nrmp and ecfmg publish charting outcomes in the match for international medical graduates revised
TRANSCRIPT
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]
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
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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.
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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
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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.
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
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
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
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
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
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
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
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
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
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
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
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