International Medical Graduates
Characteristics of Applicants Who Matched to Their Preferred Specialty in the 2013 Main Residency Match
National Resident Matching Program
and Educational Commission for Foreign Medical Graduates
2013match的官方统计数据已经火热出炉啦~本次NRMP（National Resident Matching Program ）网站上特别推出了针对IMGmatch的统计数据，SHUG也在第一时间为大家摘要了其中最重要的一些数据，希望大家能对IMG的match情况有了解~
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.
2.Number of IMG Applicants and Positions in the 2014 Main Residency Match 有多少职位你能申请？
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.
3.Ratio – Applicants Ranking Specialty First / Available Positions 对于一个职位而言，你的竞争对手比例如何？
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.
4.Match Rates-Percent Matched by Preferred Specialty and IMG Applicant Type Match到的概率究竟有多大？
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.
5.Summary Statistics–All Specialties Combined match上的人有哪些特点？
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.
6.Median Number of Contiguous Ranks 拿几个面试能有一个职位？
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.
7.USMLE Step 1 Scores of Matched Applicants match上的人Step1考了多少分？
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).
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.
9.Mean Number Attempts at of USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills 10 Assessment) 他们考了几次CS？
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.
10.Mean Number of Months after ECFMG Certification 拿到ECFMG认证之后，他们又等了几个月才match上？
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.
11.Mean Number of Years After Graduation–毕业年限是多久？
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.
12.Country of Medical School 中国医学院毕业的IMG又多少参加了match?
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.
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