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Charting Outcomes in the Match International Medical Graduates Characteristics of Applicants Who Matched to Their Preferred Specialty in the 2013 Main Residency Match 1st Edition Prepared by: National Resident Matching Program and Educational Commission for Foreign Medical Graduates January 2014 www.nrmp.org www.ecfmg.org

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Charting Outcomes in the MatchInternational Medical GraduatesCharacteristics of Applicants Who Matched to Their Preferred Specialty in the 2013 Main Residency Match

1st Edition

Prepared by:National Resident Matching Programand Educational Commission for Foreign Medical Graduates

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 [email protected].

Questions about the NRMP should be directed to Mona M. Signer, Executive Director, National Resident Matching Program, (202) 400-2233 or [email protected].

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 [email protected].

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 CitationNational 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 ..................................................................................................................................................... iiTables 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 .......................................................................................................................................... 24 Emergency Medicine ................................................................................................................................. 40 Family Medicine ........................................................................................................................................ 56 Internal Medicine....................................................................................................................................... 72 Neurology .................................................................................................................................................. 88 Obstetrics and Gynecology ...................................................................................................................... 104 Pathology ................................................................................................................................................. 120 Pediatrics ................................................................................................................................................. 136 Physical Medicine and Rehabilitation ..................................................................................................... 152 Psychiatry ................................................................................................................................................ 168 Radiology ................................................................................................................................................ 184 Surgery ....................................................................................................................................................200

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014i

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Introduction

ii Charting Outcomes in the Match, IMG, 2014

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.¹ 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 programs¹ The Educational Commission for Foreign Medical Graduates (2000). A History: 1956-2000. Educational Commission for Foreign Medical Graduates, Philadelphia, PA

Introduction (Continued)

iii Charting Outcomes in the Match, IMG, 2014Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

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 applicant’s 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 EvaluationNational Resident Matching Program Educational Commission for Foreign Medical GraduatesTel: (202) 400-2233 Tel: (215) 823-2227Email: [email protected] Email: [email protected]

Tables and Charts for All Specialties

7,568Non-U.S. IMG

5,095U.S. IMG

2,677Osteopathic

1,487U.S. graduate

21Canadian

20Fifth Pathway

17,487U.S. senior

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%

Source: NRMP Data Warehouse

Chart1

Active Applicants in the 2013 Main Residency Matchby Applicant Type

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

1 Charting Outcomes in the Match for IMGs, 2014

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.

2

Table1

Number of IMG Applicants and Positions in the 2013 Main Residency Matchby Preferred Specialty*

TotalPositionsOfferedPreferred Specialty

TotalNumber ofApplicants

Number ofApplicants

Per Position Matched MatchedNot

MatchedNot

Matched

U.S. IMG Non-U.S. IMG

Anesthesiology 1,653 1,846 1.1 95 65 78 85Emergency Medicine 1,744 2,219 1.3 53 137 31 53Family Medicine 3,037 4,096 1.3 531 702 293 616Internal Medicine 6,612 9,193 1.4 841 753 1,690 1,856Neurology 692 844 1.2 59 44 148 149Obstetrics and Gynecology 1,237 1,613 1.3 78 99 62 120Pathology 583 797 1.4 46 69 151 136Pediatrics 2,699 3,258 1.2 196 151 278 382Physical Medicine and Rehabilitation 397 548 1.4 40 43 21 26Psychiatry 1,362 1,921 1.4 203 256 163 277Radiology-Diagnostic 1,143 1,254 1.1 55 47 66 63Surgery-General 1,185 1,872 1.6 119 123 158 150

*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.

Charting Outcomes in the Match for IMGs, 2014

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.

3

Chart2

Ratio - Applicants Ranking Specialty First / Available Positionsby Preferred Specialty

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

0.91.1

0.6 0.6 0.6

1.0

0.70.8

1.1

0.80.9

1.1

0.1

0.1

0.30.5 0.4

0.1

0.5 0.2

0.1

0.3 0.1

0.3

0.1

0.10.4

0.2

0.10.1 0.2

0.1

0.2 0.3

0.1

0.2U.S. IMG Non-U.S. IMG All other applicant types

Source: NRMP Data Warehouse

Charting Outcomes in the Match for IMGs, 2014

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.

4

Chart3

Match RatesPercent Matched by Preferred Specialty and IMG Applicant Type

0

10

20

30

40

50

60

70

80

90

100

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

48

59

28

43

5357

4440

57

4844

5449

4448

3732

48 50

34

53

42 45

37

51 51

U.S. IMG Non-U.S. IMG

Source: NRMP Data Warehouse

Charting Outcomes in the Match for IMGs, 2014

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.

5

Table2

Summary StatisticsAll Specialties Combined

Measure (n=2,369) (n=2,604) (n=3,219) (n=4,111)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

1. 7 3 6 3Mean number of contiguous ranks2. 1.4 1.6 1.3 1.5Mean number of distinct specialties ranked3. 217 204 227 213Mean USMLE Step 1 score4. 1.2 1.7 1.1 1.2Mean USMLE Step 1 attempts*5. 224 209 233 218Mean USMLE Step 2 CK score6. 1.1 1.6 1.0 1.2Mean USMLE Step 2 CK attempts**7. 1.1 1.4 1.1 1.3Mean USMLE Step 2 CS or ECFMG CSA attempts8. 8 26 16 26Mean number of months since ECFMG certification9. 1.7 5.7 4.7 7.5Mean number of years since graduation

10. 76 56 24 18Percentage 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

Charting Outcomes in the Match for IMGs, 2014

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.

6Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Chart4

Median Number of Contiguous Ranks by Preferred Specialty, IMG Applicant Type, and Match Status

0

2

4

6

8

10

All Specialties Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetrics andGynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

7

9

54

7

5

7

5

98

4 433

2 21 1 1

21 1

21 1 1

Matched Not Matched

Source: NRMP Data Warehouse

U.S. IMG

0

2

4

6

8

10

All Specialties Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetrics andGynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

6

3 32

54 4

5 56

5

32

3

1 1 12

1 1 1 1 1 1 1 1

Matched Not Matched

Source: NRMP Data Warehouse

Non-U.S. IMG

Charting Outcomes in the Match for IMGs, 2014

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.

7 Charting Outcomes in the Match for IMGs, 2014

Graph1

Probability of Matching to Preferred Specialty by Number of Contiguous Ranksby IMG Applicant Type

0.00

0.20

0.40

0.60

0.80

1.00

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Source: NRMP Data Warehouse

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.

8

Chart5

Mean Number of Different Specialties Rankedby Preferred Specialty, IMG Applicant Type, and Match Status

U.S. IMG

0

1

2

3

All Specialties Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetrics andGynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

1.4 1.

8

1.7

1.3

1.3 1.

7

1.3

1.1 1.2

1.8

1.4

2.1

1.21.

6

2.1

2.0

1.5 1.6 2.

0

1.7

1.5

1.5 1.

8

1.4 1.

7

1.4

Matched Not Matched

Source: NRMP Data Warehouse

Non-U.S. IMG

0

1

2

3

All Specialties Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetrics andGynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

1.3 1.

7

1.5

1.4

1.3 1.

7

1.2 1.3

1.3

1.8

1.2

1.7

1.21.

5 1.9

1.8

1.5

1.4 1.

8

1.6

1.3 1.

5 1.9

1.3

1.8

1.4

Matched Not Matched

Source: NRMP Data Warehouse

Charting Outcomes in the Match for IMGs, 2014

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.

9Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Chart6

USMLE Step 1 Scores of Matched Applicantsby Preferred Specialty and IMG Applicant Type

U.S. IMG

180

190

200

210

220

230

240

250

260

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

Sources: NRMP Data Warehouse and ECFMG

Non-U.S. IMG

180

190

200

210

220

230

240

250

260

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

Sources: NRMP Data Warehouse and ECFMG

Charting Outcomes in the Match for IMGs, 2014

USMLE Step 1 scores are a measure of an applicant’s 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 NRMP’s 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.

10 Charting Outcomes in the Match for IMGs, 2014

Graph2

Probability of Matching to Preferred Specialty by USMLE Step 1 Scoreby IMG Applicant Type

0.00

0.20

0.40

0.60

0.80

1.00

180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

STEP 1 Scores

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.

11

Chart7

Mean Number of USMLE Step 1 Attempts*by Preferred Specialty and IMG Applicant Type

U.S. IMG

0

1

2

3

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

1.2

1.0 1.1 1.

4

1.1

1.1

1.0 1.1

1.1

1.1 1.

4

1.0

1.0

1.7

1.7

1.2

2.1

1.6

2.1

1.4 1.

7

1.7

1.3

2.2

1.1 1.

3

Matched Not Matched

Sources: NRMP Data Warehouse and ECFMG

Non-U.S. IMG

0

1

2

3

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

1.1

1.1

1.0 1.

2

1.0 1.1

1.0

1.0

1.0 1.1 1.2

1.0

1.01.

2

1.2 1.3 1.4

1.2

1.2

1.2

1.2

1.2 1.

5

1.4

1.2

1.1

Matched Not Matched

Sources: NRMP Data Warehouse and ECFMG

Charting Outcomes in the Match for IMGs, 2014

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.

*USMLE Step 1 or equivalent examination

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

12 Charting Outcomes in the Match for IMGs, 2014

Graph3

Probability of Matching to Preferred Specialty by Step 1 Attempts*by IMG Applicant Type

0.00

0.20

0.40

0.60

0.80

1.00

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

U.S. IMG Non-U.S. IMG

STEP 1 Attempts

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 imposelimits on the number of attempts taken.

*USMLE Step 1 or equivalent examination

Chart8

USMLE Step 2 CK (Clinical Knowledge) Scores of Matched Applicantsby Preferred Specialty and IMG Applicant Type

U.S. IMG

180

190

200

210

220

230

240

250

260

All Specialties Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

Sources: NRMP Data Warehouse and ECFMG.

Non-U.S. IMG

180

190

200

210

220

230

240

250

260

All Specialties Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

Sources: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

13 Charting Outcomes in the Match for IMGs, 2014

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.

14 Charting Outcomes in the Match for IMGs, 2014

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) Scoreby IMG Applicant Type

Graph4

0.00

0.20

0.40

0.60

0.80

1.00

180 190 200 210 220 230 240 250 260 270 280

U.S. IMG Non-U.S. IMG

STEP 2 CK Scores

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.

15

Chart9

Mean Number of USMLE Step 2 CK (Clinical Knowledge) Attempts*by Preferred Specialty, IMG Applicant Type, and Match Status

U.S. IMG

0

1

2

3

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

1.1

1.0 1.1 1.2

1.1

1.1

1.1

1.1

1.0 1.1 1.

4

1.0

1.0

1.6

1.5

1.3

1.9

1.4

1.8

1.3 1.

5

1.4 1.5

1.9

1.2

1.2

Matched Not Matched

Sources: NRMP Data Warehouse and ECFMG

Non-U.S. IMG

0

1

2

3

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

1.0

1.0 1.1

1.1

1.0

1.0

1.0 1.1

1.0

1.0 1.1

1.0

1.01.

2

1.1 1.2 1.3

1.1

1.1 1.2

1.2

1.1 1.

4

1.3

1.2

1.1

Matched Not Matched

Sources: NRMP Data Warehouse and ECFMG

Charting Outcomes in the Match for IMGs, 2014

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.

*USMLE Step 2 CK or equivalent examination

Charting Outcomes in the Match for IMGs, 201416Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) Attempts*by IMG Applicant Type, and Match Status

Graph5

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

1 2 3 4 5 6 7 8 9 10 11 12 13 14

U.S. IMG Non-U.S. IMG

STEP 2 CK Attempts

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.

*USMLE Step 2 CK or equivalent examination

Chart10

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

U.S. IMG

0

1

2

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

1.1

1.1

1.1

1.1

1.1

1.1

1.0 1.

2

1.1

1.0 1.

2

1.1

1.0

1.4

1.3

1.1

1.5

1.4

1.4

1.2

1.6

1.3

1.1

1.5

1.3

1.2

Matched Not Matched

Sources: NRMP Data Warehouse and ECFMG.

Non-U.S. IMG

0

1

2

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

1.1

1.1 1.

2

1.1

1.1

1.1

1.1 1.

2

1.1

1.1 1.

2

1.1

1.11.

3

1.3

1.1

1.4

1.3 1.

4

1.3

1.6

1.3

1.3 1.

4

1.3

1.2

Matched Not Matched

Sources: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

17 Charting Outcomes in the Match for IMGs, 2014

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.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

18

Chart11

Mean Number of Months after ECFMG Certificationby Preferred Specialty, IMG Applicant Type, and Match Status

U.S. IMG

0

10

20

30

40

50

60

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

8.03.7

8.6 8.3 6.8 7.43.9

9.23.3

6.6

17.913.0

7.6

25.6 27.4

12.7

28.122.1

28.3

15.5

39.1

21.4

13.4

40.5

29.7

19.3

Matched Not Matched

Source: NRMP Data Warehouse and ECFMG

Non-U.S. IMG

0

10

20

30

40

50

60

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

16.0

24.1

11.5 13.7 14.719.0

10.1

21.2

12.4

22.9 20.4 22.616.1

25.629.8 31.3

27.321.7

29.426.4

29.924.2

35.6 35.940.8

23.8

Matched Not Matched

Source: NRMP Data Warehouse and ECFMG

Charting Outcomes in the Match for IMGs, 2014

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.

19

Chart12

Mean Number of Years After Graduationby Preferred Specialty, IMG Applicant Type, and Match Status

U.S. IMG

0

5

10

15

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

1.70.5 1.1 1.7 1.7 2.0

0.9

4.1

0.7 1.4

3.8

1.4 1.1

5.74.8

1.8

6.1 5.9 5.84.6

11.2

5.8

1.8

8.3

6.3

2.7

Matched Not Matched

Sources: NRMP Data Warehouse and ECFMG

Non-U.S. IMG

0

5

10

15

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

4.7

7.2

3.3 3.6 4.35.4

3.3

9.4

3.9

7.36.0 6.2

4.4

7.5

10.7

5.2

7.86.6

7.7 8.0

12.6

7.2

11.39.9

7.96.3

Matched Not Matched

Sources: NRMP Data Warehouse and ECFMG

Charting Outcomes in the Match for IMGs, 2014

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.

20

Chart13

Percentage of IMG Applicants whose Native Language is English*by Preferred Specialty, IMG Applicant Type, and Match Status

U.S. IMG

0

25

50

75

100

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

76

9183

7871 71

8274

87 8373 73

81

56

7283

54 51 5262

29

53

74

49 53

74

Matched Not Matched

Source: NRMP Data Warehouse and ECFMG

Non-U.S. IMG

0

25

50

75

100

AllSpecialties

Anesthesiology EmergencyMedicine

FamilyMedicine

InternalMedicine

Neurology Obstetricsand

Gynecology

Pathology Pediatrics PhysicalMedicine &

Rehab

Psychiatry Radiology Surgery-General

24 2836

58

19 14

39

9

25

3826

21 201811

53

30

1710

177

16 12 14 1421

Matched Not Matched

Source: NRMP Data Warehouse and ECFMG

Charting Outcomes in the Match for IMGs, 2014

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.

* Native languate as English is self-reported

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

21

Chart14

IMG Applicants' Citizenship at Birthby IMG Applicant Type and Match Status

U.S. IMG

0200400600800

1,0001,2001,4001,600

Bangla

desh

China

Cuba

Egypt

India

Iran

Nigeria

Pakist

an

Philipp

ines

United

Stat

es

Vietna

m

All Othe

r21 24 17 14

183

50 27 76 18

1,58

3

23

332

49 57 39 67

298

73 67

209

35

1,17

6

36

615

Matched Not Matched

Source: NRMP Data Warehouse and ECFMG

Num

ber o

f app

lican

ts

Non-U.S. IMG

0200400600800

1,0001,2001,4001,600

Bangla

desh

Brazil

Canad

aChin

aColo

mbia

Domini

can R

epub

licEgy

ptGerm

any

India

Iran

Iraq

Jorda

nKore

aLe

bano

nLib

yaMex

icoMya

nmar

Nepal

Nigeria

Pakist

an

PeruPhil

ippine

sSau

di Arab

iaSri L

anka

Sudan

Syria

United

King

dom

Venez

uela

All Othe

r

15 34

260

122

43 30 74 34

860

101

72 74 38 70 22 39 24 45 96

254

34 53 52 24 19 85 37 53

555

43 18

152

202

38 32

170

21

1,34

6

165

110

56 43 45 48 40 47 55

225 42

9

29 81 66 35 32 99 34 32

656

Matched Not Matched

Source: NRMP Data Warehouse and ECFMG

Num

ber o

f app

lican

ts

Charting Outcomes in the Match for IMGs, 2014

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.

22

Chart15

Country of Medical Schoolby IMG Applicant Type and Match Status

U.S. IMG

0200400600800

1,0001,2001,400

Antigu

a And

Barb

uda

Cayman

Islan

ds

China

Domini

ca

Domini

can R

epub

lic

Egypt

Grenad

a

India Iran

Israe

lMex

ico

Nigeria

Pakist

anPhil

ippine

s

Poland

Saba

Saint K

itts A

nd N

evis

Saint L

ucia

Sint E

ustat

iusSint

Maa

rten

All Othe

r

180

65 12

532

45 9

534

60 21 90 84 14 36 23 46 45 85 12 35

189 252

207

139

45

438

58 70

258

139

54 29 77 38

140

42 79 33 103

40 70 120

546

Matched Not Matched

Source: NRMP Data Warehouse and ECFMG

Num

ber o

f app

lican

ts

Non-U.S. IMG

0200400600800

1,0001,2001,400

Antigu

a And

Barb

uda

Bangla

desh

China

Colombia

Domini

ca

Domini

can R

epub

licEgy

ptGerm

any

Grenad

aInd

ia Iran

Iraq

Irelan

dJo

rdan

Leba

non

Libya

Mexico

Myanm

arNep

alNige

riaPak

istan

PeruPhil

ippine

sRus

siaSab

a

Saint K

itts A

nd N

evis

Saudi

Arabia

South

Korea

Syria

Venez

uela

All Othe

r

27 12

116

43 63 32 75 39

155

754

82 53 46 77 71 22 42 24 41 79

255

35 52 23 68 68 51 30 80 50

654

31 41

207

37 67 41

174

32 103

1,20

7

127

104

20 66 38 46 46 45 53

192 40

3

29 85 60 29 73 64 29 79 32

789

Matched Not Matched

Source: NRMP Data Warehouse and ECFMG

Num

ber o

f app

lican

ts

Charting Outcomes in the Match for IMGs, 2014

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.

Tables and Charts for Selected Specialties

AN Anesthesiology

Table AN-1

Summary StatisticsAnesthesiology

Measure (n=95) (n=65) (n=78) (n=85)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

9 3 4 3Mean number of contiguous ranks1.

1.8 2.1 1.7 1.9Mean number of distinct specialties ranked2.

234 210 226 219Mean USMLE Step 1 score3.

1.0 1.7 1.1 1.2Mean USMLE Step 1 attempts*4.

239 212 234 221Mean USMLE Step 2 CK score5.

1.0 1.5 1.0 1.1Mean USMLE Step 2 CK attempts**6.

1.1 1.3 1.1 1.3Mean USMLE Step 2 CS or ECFMG CSA attempts7.

4 27 24 30Mean number of months since ECFMG certification8.

0.5 4.8 7.2 10.7Mean number of years since graduation9.

91 72 28 11Percentage who speak English as a native language10.

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 Charting Outcomes in the Match for IMGs, 2014

0

10

20

30

40

50

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

94

106 7

4 3 37

10

4 3 1 2 3

19

28

1410

2 3 1 2 2 1 1 0 1 0 0 0 0

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

20

1013 11

6 63

0 2 04

1 0 1 0 1

47

18

3 52 3

0 0 1 2 0 0 0 0 04

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart AN-1

Number of Contiguous Ranks Within Preferred SpecialtyAnesthesiology

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

26 Charting Outcomes in the Match for IMGs, 2014

Graph AN-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksAnesthesiology

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

27Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart AN-2

Number of Applicants Ranking Different SpecialtiesAnesthesiology

0

10

20

30

40

50

1 2 3 4 or More

3842

15

0

27

20

12

4

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

1 2 3 4 or More

45

19

10

4

40

25

12

5

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

28Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart AN-3

USMLE Step 1 ScoresAnesthesiology

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0 0 1

69

17

2725

9

1 00

9

1512

7

14

7

1 0 0 0

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0

64 5

1316 15

13

51 00

6

11

17

11 1215

10

30 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

29Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph AN-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScoreAnesthesiology

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

30Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartAN-4

USMLE Step 1 Attempts*Anesthesiology

Source: NRMP Data Warehouse and ECFMG.

31

0

10

20

30

40

50

60

70

80

90

100

1 2 3 4 5 6 and more

94

1 0 0 0 0

48

7 4 1 3 2

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

90

100

1 2 3 4 5 6 and more

70

80 0 0 0

75

6 40 0 0

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph AN-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Anesthesiology

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

1 2 3 4 5 6

U.S. IMG Non-U.S. IMG

Step 1 Attempts

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 32 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart AN-5

USMLE Step 2 CK (Clinical Knowledge) ScoresAnesthesiology

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 0 15 7

16 16

26

19

501 2

15 1612 11

52 1 0 0

Matched Not Matched

Step 2 Scores

U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 0 15

7

16 16

26

19

5

01 2

15 1612 11

52 1 0 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 1 36

10 9

17 17

11

402 4

11 1310

1510 11

63

0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 13

610 9

17 17

11

40

24

1113

10

15

10 11

63

0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 33 Charting Outcomes in the Match for IMGs, 2014

Graph AN-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScoreAnesthesiology

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 34 Charting Outcomes in the Match for IMGs, 2014

Chart AN-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Anesthesiology

Source: NRMP Data Warehouse and ECFMG.

010

2030

4050

6070

8090

100

1 2 3 4 5 6 and more

94

1 0 0 0 0

48

12

1 2 1 1

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

010

2030

4050

6070

8090

100

1 2 3 4 5 6 and more

76

2 0 0 0 0

80

2 3 0 0 0

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

35 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart AN-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Anesthesiology

Source: NRMP Data Warehouse and ECFMG.

0

10

20

30

40

50

60

70

80

90

100

1 2 3 4 5 6 and more

e88

70 0 0 0

52

84

0 0 1

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

90

100

1 2 3 4 5 6 and more

70

80 0 0 0

69

104 1 0 1

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

36 Charting Outcomes in the Match for IMGs, 2014

Chart AN-8

Number of Months After ECFMG CertificationAnesthesiology

0

10

20

30

40

50

60

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

29

53

6 52 0 0

10 11 9 1014

11

0

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

48

17

24

16

9

025

16

2622

12

2

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 37 Charting Outcomes in the Match for IMGs, 2014

Chart AN-9

Number of Years After Medical School GraduationAnesthesiology

0

10

20

30

40

50

60

70

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

67

23

50 0 0 0

1420

12

47 6

0

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

811 13

28

117

05 3

10

27

19 20

1

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

38 Charting Outcomes in the Match for IMGs, 2014

Chart AN-10

Country of Medical SchoolAnesthesiology

U.S. IMG

010203040506070

All Other Dominica Grenada Sint Maarten

24 20

40

11

37

15 13

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Non-U.S. IMG

010203040506070

All Other China India

64

14

50

10

25

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 39

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014

EM Emergency Medicine

Table EM-1

Summary StatisticsEmergency Medicine

Measure (n=53) (n=137) (n=31) (n=53)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

5 3 4 2Mean number of contiguous ranks1.

1.7 2.0 1.5 1.8Mean number of distinct specialties ranked2.

225 215 226 217Mean USMLE Step 1 score3.

1.1 1.2 1.0 1.3Mean USMLE Step 1 attempts*4.

235 223 231 220Mean USMLE Step 2 CK score5.

1.1 1.3 1.1 1.2Mean USMLE Step 2 CK attempts**6.

1.1 1.1 1.2 1.1Mean USMLE Step 2 CS or ECFMG CSA attempts7.

9 13 12 31Mean number of months since ECFMG certification8.

1.1 1.8 3.3 5.2Mean number of years since graduation9.

83 83 36 53Percentage who speak English as a native language10.

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 Charting Outcomes in the Match for IMGs, 2014

0

10

20

30

40

50

60

70

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

9 104 3

63 4 4 3

0 2 2 1 1 1 0

63

35

148

3 4 3 2 0 2 0 0 2 0 0 1

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

6 5 6 4 41 1 1 0 0 2 0 1 0 0 0

33

14

2 1 0 0 1 0 0 0 0 0 1 0 1 0

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart EM-1

Number of Contiguous Ranks Within Preferred SpecialtyEmergency Medicine

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

42 Charting Outcomes in the Match for IMGs, 2014

Graph EM-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksEmergency Medicine

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

43Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart EM-2

Number of Applicants Ranking Different SpecialtiesEmergency Medicine

0

10

20

30

40

50

60

70

1 2 3 4 or More

2522

51

48

58

24

5

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

1 2 3 4 or More

21

6 40

2125

52

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

44Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart EM-3

USMLE Step 1 ScoresEmergency Medicine

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

02

73

106

1113

1 0 00

1815

2723

28

12 11

30 0

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0 0 0

95

2

84 3

0 004

96

10 10 10

31 0 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

45Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph EM-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScoreEmergency Medicine

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

180 190 200 210 220 230 240 250 260

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

46Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartEM-4

USMLE Step 1 Attempts*Emergency Medicine

Source: NRMP Data Warehouse and ECFMG.

47

0

20

40

60

80

100

120

1 2 3 4 5 6 and more

49

2 2 0 0 0

119

125 1 0 0

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

1 2 3 4 5 6 and more

30

1 0 0 0 0

45

5 1 1 0 1

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph EM-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Emergency Medicine

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

1 2 3 4 5 6 7 8

U.S. IMG Non-U.S. IMG

Step 1 Attempts

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 48 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart EM-5

USMLE Step 2 CK (Clinical Knowledge) ScoresEmergency Medicine

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

1 03 4 4

10 8 9 10

400 2

14

26

20

28

2016

83

0

Matched Not Matched

Step 2 Scores

U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

1 03 4 4

108 9 10

400

2

14

26

20

28

2016

8

30

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 03 5

16 4 4 5 3

01 3 4

128 6

12

3 3 1 0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 03

51

64 4 5

301

3 4

128

6

12

3 31 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 49 Charting Outcomes in the Match for IMGs, 2014

Graph EM-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScoreEmergency Medicine

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 50 Charting Outcomes in the Match for IMGs, 2014

Chart EM-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Emergency Medicine

Source: NRMP Data Warehouse and ECFMG.

0

20

40

60

80

100

120

1 2 3 4 5 6 and more

50

3 0 0 0 0

110

23

0 4 0 0

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

1 2 3 4 5 6 and more

29

2 0 0 0 0

46

5 1 0 1 0

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

51 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart EM-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Emergency Medicine

Source: NRMP Data Warehouse and ECFMG.

0

20

40

60

80

100

120

140

1 2 3 4 5 6 and more

50

3 0 0 0 0

123

121 1 0 0

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

140

1 2 3 4 5 6 and more

27

3 1 0 0 0

45

5 1 0 0 2

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

52 Charting Outcomes in the Match for IMGs, 2014

Chart EM-8

Number of Months After ECFMG CertificationEmergency Medicine

0

10

20

30

40

50

60

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

19 20

5 5 3 1 0

55

32

11 129 11

7

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

49 8 8

1 1 04

15

7 9 8 10

0

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 53 Charting Outcomes in the Match for IMGs, 2014

Chart EM-9

Number of Years After Medical School GraduationEmergency Medicine

0

10

20

30

40

50

60

70

80

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

33

13

50 0 1 0

78

34

127

2 40

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

8 7 9 61 0 0

138 7

147

1 0

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

54 Charting Outcomes in the Match for IMGs, 2014

Chart EM-10

Country of Medical SchoolEmergency Medicine

U.S. IMG

010203040506070

All Other Dominica Grenada

20 16 17

64

39 34

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Non-U.S. IMG

010203040506070

All Other Grenada

3138

15

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 55

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014

FM Family Medicine

Table FM-1

Summary StatisticsFamily Medicine

Measure (n=531) (n=702) (n=293) (n=616)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

6 3 4 3Mean number of contiguous ranks1.

1.3 1.5 1.4 1.5Mean number of distinct specialties ranked2.

206 198 213 204Mean USMLE Step 1 score3.

1.4 2.1 1.2 1.4Mean USMLE Step 1 attempts*4.

213 203 219 210Mean USMLE Step 2 CK score5.

1.2 1.9 1.1 1.3Mean USMLE Step 2 CK attempts**6.

1.1 1.5 1.1 1.4Mean USMLE Step 2 CS or ECFMG CSA attempts7.

8 28 14 27Mean number of months since ECFMG certification8.

1.7 6.1 3.6 7.8Mean number of years since graduation9.

78 54 58 30Percentage who speak English as a native language10.

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 Charting Outcomes in the Match for IMGs, 2014

0

50

100

150

200

250

300

350

400

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

9670 57 51

33 33 34 19 22 24 20 16 11 10 12 23

372

128

70

24 22 10 13 10 8 12 1 4 5 3 119

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

300

350

400

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

100

4931 21 19 14 7 13 9 8 5 4 1 3 2 7

379

94

4113 11 8 7 8 7 15 3 0 2 2 3

23

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart FM-1

Number of Contiguous Ranks Within Preferred SpecialtyFamily Medicine

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

58 Charting Outcomes in the Match for IMGs, 2014

Graph FM-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksFamily Medicine

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

59Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart FM-2

Number of Applicants Ranking Different SpecialtiesFamily Medicine

0

50

100

150

200

250

300

350

400

450

500

1 2 3 4 or More

367

146

18 0

462

186

379

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

300

350

400

450

500

1 2 3 4 or More

191

91

10 1

394

160

508

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

60Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart FM-3

USMLE Step 1 ScoresFamily Medicine

0

50

100

150

200

250

300

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0

55

172145

86

3623 12 2 0 02

210

270

132

57

264 0 0 0 1

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

300

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

021

62 63 5542

2814 7 1 00

112

193

136

102

4819

4 2 0 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

61Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph FM-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScoreFamily Medicine

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

62Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartFM-4

USMLE Step 1 Attempts*Family Medicine

Source: NRMP Data Warehouse and ECFMG.

63

0

50

100

150

200

250

300

350

400

450

500

1 2 3 4 5 6 and more

403

86

326 3 1

330

183

95

4422 28

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

300

350

400

450

500

1 2 3 4 5 6 and more

254

299 0 1 0

453

113

393 8 0

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph FM-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Family Medicine

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

1 2 3 4 5 6 7 8

U.S. IMG Non-U.S. IMG

Step 1 Attempts

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 64 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart FM-5

USMLE Step 2 CK (Clinical Knowledge) ScoresFamily Medicine

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0

15

100 138 133 79

35

22

72 0

6

101 239 183 105 53

12

1 1 0 1

Matched Not Matched

Step 2 Scores

U.S. IMG

0

50

100

150

200

250

300

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

015

100

138 133

79

3522

7 2 06

101

239

183

105

53

12 1 1 0 1

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0

14

29

59 70 52

30

23

12

401

47140 152 138 79

45

13

1 0 0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0

50

100

150

200

250

300

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

014

2959 70

5230 23 12 4 01

47

140 152138

79

45

13 1 0 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 65 Charting Outcomes in the Match for IMGs, 2014

Graph FM-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScoreFamily Medicine

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 66 Charting Outcomes in the Match for IMGs, 2014

Chart FM-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Family Medicine

Source: NRMP Data Warehouse and ECFMG.

050

100150

200250

300350

400450500

1 2 3 4 5 6 and more

447

67

17 0 0 0

364

193

7839

14 14

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

050

100150

200250

300350

400450500

1 2 3 4 5 6 and more

263

254 1 0 0

479

103

25 6 3 0

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

67 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart FM-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Family Medicine

Source: NRMP Data Warehouse and ECFMG.

0

50

100

150

200

250

300

350

400

450

500

1 2 3 4 5 6 and more

489

411 0 0 0

484

152

489 3 6

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

300

350

400

450

500

1 2 3 4 5 6 and more

269

20 3 0 1 0

453

118

318 2 4

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

68 Charting Outcomes in the Match for IMGs, 2014

Chart FM-8

Number of Months After ECFMG CertificationFamily Medicine

020406080

100120140160180200

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

167154

81 80

36

112

43

67

122

179

145126

20

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

140

160

180

200

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

34

94

56 61

3215

1

25

50

124

155 162

88

12

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 69 Charting Outcomes in the Match for IMGs, 2014

Chart FM-9

Number of Years After Medical School GraduationFamily Medicine

0

50

100

150

200

250

300

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

234212

4326

7 8 1

65

256

136

9264 66

19

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

300

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

9572

52 49

12 130

35

92113

223

7959

11

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

70 Charting Outcomes in the Match for IMGs, 2014

Chart FM-10

Country of Medical SchoolFamily Medicine

U.S. IMG

0

50

100

150

200

All Othe

r

Antigu

a And

Barb

uda

Aruba

Cayman

Islan

ds

Cuba

Domini

ca

Domini

can R

epub

lic

Egypt

Grenad

a

India

Iran

Israe

l

Mexico

Pakist

anPhil

ippine

s

Poland

Saba

Saint K

itts A

nd N

evis

Saint L

ucia

Sint E

ustat

iusSint

Maa

rten

78 6333

133

73

1138

11 1029 14

38

127

63

1249

15

111

14 1637 32

11 23 28 16 25 1035

1239 27

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Non-U.S. IMG

0

50

100

150

200

All Othe

r

China

Domini

ca

Egypt

Grenad

a

India

Iran

Iraq

Myanm

ar

Nigeria

Pakist

an

Philipp

ines

Russia

Saba

Saint K

itts A

nd N

evis

140

2245

18 10 25 33

182

16 24 17 23

130

12 20 1045 56

20 14 1532

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 71

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014

IM Internal Medicine

Table IM-1

Summary StatisticsInternal Medicine

Measure (n=841) (n=753) (n=1,690) (n=1,856)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

8 3 7 3Mean number of contiguous ranks1.

1.3 1.6 1.3 1.4Mean number of distinct specialties ranked2.

221 205 231 217Mean USMLE Step 1 score3.

1.1 1.6 1.0 1.2Mean USMLE Step 1 attempts*4.

228 210 236 221Mean USMLE Step 2 CK score5.

1.1 1.4 1.0 1.1Mean USMLE Step 2 CK attempts**6.

1.1 1.4 1.1 1.3Mean USMLE Step 2 CS or ECFMG CSA attempts7.

7 22 15 22Mean number of months since ECFMG certification8.

1.7 5.9 4.3 6.6Mean number of years since graduation9.

71 51 19 17Percentage who speak English as a native language10.

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 Charting Outcomes in the Match for IMGs, 2014

0

200

400

600

800

1,000

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

12066 49 45 56 44 48 45 43 57 43 41 45 35 29

75

421

13660 33 28 12 16 12 6 13 4 0 1 1 2 8

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

0

200

400

600

800

1,000

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

240178 182

140 134 125 99 86 89 73 67 66 33 35 34109

912

360

224125

60 31 34 22 15 19 8 3 6 5 4 28

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart IM-1

Number of Contiguous Ranks Within Preferred SpecialtyInternal Medicine

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

74 Charting Outcomes in the Match for IMGs, 2014

Graph IM-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksInternal Medicine

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

75Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart IM-2

Number of Applicants Ranking Different SpecialtiesInternal Medicine

0

200

400

600

800

1,000

1,200

1,400

1 2 3 4 or More

604

203

25 9

405

259

7012

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

0

200

400

600

800

1,000

1,200

1,400

1 2 3 4 or More

1,317

289

6711

1,268

432

12327

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

76Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart IM-3

USMLE Step 1 ScoresInternal Medicine

0

50

100

150

200

250

300

350

400

450

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

021

82

137175 174

146

76

21 9 03

112

218

165144

75

23 8 5 0 0

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

300

350

400

450

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

023

76

144

227

333 340 329

163

55

00

86

281

337

384 383

235

110

337 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

77Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph IM-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScoreInternal Medicine

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

78Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartIM-4

USMLE Step 1 Attempts*Internal Medicine

Source: NRMP Data Warehouse and ECFMG.

79

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

1 2 3 4 5 6 and more

783

40 9 6 1 2

523

13150 23 11 15

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

1 2 3 4 5 6 and more

1,647

39 3 1 0 0

1,632

16344 10 3 4

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph IM-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Internal Medicine

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

1 2 3 4 5 6 7 8

U.S. IMG Non-U.S. IMG

Step 1 Attempts

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 80 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart IM-5

USMLE Step 2 CK (Clinical Knowledge) ScoresInternal Medicine

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0

13

43

85 150 188 158 114 61

29

0

6

61 153 209 158 98

41

1411

2 0

Matched Not Matched

Step 2 Scores

U.S. IMG

0

50

100

150

200

250

300

350

400

450

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 1343

85

150188

158114

6129

06

61

153

209

158

98

4114 11 2 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0

16

4694 173 278 325 369 243 146

0

6

74 185 268 383 397 270 183 72

18

0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0

50

100

150

200

250

300

350

400

450

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 1646

94

173

278

325369

243

146

06

74

185

268

383 397

270

183

72

18 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 81 Charting Outcomes in the Match for IMGs, 2014

Graph IM-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScoreInternal Medicine

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280 300

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 82 Charting Outcomes in the Match for IMGs, 2014

Chart IM-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Internal Medicine

Source: NRMP Data Warehouse and ECFMG.

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

1 2 3 4 5 6 and more

804

28 6 2 0 1

534

14745 20 7 0

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

1 2 3 4 5 6 and more

1,669

20 0 1 0 0

1,693

13323 3 1 3

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

83 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart IM-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Internal Medicine

Source: NRMP Data Warehouse and ECFMG.

0

200

400

600

800

1,000

1,200

1,400

1,600

1 2 3 4 5 6 and more

791

45 3 1 0 1

543

15245 3 3 7

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

200

400

600

800

1,000

1,200

1,400

1,600

1 2 3 4 5 6 and more

1,534

13812 5 1 0

1,430

353

61 6 2 4

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

84 Charting Outcomes in the Match for IMGs, 2014

Chart IM-8

Number of Months After ECFMG CertificationInternal Medicine

0

200

400

600

800

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

269306

141

61 42 13 9

121 102 124172

13675

23

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

200

400

600

800

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

66

201

713

502

172

351

40

158

575 567

346

157

13

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 85 Charting Outcomes in the Match for IMGs, 2014

Chart IM-9

Number of Years After Medical School GraduationInternal Medicine

0

100

200

300

400

500

600

700

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

444

237

8738 17 18 0

144

217

105 12566 72

16

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

100

200

300

400

500

600

700

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

138

461

656

325

8228

057

239

664

575

205

101

12

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

86 Charting Outcomes in the Match for IMGs, 2014

Chart IM-10

Country of Medical SchoolInternal Medicine

U.S. IMG

0

200

400

600

All Othe

r

Antigu

a And

Barb

uda

Bangla

desh

Cayman

Islan

ds

China

Domini

ca

Domini

can R

epub

lic

Egypt

Grenad

a

India

Iran

Israe

lMex

ico

Nigeria

Pakist

anPhil

ippine

s

Poland

Russia

Saba

Saint K

itts A

nd N

evis

Saint L

ucia

Sint E

ustat

iusSint

Maa

rten

136

50

11

196

21

201

27 18 25 19 10 19 16 29

63

156

69

16 28 16

90

15 20

61 47 16 20 17 48

13 24 11 34 11 10 31

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Non-U.S. IMG

0

200

400

600

All Othe

rBan

glade

sh

China

Domini

caEcu

ador

Ethiop

ia

Greece

Haiti

Iran

Irelan

d

Japa

nLe

bano

n

Mexico

Nepal

Pakist

anPhil

ippine

s

Russia

Saint K

itts A

nd N

evis

South

Korea

Syria

Ukraine

Venez

uela

200

10 11 45 18 29 15 14 40 24 16 11

50

475

25 28 17 12 14

55 31 15 19 18 32 45

178

20 30 10 29 16 18 12 12

57

11 10 18

283

21

72

12 16 20

77

15 34 10

583

41 44 28 19 27 20 30 33

79

188

16 33 17 17 26 15 13 15 31 11 10

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 87

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014

N Neurology

Table N-1

Summary StatisticsNeurology

Measure (n=59) (n=44) (n=148) (n=149)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

7 2 6 2Mean number of contiguous ranks1.

1.7 2.0 1.7 1.8Mean number of distinct specialties ranked2.

216 203 230 214Mean USMLE Step 1 score3.

1.1 2.1 1.1 1.2Mean USMLE Step 1 attempts*4.

222 206 236 217Mean USMLE Step 2 CK score5.

1.1 1.8 1.0 1.1Mean USMLE Step 2 CK attempts**6.

1.1 1.4 1.1 1.4Mean USMLE Step 2 CS or ECFMG CSA attempts7.

7 28 19 29Mean number of months since ECFMG certification8.

2.0 5.8 5.4 7.7Mean number of years since graduation9.

71 52 14 10Percentage who speak English as a native language10.

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 Charting Outcomes in the Match for IMGs, 2014

0102030405060708090

100

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

145 3 4 4 3 2 2 1 3 2 3 3 3 4 3

29

81 2 2 0 0 1 0 0 0 0 1 0 0 0

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

0102030405060708090

100

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

25 2216 13 17

7 7 6 101

7 4 4 4 2 3

96

25

125 6

0 2 0 1 0 0 0 0 0 0 2

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart N-1

Number of Contiguous Ranks Within Preferred SpecialtyNeurology

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

90 Charting Outcomes in the Match for IMGs, 2014

Graph N-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksNeurology

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

91Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart N-2

Number of Applicants Ranking Different SpecialtiesNeurology

0

10

20

30

40

50

60

70

80

1 2 3 4 or More

30

1710

1

1812 11

3

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

1 2 3 4 or More

64 63

16

5

67

57

16

6

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

92Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart N-3

USMLE Step 1 ScoresNeurology

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0 2

1014 12

95 4 2 1 00

11 13

6 84 2 0 0 0 0

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0 2

811

21

3034

23

10 9

00

15

21

30

36

25

16

4 2 0 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

93Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph N-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScoreNeurology

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

94Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartN-4

USMLE Step 1 Attempts*Neurology

Source: NRMP Data Warehouse and ECFMG.

95

0

30

60

90

120

150

1 2 3 4 5 6 and more

57

1 0 1 0 0

2411

2 2 3 2

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

30

60

90

120

150

1 2 3 4 5 6 and more

141

6 1 0 0 0

132

132 1 0 1

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph N-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Neurology

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

1 2 3 4 5 6 7 8

U.S. IMG Non-U.S. IMG

Step 1 Attempts

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 96 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart N-5

USMLE Step 2 CK (Clinical Knowledge) ScoresNeurology

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

03

6 712

15

5 63 2 00

10 106

11

3 3 1 0 0 0

Matched Not Matched

Step 2 Scores

U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

03

6 7

1215

5 63 2

00

10 106

11

3 31 0 0 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 2 38

15

2530 32

21

12

00

10

17

2825

38

19

11

0 1 0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

02 3

8

15

25

3032

21

12

00

10

17

2825

38

19

11

0 1 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 97 Charting Outcomes in the Match for IMGs, 2014

Graph N-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScoreNeurology

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 98 Charting Outcomes in the Match for IMGs, 2014

Chart N-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Neurology

Source: NRMP Data Warehouse and ECFMG.

0

30

60

90

120

150

1 2 3 4 5 6 and more

55

3 1 0 0 0

2511

3 3 2 0

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

30

60

90

120

150

1 2 3 4 5 6 and more

146

2 0 0 0 0

137

102 0 0 0

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

99 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart N-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Neurology

Source: NRMP Data Warehouse and ECFMG.

0

30

60

90

120

150

1 2 3 4 5 6 and more

56

3 0 0 0 0

32

82 1 1 0

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

30

60

90

120

150

1 2 3 4 5 6 and more

129

17

1 1 0 0

101

36

92 0 1

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

100 Charting Outcomes in the Match for IMGs, 2014

Chart N-8

Number of Months After ECFMG CertificationNeurology

0

10

20

30

40

50

60

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

24

18

48

41 0

4 3

9 9 118

0

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

1

17

57

45

14 14

01

11

32

45

34

26

0

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 101 Charting Outcomes in the Match for IMGs, 2014

Chart N-9

Number of Years After Medical School GraduationNeurology

0

10

20

30

40

50

60

70

80

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

34

14

4 2 4 1 05

12 10 95 3 0

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

5

32

61

32

126

02

18

40

57

1912

1

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

102 Charting Outcomes in the Match for IMGs, 2014

Chart N-10

Country of Medical SchoolNeurology

U.S. IMG

01020304050607080

All Other Dominica Grenada

39

10 10

44

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Non-U.S. IMG

01020304050607080

All Other China India Iran Pakistan

77

45

12 14

63

11

57

18

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 103

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014

OB Obstetrics and Gynecology

Table OB-1

Summary StatisticsObstetrics and Gynecology

Measure (n=78) (n=99) (n=62) (n=120)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

8 3 5 3Mean number of contiguous ranks1.

1.3 1.7 1.2 1.6Mean number of distinct specialties ranked2.

221 207 226 215Mean USMLE Step 1 score3.

1.0 1.4 1.0 1.2Mean USMLE Step 1 attempts*4.

232 213 234 221Mean USMLE Step 2 CK score5.

1.1 1.3 1.0 1.2Mean USMLE Step 2 CK attempts**6.

1.0 1.2 1.1 1.3Mean USMLE Step 2 CS or ECFMG CSA attempts7.

4 16 10 26Mean number of months since ECFMG certification8.

0.9 4.6 3.3 8.0Mean number of years since graduation9.

82 62 39 17Percentage who speak English as a native language10.

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 Charting Outcomes in the Match for IMGs, 2014

0

10

20

30

40

50

60

70

80

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

105 5 3

7 5 51 4 4 6 4 4 5 2

8

46

1612

6 3 15 3 2 3 0 0 1 0 0 1

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

11 114 7 5 7 6

2 1 4 1 0 1 0 1 1

69

1711

6 6 40 3 1 0 0 0 0 0 0 3

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart OB-1

Number of Contiguous Ranks Within Preferred SpecialtyObstetrics and Gynecology

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

106 Charting Outcomes in the Match for IMGs, 2014

Graph OB-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksObstetrics and Gynecology

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

107Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart OB-2

Number of Applicants Ranking Different SpecialtiesObstetrics and Gynecology

0

10

20

30

40

50

60

70

80

1 2 3 4 or More

60

13

4 1

53

26

14

4

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

1 2 3 4 or More

52

82 0

74

29

13

4

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

108Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart OB-3

USMLE Step 1 ScoresObstetrics and Gynecology

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0 2

10 10

21

8

18

63

0 00

14

20

26 25

6 8

0 0 0 0

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0 04

711

17

11 9

2 1 01

7

2024 25

1419

8

2 0 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

109Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph OB-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScoreObstetrics and Gynecology

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

110Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartOB-4

USMLE Step 1 Attempts*Obstetrics and Gynecology

Source: NRMP Data Warehouse and ECFMG.

111

0102030405060708090

100110

1 2 3 4 5 6 and more

77

0 0 1 0 0

75

138

0 1 2

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0102030405060708090

100110

1 2 3 4 5 6 and more

61

1 0 0 0 0

102

115 2 0 0

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph OB-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Obstetrics and Gynecology

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

1 2 3 4 5 6

U.S. IMG Non-U.S. IMG

Step 1 Attempts

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 112 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart OB-5

USMLE Step 2 CK (Clinical Knowledge) ScoresObstetrics and Gynecology

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 14

8 10 1114

17

11

2 004

15

31

2117

9

1 0 1 0

Matched Not Matched

Step 2 Scores

U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 14

810 11

1417

11

200

4

15

31

2117

9

1 0 1 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 1 37 5

813 12 11

2 00

8

1722

14 15 17 16

74

0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 13

75

8

13 12 11

200

8

17

22

14 1517 16

74

0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 113 Charting Outcomes in the Match for IMGs, 2014

Graph OB-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScoreObstetrics and Gynecology

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 114 Charting Outcomes in the Match for IMGs, 2014

Chart OB-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Obstetrics and Gynecology

Source: NRMP Data Warehouse and ECFMG.

0

20

40

60

80

100

120

1 2 3 4 5 6 and more

75

2 1 0 0 0

83

8 61 1 0

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

1 2 3 4 5 6 and more

62

0 0 0 0 0

110

6 2 1 0 1

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

115 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart OB-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Obstetrics and Gynecology

Source: NRMP Data Warehouse and ECFMG.

0

10

20

30

40

50

60

70

80

90

100

1 2 3 4 5 6 and more

75

3 0 0 0 0

87

93 0 0 0

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

90

100

1 2 3 4 5 6 and more

57

50 0 0 0

93

18

61 0 2

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

116 Charting Outcomes in the Match for IMGs, 2014

Chart OB-8

Number of Months After ECFMG CertificationObstetrics and Gynecology

0

10

20

30

40

50

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

2933

75

30 1

27

17 16 1715

7

0

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

7

1719

15

31 0

8 8

38

19

30

14

3

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 117 Charting Outcomes in the Match for IMGs, 2014

Chart OB-9

Number of Years After Medical School GraduationObstetrics and Gynecology

0

10

20

30

40

50

60

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

52

21

30 1 1 0

30 30

11 9 8 8

2

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

1714 15 14

2 0 0

913

26

36

20

12

2

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

118 Charting Outcomes in the Match for IMGs, 2014

Chart OB-10

Country of Medical SchoolObstetrics and Gynecology

U.S. IMG

020406080

100

All Other Dominica Grenada

38

1426

74

25

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Non-U.S. IMG

020406080

100

All Other India

62

90

30

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 119

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014

PTH Pathology

Table PTH-1

Summary StatisticsPathology

Measure (n=46) (n=69) (n=151) (n=136)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

8 3 6 3Mean number of contiguous ranks1.

1.1 1.5 1.3 1.3Mean number of distinct specialties ranked2.

224 204 226 214Mean USMLE Step 1 score3.

1.1 1.7 1.0 1.2Mean USMLE Step 1 attempts*4.

226 205 228 216Mean USMLE Step 2 CK score5.

1.1 1.5 1.1 1.2Mean USMLE Step 2 CK attempts**6.

1.2 1.6 1.2 1.6Mean USMLE Step 2 CS or ECFMG CSA attempts7.

9 39 21 30Mean number of months since ECFMG certification8.

4.1 11.2 9.4 12.6Mean number of years since graduation9.

74 29 9 7Percentage who speak English as a native language10.

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.

121 Charting Outcomes in the Match for IMGs, 2014

0

10

20

30

40

50

60

70

80

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

6 4 3 6 4 3 1 0 1 2 51 3 1 1

5

41

104 6

2 0 0 0 0 3 0 0 0 1 0 2

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

2518

1017

11 1115

6 73 6 5

1 2 2

12

71

2416

40 3 3 2 2 4 1 0 0 0 1

5

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart PTH-1

Number of Contiguous Ranks Within Preferred SpecialtyPathology

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

122 Charting Outcomes in the Match for IMGs, 2014

Graph PTH-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksPathology

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

123Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart PTH-2

Number of Applicants Ranking Different SpecialtiesPathology

0

20

40

60

80

100

120

1 2 3 4 or More

41

50 0

51

8 6 4

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

1 2 3 4 or More

115

29

5 2

103

28

4 1

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

124Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart PTH-3

USMLE Step 1 ScoresPathology

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

03 4 4

8 8 96 4

0 02

13

2015

94 4

1 1 0 0

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0

8 8

17 15

3532

29

7

0 00

12

2328

23 25

15

73

0 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

125Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph PTH-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScorePathology-Anatomic and Clinical

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

126Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartPTH-4

USMLE Step 1 Attempts*Pathology

Source: NRMP Data Warehouse and ECFMG.

127

0

30

60

90

120

150

1 2 3 4 5 6 and more

44

0 1 1 0 0

47

104 4 3 1

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

30

60

90

120

150

1 2 3 4 5 6 and more

148

3 0 0 0 0

120

9 6 1 0 0

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph PTH-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Pathology

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

1 2 3 4 5 6 7 8

U.S. IMG Non-U.S. IMG

Step 1 Attempts

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 128 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart PTH-5

USMLE Step 2 CK (Clinical Knowledge) ScoresPathology-Anatomic and Clinical

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 1 1

9 11 94 2

72 02

11

21

1310

37

1 1 0 0

Matched Not Matched

Step 2 Scores

U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 1 1

911

9

42

7

20

2

11

21

1310

37

1 1 0 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

04

8

1621

3034

24

12

2 00

8

19 21

37

2217

6 51 0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

04

8

16

21

3034

24

12

200

8

1921

37

22

17

6 51 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 129 Charting Outcomes in the Match for IMGs, 2014

Graph PTH-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScorePathology

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 130 Charting Outcomes in the Match for IMGs, 2014

Chart PTH-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Pathology

Source: NRMP Data Warehouse and ECFMG.

0

30

60

90

120

150

1 2 3 4 5 6 and more

42

3 1 0 0 0

47

145 1 1 1

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

30

60

90

120

150

1 2 3 4 5 6 and more

145

4 0 2 0 0

120

123 0 0 1

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

131 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart PTH-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Pathology

Source: NRMP Data Warehouse and ECFMG.

0

30

60

90

120

150

1 2 3 4 5 6 and more

39

4 2 1 0 0

46

154 1 0 3

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

30

60

90

120

150

1 2 3 4 5 6 and more

125

25

1 0 0 0

78

41

113 2 1

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

132 Charting Outcomes in the Match for IMGs, 2014

Chart PTH-8

Number of Months After ECFMG CertificationPathology

0

10

20

30

40

50

60

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

14 14

63

7

1 103

9

1720 18

2

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

3

10

5147

28

12

00

12

28

41

34

21

0

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 133 Charting Outcomes in the Match for IMGs, 2014

Chart PTH-9

Number of Years After Medical School GraduationPathology

0

10

20

30

40

50

60

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

26

9

1 2 2 4 22

913 12 10

16

5

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

8 6

26

55

33

23

003

20

35 33

40

4

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

134 Charting Outcomes in the Match for IMGs, 2014

Chart PTH-10

Country of Medical SchoolPathology

U.S. IMG

0

20

40

60

80

All Other Grenada

35

11

69Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Non-U.S. IMG

0

20

40

60

80

All Other China India Iran

69

4028

14

62

42

2210

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 135

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014

PD Pediatrics

Table PD-1

Summary StatisticsPediatrics

Measure (n=196) (n=151) (n=278) (n=382)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

9 2 6 2Mean number of contiguous ranks1.

1.2 1.5 1.3 1.5Mean number of distinct specialties ranked2.

216 201 223 211Mean USMLE Step 1 score3.

1.1 1.7 1.0 1.2Mean USMLE Step 1 attempts*4.

224 208 231 217Mean USMLE Step 2 CK score5.

1.0 1.4 1.0 1.1Mean USMLE Step 2 CK attempts**6.

1.1 1.3 1.1 1.3Mean USMLE Step 2 CS or ECFMG CSA attempts7.

3 21 12 24Mean number of months since ECFMG certification8.

0.7 5.8 3.9 7.2Mean number of years since graduation9.

87 53 25 16Percentage who speak English as a native language10.

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 Charting Outcomes in the Match for IMGs, 2014

0

50

100

150

200

250

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

17 11 12 9 10 11 12 13 13 14 16 14 8 8 820

82

3613 8 2 2 0 2 0 0 2 0 1 0 1 2

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

40 39 30 28 29 19 18 10 11 14 10 11 6 5 2 6

222

78

3011 13 4 3 2 0 8 1 2 0 1 0 7

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart PD-1

Number of Contiguous Ranks Within Preferred SpecialtyPediatrics

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

138 Charting Outcomes in the Match for IMGs, 2014

Graph PD-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksPediatrics

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

139Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart PD-2

Number of Applicants Ranking Different SpecialtiesPediatrics

0

50

100

150

200

250

300

1 2 3 4 or More

163

293 0

92

46

10 1

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

300

1 2 3 4 or More

214

53

11 0

258

87

269

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

140Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart PD-3

USMLE Step 1 ScoresPediatrics

0102030405060708090

100

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

08

29

49

3729 29

114 0 01

30

51

38

189

3 1 0 0 0

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

0102030405060708090

100

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

06

23

4151

60 57

2212

601

34

71

95

77

45 48

6 4 1 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

141Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph PD-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScorePediatrics

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

142Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartPD-4

USMLE Step 1 Attempts*Pediatrics

Source: NRMP Data Warehouse and ECFMG.

143

0

50

100

150

200

250

300

350

1 2 3 4 5 6 and more

180

11 4 1 0 0

7651

15 5 4 0

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

300

350

1 2 3 4 5 6 and more

266

11 1 0 0 0

332

3610 4 0 0

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph PD-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Pediatrics

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

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

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 144 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart PD-5

USMLE Step 2 CK (Clinical Knowledge) ScoresPediatrics

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 2

12

27

44 45

33

21

9

302

8

34

4338

16

9

0 0 1 0

Matched Not Matched

Step 2 Scores

U.S. IMG

0

20

40

60

80

100

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 212

27

44 45

33

21

93 02

8

3443

38

169

0 0 1 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 2

10

23

37

57 65

44

26

14

01

11

51 83 88 6845

20

8 7

0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0

20

40

60

80

100

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 210

23

37

5765

44

26

14

0111

51

8388

68

45

20

8 70

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 145 Charting Outcomes in the Match for IMGs, 2014

Graph PD-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScorePediatrics

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 146 Charting Outcomes in the Match for IMGs, 2014

Chart PD-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Pediatrics

Source: NRMP Data Warehouse and ECFMG.

0

50

100

150

200

250

300

350

1 2 3 4 5 6 and more

189

5 2 0 0 0

103

3511 1 0 1

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

300

350

1 2 3 4 5 6 and more

271

7 0 0 0 0

344

325 0 0 1

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

147 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart PD-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Pediatrics

Source: NRMP Data Warehouse and ECFMG.

0

50

100

150

200

250

300

1 2 3 4 5 6 and more

186

9 1 0 0 0

114

259 1 1 1

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

50

100

150

200

250

300

1 2 3 4 5 6 and more

255

194 0 0 0

285

80

14 3 0 0

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

148 Charting Outcomes in the Match for IMGs, 2014

Chart PD-8

Number of Months After ECFMG CertificationPediatrics

0

20

40

60

80

100

120

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

92

68

19 16

0 1 0

28

1525

31 35

116

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

18

57

111

67

186 14

33

111104

89

38

3

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 149 Charting Outcomes in the Match for IMGs, 2014

Chart PD-9

Number of Years After Medical School GraduationPediatrics

0

30

60

90

120

150

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

139

42

9 4 2 0 0

3240

22 2416 14

2

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

30

60

90

120

150

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

41

80 85

57

122 1

9

48

117

132

51

21

3

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

150 Charting Outcomes in the Match for IMGs, 2014

Chart PD-10

Country of Medical SchoolPediatrics

U.S. IMG

0306090

120150180

All Other Antigua And Barbuda Dominica Grenada Israel Pakistan Sint Maarten

5118

3855

18 16

83

15 20 19 14

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Non-U.S. IMG

0306090

120150180

All Other China Egypt Grenada India Jordan Lebanon Libya Nigeria Pakistan Philippines Syria Venezuela

170

11

64

12 11 10

137

13 11

123

10 10 1937

11 11

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 151

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014

PM Physical Medicine and Rehabilitation

Table PM-1

Summary StatisticsPhysical Medicine and Rehabilitation

Measure (n=40) (n=43) (n=21) (n=26)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

8 3 5 2Mean number of contiguous ranks1.

1.8 1.8 1.8 1.9Mean number of distinct specialties ranked2.

223 207 220 211Mean USMLE Step 1 score3.

1.1 1.3 1.1 1.5Mean USMLE Step 1 attempts*4.

231 212 225 210Mean USMLE Step 2 CK score5.

1.1 1.5 1.0 1.4Mean USMLE Step 2 CK attempts**6.

1.0 1.1 1.1 1.3Mean USMLE Step 2 CS or ECFMG CSA attempts7.

7 13 23 36Mean number of months since ECFMG certification8.

1.4 1.8 7.3 11.3Mean number of years since graduation9.

83 74 38 12Percentage who speak English as a native language10.

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 Charting Outcomes in the Match for IMGs, 2014

02468

101214161820

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

42

32 2

13

42

4 42

0

5

02

1412

6

3

0

3 31

01

0 0 0 0 0 0

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

02468

101214161820

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

4 42

0 0

42

02

1 10 0 0

10

16

7

01 1

0 0 0 0 0 0 01

0 0 0

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart PM-1

Number of Contiguous Ranks Within Preferred SpecialtyPhysical Medicine and Rehabilitation

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

154 Charting Outcomes in the Match for IMGs, 2014

Graph PM-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksPhysical Medicine and Rehabilitation

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

155Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart PM-2

Number of Applicants Ranking Different SpecialtiesPhysical Medicine and Rehabilitation

0

2

4

6

8

10

12

14

16

18

20

1 2 3 4 or More

17

15

7

1

19

16

6

2

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

0

2

4

6

8

10

12

14

16

18

20

1 2 3 4 or More

10

56

0

10 10

5

1

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

156Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart PM-3

USMLE Step 1 ScoresPhysical Medicine and Rehabilitation

02468

101214161820

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

01

3

6

10

75

4 4

0 00

5

8

17

7

3 3

0 0 0 0

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

02468

101214161820

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0 01

3

9

42

1 10 00

24

78

23

0 0 0 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

157Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph PM-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScorePhysical Medicine and Rehabilitation

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

180 190 200 210 220 230 240 250 260

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

158Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartPM-4

USMLE Step 1 Attempts*Physical Medicine and Rehabilitation

Source: NRMP Data Warehouse and ECFMG.

159

0

5

10

15

20

25

30

35

40

1 2 3 4 5 6 and more

38

20 0 0 0

34

5 4

0 0 0

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

5

10

15

20

25

30

35

40

1 2 3 4 5 6 and more

19

20 0 0 0

21

2 1 1 0 1

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph PM-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Physical Medicine and Rehabilitation

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

1 2 3 4 5 6

U.S. IMG Non-U.S. IMG

Step 1 Attempts

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 160 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart PM-5

USMLE Step 2 CK (Clinical Knowledge) ScoresPhysical Medicine and Rehabilitation

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 1 0 2

9 9 94

15

00 16

1410 10

2 0 0 0 0

Matched Not Matched

Step 2 Scores

U.S. IMG

0

5

10

15

20

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

01

02

9 9 9

4

1

5

001

6

14

10 10

20 0 0 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 0 2 4 2 4 4 41 0 00

5 3 5 5 4 40 0 0 0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0

5

10

15

20

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 02

42

4 4 4

10 00

53

5 54 4

0 0 0 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 161 Charting Outcomes in the Match for IMGs, 2014

Graph PM-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScorePhysical Medicine and Rehabilitation

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 162 Charting Outcomes in the Match for IMGs, 2014

Chart PM-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Physical Medicine and Rehabilitation

Source: NRMP Data Warehouse and ECFMG.

0

5

10

15

20

25

30

35

40

1 2 3 4 5 6 and more

38

20 0 0 0

31

6 5

0 0 1

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

5

10

15

20

25

30

35

40

1 2 3 4 5 6 and more

20

1 0 0 0 0

22

20 1 0 1

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

163 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart PM-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Physical Medicine and Rehabilitation

Source: NRMP Data Warehouse and ECFMG.

0

10

20

30

40

50

1 2 3 4 5 6 and more

39

1 0 0 0 0

38

5

0 0 0 0

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

1 2 3 4 5 6 and more

19

20 0 0 0

18

7

1 0 0 0

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

164 Charting Outcomes in the Match for IMGs, 2014

Chart PM-8

Number of Months After ECFMG CertificationPhysical Medicine and Rehabilitation

0

2

4

6

8

10

12

14

16

18

20

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

1415

6

2

01

2

16

6 67

3 32

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

2

4

6

8

10

12

14

16

18

20

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

3

5

3

5

23

0

3 32

4

7 7

0

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 165 Charting Outcomes in the Match for IMGs, 2014

Chart PM-9

Number of Years After Medical School GraduationPhysical Medicine and Rehabilitation

0

5

10

15

20

25

30

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

25

10

20

3

0 0

22

13

4 3

0 1 0

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

5

10

15

20

25

30

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

7

1 2

53 2 1

31 2

68

5

1

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

166 Charting Outcomes in the Match for IMGs, 2014

Chart PM-10

Country of Medical SchoolPhysical Medicine and Rehabilitation

U.S. IMG

01020304050

All Other Dominica

29

11

29

14

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Non-U.S. IMG

01020304050

All Other

2126

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 167

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014

P Psychiatry

Table P-1

Summary StatisticsPsychiatry

Measure (n=203) (n=256) (n=163) (n=277)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

6 2 5 2Mean number of contiguous ranks1.

1.4 1.4 1.2 1.3Mean number of distinct specialties ranked2.

205 198 214 205Mean USMLE Step 1 score3.

1.4 2.2 1.2 1.4Mean USMLE Step 1 attempts*4.

211 202 219 208Mean USMLE Step 2 CK score5.

1.4 1.9 1.1 1.3Mean USMLE Step 2 CK attempts**6.

1.2 1.5 1.2 1.4Mean USMLE Step 2 CS or ECFMG CSA attempts7.

18 41 20 36Mean number of months since ECFMG certification8.

3.8 8.3 6.0 9.9Mean number of years since graduation9.

73 49 26 14Percentage who speak English as a native language10.

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 Charting Outcomes in the Match for IMGs, 2014

0

20

40

60

80

100

120

140

160

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

51

2027

10 169 11 7 5

13 114 4 4 5 6

147

52

227 6 2 2 3 3 6 1 0 1 0 1 3

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

140

160

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

3520 16 10 11 14 11 9 10 4 6 4 5 5 1 2

154

47

2818

10 7 4 1 0 2 1 0 0 1 0 4

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart P-1

Number of Contiguous Ranks Within Preferred SpecialtyPsychiatry

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

170 Charting Outcomes in the Match for IMGs, 2014

Graph P-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksPsychiatry

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

171Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart P-2

Number of Applicants Ranking Different SpecialtiesPsychiatry

020406080

100120140160180200220

1 2 3 4 or More

135

56

111

184

50

164

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

020406080

100120140160180200220

1 2 3 4 or More

135

215 2

214

41

174

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

172Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart P-3

USMLE Step 1 ScoresPsychiatry

0102030405060708090

100

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

1

35

64

37

25 26

122 1 0 03

76

93

46

1910

4 4 0 0 1

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

0102030405060708090

100

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

010

34 3631

21 178 5 1 00

46

83

5749

26

123 0 1 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

173Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph P-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScorePsychiatry

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

174Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartP-4

USMLE Step 1 Attempts*Psychiatry

Source: NRMP Data Warehouse and ECFMG.

175

0

30

60

90

120

150

180

210

1 2 3 4 5 6 and more

147

3317

3 2 1

107

71

3821

7 12

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

30

60

90

120

150

180

210

1 2 3 4 5 6 and more

137

206 0 0 0

206

51

143 1 2

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph P-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Psychiatry

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

1 2 3 4 5 6 7 8

U.S. IMG Non-U.S. IMG

Step 1 Attempts

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 176 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart P-5

USMLE Step 2 CK (Clinical Knowledge) ScoresPsychiatry

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0

16

30

65

40

28

17

61 0 0

6

4679 69

24

18

9

1 2 0 2

Matched Not Matched

Step 2 Scores

U.S. IMG

0102030405060708090

100

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0

16

30

65

40

28

17

61 0 0

6

46

7969

2418

91 2 0 2

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0

9

20

2932 32

1714

73

00

29

60 78 48

39

17

51 0 0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0102030405060708090

100

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

09

2029 32 32

17 147 3 00

29

60

78

4839

17

5 1 0 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 177 Charting Outcomes in the Match for IMGs, 2014

Graph P-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScorePsychiatry

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

140 160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 178 Charting Outcomes in the Match for IMGs, 2014

Chart P-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Psychiatry

Source: NRMP Data Warehouse and ECFMG.

0

30

60

90

120

150

180

210

1 2 3 4 5 6 and more

153

36

7 3 3 1

133

64

40

122 5

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

30

60

90

120

150

180

210

1 2 3 4 5 6 and more

146

152 0 0 0

204

54

162 1 0

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

179 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart P-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Psychiatry

Source: NRMP Data Warehouse and ECFMG.

0

20

40

60

80

100

120

140

160

180

200

1 2 3 4 5 6 and more

173

24

4 2 0 0

162

72

171 1 3

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

140

160

180

200

1 2 3 4 5 6 and more

137

22

3 1 0 0

191

69

142 1 0

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

180 Charting Outcomes in the Match for IMGs, 2014

Chart P-8

Number of Months After ECFMG CertificationPsychiatry

0

10

20

30

40

50

60

70

80

90

100

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

41

58

2529

23 26

1

1521

27

44

61

82

6

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

90

100

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

7

23

51

3632

14

04

16

33

63

93

66

2

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 181 Charting Outcomes in the Match for IMGs, 2014

Chart P-9

Number of Years After Medical School GraduationPsychiatry

0

20

40

60

80

100

120

140

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

6471

2618

10 113

17

63

44 4735 35

11

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

140

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

1530

37

58

176 0

8 7

42

116

5445

2

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

182 Charting Outcomes in the Match for IMGs, 2014

Chart P-10

Country of Medical SchoolPsychiatry

U.S. IMG

020406080

100120

All Other Antigua AndBarbuda

Bangladesh Cayman Islands Dominica Grenada India Pakistan Saint Kitts AndNevis

Sint Maarten

82

1934 27

13 12 16

104

15 10 18 23 14 23 2513 11

Matched Not Matched

Country of Medical SchoolNum

ber o

f app

lican

ts

Non-U.S. IMG

020406080

100120

All Other China India Nigeria Pakistan

109

44

10

114

16

90

16

41

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 183

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014

DR Radiology-Diagnostic

Table DR-1

Summary StatisticsRadiology-Diagnostic

Measure (n=55) (n=47) (n=66) (n=63)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

6 3 4 3Mean number of contiguous ranks1.

2.1 1.7 1.7 1.8Mean number of distinct specialties ranked2.

237 223 232 219Mean USMLE Step 1 score3.

1.0 1.1 1.0 1.2Mean USMLE Step 1 attempts*4.

241 223 238 220Mean USMLE Step 2 CK score5.

1.0 1.2 1.0 1.2Mean USMLE Step 2 CK attempts**6.

1.1 1.3 1.1 1.3Mean USMLE Step 2 CS or ECFMG CSA attempts7.

13 30 23 41Mean number of months since ECFMG certification8.

1.4 6.3 6.2 7.9Mean number of years since graduation9.

73 53 21 14Percentage who speak English as a native language10.

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 Charting Outcomes in the Match for IMGs, 2014

0

10

20

30

40

50

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

95 7 8

5 51 1 2 2 1 3 4

0 1 1

26

8 62 1 0 0 0 0 1 1 1 1 0 0 0

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

15 14

7 72

5 4 3 3 1 30 1 0 1 0

38

8 62 3 1 0 1 0 1 0 0 0 1 1 1

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart DR-1

Number of Contiguous Ranks Within Preferred SpecialtyRadiology-Diagnostic

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

186 Charting Outcomes in the Match for IMGs, 2014

Graph DR-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksRadiology-Diagnostic

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

187Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart DR-2

Number of Applicants Ranking Different SpecialtiesRadiology-Diagnostic

0

10

20

30

40

50

1 2 3 4 or More

22

16

9 8

25

14

4 4

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

1 2 3 4 or More

33

19

12

2

36

9 108

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

188Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart DR-3

USMLE Step 1 ScoresRadiology-Diagnostic

0

5

10

15

20

25

30

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0 0 02

4

11

1513

10

0 003

74

74

10 9

30 0

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

0

5

10

15

20

25

30

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0 1

64

68

19

11

74

00

5

107

1012

10

6

2 1 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

189Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph DR-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScoreRadiology-Diagnostic

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

190Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartDR-4

USMLE Step 1 Attempts*Radiology-Diagnostic

Source: NRMP Data Warehouse and ECFMG.

191

0

10

20

30

40

50

60

70

80

1 2 3 4 5 6 and more

54

1 0 0 0 0

42

4 1 0 0 0

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

1 2 3 4 5 6 and more

65

1 0 0 0 0

50

13

0 0 0 0

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph DR-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Radiology-Diagnostic

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0.8 1.2 1.6 2.0 2.4 2.8 3.2

U.S. IMG Non-U.S. IMG

Step 1 Attempts

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 192 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart DR-5

USMLE Step 2 CK (Clinical Knowledge) ScoresRadiology-Diagnostic

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 1 0 27 6

9 1013

7

00 0

8 6 6 811

5 30 0

Matched Not Matched

Step 2 Scores

U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 1 02

7 69 10

13

7

00 0

86 6

811

53

0 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 2 2 36

10 11 13 118

005 7

139 9 8 8

2 2 0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0

10

20

30

40

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

02 2 3

610 11

1311

8

00

57

139 9 8 8

2 20

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 193 Charting Outcomes in the Match for IMGs, 2014

Graph DR-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScoreRadiology-Diagnostic

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

180 200 220 240 260 280 300

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 194 Charting Outcomes in the Match for IMGs, 2014

Chart DR-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Radiology-Diagnostic

Source: NRMP Data Warehouse and ECFMG.

0

10

20

30

40

50

60

70

80

1 2 3 4 5 6 and more

54

1 0 0 0 0

41

2 3 1 0 0

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

1 2 3 4 5 6 and more

66

0 0 0 0 0

56

4 2 1 0 0

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

195 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart DR-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Radiology-Diagnostic

Source: NRMP Data Warehouse and ECFMG.

0

10

20

30

40

50

60

70

80

1 2 3 4 5 6 and more

51

3 0 0 0 1

35

10

2 0 0 0

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

1 2 3 4 5 6 and more

61

4 1 0 0 0

46

13

2 1 0 1

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

196 Charting Outcomes in the Match for IMGs, 2014

Chart DR-8

Number of Months After ECFMG CertificationRadiology-Diagnostic

0

5

10

15

20

25

30

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

26

16

13 2

6

1

13

53

5

10 11

0

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

5

10

15

20

25

30

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

1

9

2018

810

00

5

19

6

10

22

1

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 197 Charting Outcomes in the Match for IMGs, 2014

Chart DR-9

Number of Years After Medical School GraduationRadiology-Diagnostic

0

10

20

30

40

50

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

41

53 3

1 1 0

13

3

128

37

1

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

7 8

24

18

4 411

4

16

22

13

30

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

198 Charting Outcomes in the Match for IMGs, 2014

Chart DR-10

Country of Medical SchoolRadiology-Diagnostic

U.S. IMG

01020304050

All Other Dominica Grenada

24

1219

47 Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Non-U.S. IMG

01020304050

All Other India Iran

41

1510

47

16

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 199

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014

GS Surgery-General

Table GS-1

Summary StatisticsSurgery-General

Measure (n=119) (n=123) (n=158) (n=150)

U.S. IMG Non-U.S. IMG

Matched Unmatched Matched Unmatched

4 2 3 3Mean number of contiguous ranks1.

1.2 1.4 1.2 1.4Mean number of distinct specialties ranked2.

227 216 233 221Mean USMLE Step 1 score3.

1.0 1.3 1.0 1.1Mean USMLE Step 1 attempts*4.

234 216 240 224Mean USMLE Step 2 CK score5.

1.0 1.2 1.0 1.1Mean USMLE Step 2 CK attempts**6.

1.0 1.2 1.1 1.2Mean USMLE Step 2 CS or ECFMG CSA attempts7.

8 19 16 24Mean number of months since ECFMG certification8.

1.1 2.7 4.4 6.3Mean number of years since graduation9.

81 74 20 21Percentage who speak English as a native language10.

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 Charting Outcomes in the Match for IMGs, 2014

0102030405060708090

100

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

3024

12 15 122

7 3 1 5 1 0 3 3 0 1

62

34

155 3 0 1 0 1 1 0 0 0 0 0 1

Matched Not Matched

Contiguous Ranks

U.S. IMG

Num

ber o

f app

lican

ts

0102030405060708090

100

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 orMore

47

34

22 24

10 6 5 5 1 3 0 0 0 0 0 1

94

27

114 1 1 0 1 1 4 0 0 0 0 1 5

Matched Not Matched

Contiguous Ranks

Non-U.S. IMG

Num

ber o

f app

lican

tsChart GS-1

Number of Contiguous Ranks Within Preferred SpecialtySurgery-General

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Source: NRMP Data Warehouse

202 Charting Outcomes in the Match for IMGs, 2014

Graph GS-1

Probability of Matching to Preferred Specialty by Number of Contiguous RanksSurgery-General

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

U.S. IMG Non-U.S. IMG

Number of Contiguous Ranks

Probability of Matching

Source: NRMP Data Warehouse.

203Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart GS-2

Number of Applicants Ranking Different SpecialtiesSurgery-General

0

30

60

90

120

150

1 2 3 4 or More

99

18

2 0

80

35

71

Matched Not Matched

Number of Different Specialties Ranked

U.S. IMG

Num

ber o

f app

lican

ts

0

30

60

90

120

150

1 2 3 4 or More

127

26

4 1

103

34

92

Matched Not Matched

Number of Different Specialties Ranked

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse

204Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Chart GS-3

USMLE Step 1 ScoresSurgery-General

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

0 04

11

25

31

2419

3 2 00

1014

2227

20 18

10

2 0 0

Matched Not Matched

Step 1 Scores

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 Score Unknown

03

610

16

22

38 39

20

400

7

17

25 2528

24

15

72 0

Matched Not Matched

Step 1 Scores

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

205Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

Graph GS-2

Probability of Matching to Preferred Specialty by USMLE Step 1 ScoreSurgery-General

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 1 Score

Probability of Matching

Source: NRMP Data Warehouse and ECFMG.

206Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014

ChartGS-4

USMLE Step 1 Attempts*Surgery-General

Source: NRMP Data Warehouse and ECFMG.

207

0

20

40

60

80

100

120

140

160

1 2 3 4 5 6 and more

117

2 0 0 0 0

105

10 5 2 0 1

Matched Not Matched

Step 1 Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

140

160

1 2 3 4 5 6 and more

153

3 2 0 0 0

134

123 1 0 0

Matched Not Matched

Step 1 Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Graph GS-3

Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*Surgery-General

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

1 2 3 4 5 6

U.S. IMG Non-U.S. IMG

Step 1 Attempts

Probability of Matching

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 208 Charting Outcomes in the Match for IMGs, 2014*USMLE Step 1 or equivalent examination

Chart GS-5

USMLE Step 2 CK (Clinical Knowledge) ScoresSurgery-General

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 05 5

14

2629

20

128

02 2

2025

30

16 15

9

3 1 0

Matched Not Matched

Step 2 Scores

U.S. IMG

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 05 5

14

2629

20

128

02 2

2025

30

16 15

9

3 1 0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 14 4

12

2427

37

29

20

01

811

17

28 27 26

19

94

0

Matched Not Matched

Step 2 Scores

Non-U.S. IMG

0

10

20

30

40

50

<= 180 Between 181and 190

Between 191and 200

Between 201and 210

Between 211and 220

Between 221and 230

Between 231and 240

Between 241and 250

Between 251and 260

>260 ScoreUnknown

0 14 4

12

2427

37

29

20

01

811

17

28 27 26

19

94

0

Matched Not Matched

Step 2 CK Scores

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG.

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 209 Charting Outcomes in the Match for IMGs, 2014

Graph GS-4

Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) ScoreSurgery-General

Source: NRMP Data Warehouse and ECFMG.

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

160 180 200 220 240 260 280

U.S. IMG Non-U.S. IMG

Step 2 CK Score

Probability of Matching

Copyright © 2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 210 Charting Outcomes in the Match for IMGs, 2014

Chart GS-6

USMLE Step 2 CK (Clinical Knowledge) Attempts*Surgery-General

Source: NRMP Data Warehouse and ECFMG.

0

20

40

60

80

100

120

140

160

1 2 3 4 5 6 and more

118

1 0 0 0 0

105

10 80 0 0

Matched Not Matched

Step 2 CK Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

140

160

1 2 3 4 5 6 and more

153

5 0 0 0 0

142

6 1 0 1 0

Matched Not Matched

Step 2 CK Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

211 Charting Outcomes in the Match for IMGs, 2014

*USMLE Step 2 CK or equivalent examination

Chart GS-7

Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)Surgery-General

Source: NRMP Data Warehouse and ECFMG.

0

20

40

60

80

100

120

140

1 2 3 4 5 6 and more

116

2 1 0 0 0

103

17

1 0 0 2

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

U.S. IMG

Num

ber o

f app

lican

ts

0

20

40

60

80

100

120

140

1 2 3 4 5 6 and more

139

17

2 0 0 0

120

28

2 0 0 0

Matched Not Matched

Step 2 CS or ECFMG CSA Attempts

Non-U.S. IMG

Num

ber o

f app

lican

ts

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

212 Charting Outcomes in the Match for IMGs, 2014

Chart GS-8

Number of Months After ECFMG CertificationSurgery-General

0

10

20

30

40

50

60

70

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

39 36

15 1710

1 1

18 20 21

32

16 13

3

Matched Not Matched

Months after ECFMG Certification

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

less than 1 2 to 6 7 to 12 13 to 24 25 to 48 more than 48 no data

816

5157

24

2 04

19

29

48

36

13

1

Matched Not Matched

Months after ECFMG Certification

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 213 Charting Outcomes in the Match for IMGs, 2014

Chart GS-9

Number of Years After Medical School GraduationSurgery-General

0

10

20

30

40

50

60

70

80

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

66

41

6 4 2 0 0

30

62

159

2 50

Matched Not Matched

Years after Medical School Graduation

U.S. IMG

Num

ber o

f app

lican

ts

0

10

20

30

40

50

60

70

80

less than 1 1 to 2 3 to 5 6 to 10 11 to 15 16 to 25 25 or more

13

36

68

30

10

1 07

27

4347

14 11

0

Matched Not Matched

Years after Medical School Graduation

Non-U.S. IMG

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMGCopyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only.

214 Charting Outcomes in the Match for IMGs, 2014

Chart GS-10

Country of Medical SchoolSurgery-General

U.S. IMG

020406080

100120

All Other Dominica Grenada Sint Maarten

4731

4162

3219 10

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Non-U.S. IMG

020406080

100120

All Other Egypt Grenada India Pakistan Venezuela

97

1022 18 11

102

14 2212

Matched Not Matched

Country of Medical School

Num

ber o

f app

lican

ts

Source: NRMP Data Warehouse and ECFMG

Copyright ©2014 NRMP and ECFMG. Copies may be made for educational or noncommercial uses only. 215

Note: A country is included if it has 10 or more applicants for each category

Charting Outcomes in the Match for IMGs, 2014