides a summary of the numbers of positions offered in selected specialties, the number of applicants who preferred each specialty (i.e., specialty of the first-ranked program on an applicant’s rank order list), and the number of U.S. MD seniors who preferred each specialty. For example, a total of 2,933 applicants preferred Anesthesiology, among whom 1,628 are U.S. MD seniors (1,387 matched and 241 not matched to Anesthesiology). For each of the 2,135 positions offered, there were 1.37 applicants who preferred the specialty, including 0.76 U.S. MD seniors. Only those specialties offering 50 or more positions are included. For those specialties offering both PGY 1 and PGY 2 positions (including Physician (R) positions), all position types have been combined. Copyright ©2024 NRMP. Reproduction prohibited without the 3 Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 Chart Ratio of MD Seniors Ranking Specialty First / Available Positions 2 by Preferred Specialty 2.5 U.S. MD Seniors All Other Applicants 2.0 1.5 0.4 1.0 0.7 0.4 1.2 1.1 1.2 1.0 0.8 0.6 0.6 0.8 0.9 0.8 0.7 0.9 0.4 0.3 1.0 1.1 0.6 0.5 0.6 0.5 1.1 0.9 0.6 0.6 0.7 0.7 0.7 0.6 0.6 0.6 0.6 0.4 0.5 0.5 0.5 0.5 0.5 0.5 0.3 0.4 0.3 0.2 0.0 y In edi l Me ry Pa ogy Pe ogy Pl bili s Ps ery ne gy M ne e y ry ery ry eu ry gn erm ogy ed e Su y N logy Su y cs y Fa Me y tic tion og ic er ar log g og g in en e/P icin e at e eu al R atri lo lo o ci eh iatr ic rg rg g rg rg Em tic atol ol ol l ol l hi ta ro di ro co hi esio co io r ed d u Su u th ng di i yc d ge ad eu rn Inte l S S n a O th a R c l N a ca rth Gy y ily di la na es n er ul as nc ld D ae gi tio to m n R en sc n An d r os ci lo O tio ia an op C d Va G ro ad er an cs M ia R rv e O tri N D in al te te ic bs ed te O In M al ic ys Ph Source: NRMP Data Warehouse Chart 2 shows the ratios of U.S. MD seniors and all applicants who preferred each specialty to available positions in that specialty. All specialties except Dermatology, Internal Medicine/Pediatrics, Neurological Surgery, Orthopaedic Surgery, Otolaryngology, and Plastic Surgery had enough positions to accommodate all U.S. MD seniors who preferred that specialty. The ratio of U.S. MD seniors was lowest for Family Medicine, Internal Medicine, and Emergency Medicine. Copyright ©2024 NRMP. Reproduction prohibited without the 4 Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 Chart Match Rates of U.S. MD Seniors 3 Percent Matched by Preferred Specialty 100 97.1 98.0 98.8 97.8 99.7 97.5 93.8 93.5 86.4 89.1 88.5 80 85.2 86.0 85.7 84.8 81.8 82.8 81.9 73.1 74.3 70.5 68.7 60 40 20 0 Su n y l S gy gy ne gy y Su y gy e y Ps ery s gy ab ics M ne ry ry ng y y ed e y y og er eu al R tric g io er og er og og in in at ge lo o lo lo lo lo ci tr as litat ic ic rg rg rg g ol ol ol ol ol tio chi io ia o ia co o o i r ur ed d d u u di ur r di h at c d es Fa Me e eu S S i n t y a a Pe M Pa gn erm e O ry th R en e/P tic ar al c N N ca rth Gy eh ily di y al la es n er ul tic nc ld D gi ae rn to m n R sc en n An d hi os ci lo Pl ge O te tio ia an op d C Va i G ro ed In an ad er cs Em M ia R rv e O tri N D in al te te ic rn In bs ed te O M In al ic ys Ph Source: NRMP Data Warehouse Chart 3 shows the percentages of U.S. MD seniors who matched to their preferred specialty. Overall, 89.8 percent of U.S. MD seniors matched to their preferred specialty, ranging from a high of 99.7 percent (Pediatrics) to a low of 68.7 percent (Neurological Surgery). Copyright ©2024 NRMP. Reproduction prohibited without the 5 Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 Table Summary Statistics on U.S. MD Seniors 2 All Specialties Combined Matched Not Matched Measure (n=14,315) (n=1,558) 1. Mean number of contiguous ranks 13.2 5.8 2. Mean number of distinct specialties ranked 1.2 1.6 3. Mean USMLE Step 1 score* 233 225 4. Mean USMLE Step 2 CK score 250 242 5. Mean number of research experiences 3.7 4.3 6. Mean number of abstracts, presentations, and publications 10.0 11.0 7. Mean number of work experiences 1.9 2.3 8. Mean number of volunteer experiences 4.5 4.9 9. Percentage who are AOA members 17.1 8.9 10. Percentage who graduated from one of the 40 U.S. medical schools 30.5 22.6 with the highest NIH funding 11. Percentage who have Ph.D. degree 3.8 3.1 12. Percentage who have another graduate degree 19.2 23.8 Sources. NRMP Data Warehouse; Top 40 U.S. medical schools with the highest NIH funding in measure 10 is from the NIH website (http://report.nih.gov/award/index.cfm). * Only applicants who indicated completion of the USMLE Step 1 exam prior to the transition to pass/fail (i.e., prior to January 26, 2022) had the option to self-report their Step 1 numeric score. In 2024, only 2,143 U.S. MD seniors self-reported Step 1 numeric scores. Table 2 provides summary statistics for all specialties by Match outcome on the 12 measures presented in this report. Data for table items 3-9, 11 & 12 were self-reported by applicants during the Main Residency Match registration process. Data on each of these measures are displayed graphically by preferred specialty on the following pages. Only U.S. MD seniors who gave consent to provide their academic information for use in research are included in this table and the rest of the report. When interpreting data on USMLE Step 1 scores, it is important to note that due to the transition from numeric scores to pass/fail, only 2,143 U.S. MD seniors self-reported their Step 1 numeric score in 2024. Compared to U.S. MD seniors who did not match, those who matched had higher mean numbers of contiguous ranks, USMLE Step 1 scores, and USMLE Step 2 CK scores as well as higher percentages of applicants who are AOA members, graduated from one of the 40 U.S. medical schools with highest NIH funding, and have a Ph.D. Those who did not match had higher mean numbers of research experiences as well as higher percentages of applicants who have a graduate degree other than a Ph.D. Copyright ©2024 NRMP. Reproduction prohibited without the 6 Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 Chart Median Number of Contiguous Ranks of U.S. MD Seniors 4 by Preferred Specialty and Match Status Matched Not Matched 16 16 16 23 15 15 14 14 12 13 13 13 13 13 13 13 13 12 12 11 11 11 11 8 9 8 7 7 7 6 4 5 5 5 4 4 4 4 4 4 4 4 3 3 2 2 2 0 1 y y gy Pe gy Ps ery cs ec y ne ne y ry ery ry eu ry y ed e Su y gy Su y ad s gy Fa Me y tic tion og g er er og g og eu al R tric g n at ge eh atri o lo lo lo lo lo lo ci ci ci rg rg rg rg ol ol ol ol hi a ro di go di di co io a io o ur ilit rn Inte l Su Su th at i r ge adi i yc d e e es eu lS n n M M ab Pa gn erm O n th en e/P R c ar N N a ca rth Gy y ily di al la es n er ul Em tic as nc ld D ae rn gi tio to m n R en sc n An d hi os i Pl lo O c tio ia an op C d Va i G ro ed ad er an cs M ia R rv e O tri N D in al te te ic In bs ed te O In M al ic ys Ph Source: NRMP Data Warehouse In general, applicants are more likely to be successful if they rank more programs in their desired specialty. To quantify this aspect of applicant behavior, we tallied the number of programs ranked in the first-choice specialty before a program in another specialty appeared on the applicant's rank order list (i.e., number of contiguous ranks). Chart 4 displays the median number of contiguous ranks by preferred specialty for U.S. MD seniors who matched and did not match to their preferred specialty. The chart shows some variation across the specialties for U.S. MD seniors. Vascular Surgery had the longest average contiguous rank list (23) for matched U.S. MD seniors while Interventional Radiology had the shortest (4). For all specialties, U.S. MD seniors who matched to their preferred specialty had median contiguous rank lists that were longer than those of U.S. MD seniors who did not match. The principal message is that applicants with longer rank order lists are more successful than those with shorter ones. Some applicants may have shorter lists because they found only a few programs willing to entertain their applications and extend interview offers. Copyright ©2024 NRMP. Reproduction prohibited without the 7 Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 Chart Mean Number of Different Specialties Ranked by U.S. MD Seniors 5 by Preferred Specialty and Match Status 3.0 Matched Not Matched 2.5 2.5 2.4 2.3 2.3 2.3 2.2 2.0 2.1 2.0 1.9 1.8 1.8 1.5 1.6 1.6 1.5 1.5 1.4 1.4 1.3 1.3 1.3 1.3 1.3 1.3 1.3 1.2 1.2 1.2 1.2 1.2 1.2 1.0 1.1 1.1 1.1 1.1 1.1 1.1 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 0.5 0.0 y y y Pe gy Ps ery cs ec y ne e y ry ery ry eu ry y ed e Su y gy y ad s gy Fa Me y tic tion og g er og er og g og eu al R tric g in n at ge eh atri o lo lo lo lo o ci ci ic g rg g rg ol ol ol ol ol ol hi a ro di di co io ia io ur ur ur ed ilit Su th at ng di r ge adi yc e es eu S S lS n M M ab Pa gn erm O n th /P R al c ar N N ca rth Gy y ily di al la es n er ul e Em tic as nc ld D ae n gi tio o m in R en sc n An d hi er t os Pl lo O c tio ia an op C d Va t i G ro ed n ad er an en I cs M ia R rv e O tri N D in al te te ic rn In bs ed te O In M al ic ys Ph Source: NRMP Data Warehouse Some applicants are interested in a single specialty while others consider two or more. Chart 5 displays the average number of different specialties ranked by preferred specialty and Match outcome. For all specialties except Pathology, U.S. MD seniors who did not match to their preferred specialty had a higher mean number of different specialties ranked. Copyright ©2024 NRMP. Reproduction prohibited without the 8 Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 Chart USMLE Step 1 Scores of U.S. MD Seniors 6 by Preferred Specialty and Match Status Matched Not Matched 270 260 250 240 230 220 210 200 190 180 y y y Pe gy Ps ery cs ne gy M ne e y ry ery ry y y ed e Su y gy y s l S gy Fa Me y n og er og er er og g og eu al R tric og in in io at eh atri lo lo lo lo o ci ic c g g g rg rg as itat ol ol ol ol ol ol hi o o di di sc nco io a r r ur ed u Su u h at ur ng i r c di i i yc d In edic Me es ge ad eu il rn Inte l S S t ab a Pa gn erm e O th /P R tic c ar N N a ca rth Gy y ily di al la es n er ul e Em tic nc ld D ae rn gi tio to m in R en n An d hi os Pl lo O tio ia an op C d Va G ro ad er an en cs M ia R rv e O tri N D in al te te ic bs ed te O In M al ic ys Ph Source: NRMP Data Warehouse The USMLE Step 1 exam aims to measure a student’s understanding of important basic science concepts and the ability to apply that knowledge to the practice of medicine. USMLE Step 1 exams taken prior to January 26, 2022 produced a numeric score. From this date forward, Step 1 exam results transitioned to pass/fail, resulting in numeric score information not being available to applicants nor programs. In 2024, 2,143 (13.3%) of U.S. MD seniors self-reported Step 1 scores from exams taken prior to the transition. The results presented in Chart 6 and below should be interpreted with this in mind. Overall, U.S. MD seniors who matched to their preferred specialty in this limited dataset have mean USMLE Step 1 scores of 233.2 (s.d. = 18.4). Chart 6 displays the Step 1 scores for U.S. MD seniors by specialty and match status. The horizontal bars are the median values and the vertical lines show the interquartile ranges (IQR, the range of scores for applicants excluding the top and bottom quarters of the distribution). Scores are generally higher for the more competitive specialties, but there is substantial overlap when specialties are compared. Across all specialties except Otolaryngology, the IQR of U.S. MD seniors who matched to their preferred specialties was higher than that of those who did not match. Copyright ©2024 NRMP. Reproduction prohibited without the 9 Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 Chart USMLE Step 2 CK Scores of U.S. MD Seniors 7 by Preferred Specialty and Match Status Matched Not Matched 270 260 250 240 230 220 210 200 190 180 y y gy Pe gy Ps ery cs ne gy M ne rn Inte l Su e y y ry eu ry y ed e Su y gy gy s l S gy Fa Me y tic tion og er er ar ger og g eu al R tric g in in at ge eh atri lo lo lo lo lo lo lo lo i ic ic ne dic rg rg rg ol ol hi a ro go ho co io co ia lo adio io ur ur ed d Pl bilit Su at di r yc e es ge ad eu S n yn t M Pa gn erm O th a /P R c ar N N a ca rth Gy y ily di al es n er ul Em tic as nc ld ol D ae rn gi tio m R en sc n An d hi t os ci O tio ia an op C d Va i G ro d ad er an en e cs M ia R rv e O tri N D in al te te ic In bs ed te O In M al ic ys Ph Source: NRMP Data Warehouse USMLE Step 2 CK 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. MD seniors who matched to their preferred specialty had mean USMLE Step 2 CK scores of 250.4 (s.d. = 13.2), well above the 2024 minimum passing score of 214. Step 2 CK scores were available for 98.4 percent of U.S. MD seniors who consented to provide this information. Chart 7 shows the Step 2 CK scores for U.S. MD seniors by preferred specialty and match status. The horizontal bars are the median values, and the vertical bars show the interquartile ranges. As was the case for the Step 1 scores, the more competitive specialties have higher average Step 2 CK scores, but the overall variation is smaller. Across all specialties, the IQR of U.S. MD seniors who matched to their preferred specialties was higher than that of those who did not match. Copyright ©2024 NRMP. Reproduction prohibited without the 10 Charting Outcomes in the Match: written permission of the NRMP. U.S. MD Seniors, 2024 Chart Mean Number of Research Experiences of U.S. MD Seniors 8 by Preferred Specialty and Match Status Matched Not Matched 10.0 9.0 9.2 8.6 8.0 8.1 8.0 7.0 7.1 6.0 6.4 5.8 5.5 5.5 5.0 4.9 4.7 4.6 4.6 4.5 4.0 4.4 4.2 4.2 3.8 3.8 3.7 3.6 3.5 3.0 3.4 3.3 3.3 3.3 3.3 3.1 3.1 3.1

Charting Outcomes™: U.S. MD Seniors 2024 Match Outcomes (PDF)

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