IMG Match Data
Match rates for US and Non-US International Medical Graduates, overall and by specialty (NRMP data), plus IMG-friendly specialties.
IMG Match Rate by Specialty (2026)
Of the US IMGs and Non-US IMGs who ranked a specialty as their only choice, the percentage who matched. IMGs who also ranked another specialty aren't counted. Where a group has fewer than 10 such applicants, the cell shows how many matched (such as 3 of 4) instead of a percentage; a dash means none.
| Specialty | US IMG | Non-US IMG |
|---|---|---|
| Anesthesiology | 52.2%24 of 46 matched | 41.6%42 of 101 matched |
| Child Neurology | 3 of 4 matched, too few for a percentage | 6 of 9 matched, too few for a percentage |
| Dermatology | 53.8%7 of 13 matched | 18.2%2 of 11 matched |
| Emergency Medicine | 84.8%252 of 297 matched | 57.5%50 of 87 matched |
| Family Medicine | 63.9%334 of 523 matched | 52.9%394 of 745 matched |
| Internal Medicine | 72.9%746 of 1,024 matched | 50.5%2,419 of 4,786 matched |
| Internal Medicine (Prelim) | 54.5%6 of 11 matched | 30.4%7 of 23 matched |
| Internal Medicine/ | 1 of 4 matched, too few for a percentage | 2 of 2 matched, too few for a percentage |
| Interventional Radiology | 0 of 2 matched, too few for a percentage | 0 of 3 matched, too few for a percentage |
| Neurological Surgery | 2 of 4 matched, too few for a percentage | 30.8%12 of 39 matched |
| Neurology | 54.7%29 of 53 matched | 47.3%122 of 258 matched |
| Obstetrics and Gynecology | 38.0%27 of 71 matched | 39.7%29 of 73 matched |
| Obstetrics and Gynecology (Prelim) | 0 of 1 matched, too few for a percentage | 0 of 1 matched, too few for a percentage |
| Occupational & Environmental Med | 1 of 4 matched, too few for a percentage | No IMG in this group ranked it as their only choice |
| Orthopaedic Surgery | 19.0%4 of 21 matched | 33.3%5 of 15 matched |
| Otolaryngology | 36.4%4 of 11 matched | 5 of 9 matched, too few for a percentage |
| Pathology-Anatomic and Clinical | 56.1%46 of 82 matched | 45.7%159 of 348 matched |
| Pediatrics | 83.8%160 of 191 matched | 68.6%432 of 630 matched |
| Pediatrics/ | No IMG in this group ranked it as their only choice | 2 of 3 matched, too few for a percentage |
| Physical Medicine and Rehabilitation | 20.0%2 of 10 matched | 50.0%6 of 12 matched |
| Plastic Surgery | 0 of 1 matched, too few for a percentage | 30.8%4 of 13 matched |
| Preventive Medicine | 4 of 8 matched, too few for a percentage | 1 of 2 matched, too few for a percentage |
| Psychiatry | 66.2%129 of 195 matched | 59.4%171 of 288 matched |
| Radiation Oncology | 1 of 4 matched, too few for a percentage | 46.7%7 of 15 matched |
| Radiology-Diagnostic | 50.0%13 of 26 matched | 53.3%24 of 45 matched |
| Surgery-General | 34.9%37 of 106 matched | 34.5%57 of 165 matched |
| Surgery-General (Prelim) | 65.0%13 of 20 matched | 53.1%51 of 96 matched |
| Thoracic Surgery | No IMG in this group ranked it as their only choice | 0 of 2 matched, too few for a percentage |
| Vascular Surgery | 0 of 1 matched, too few for a percentage | 0 of 2 matched, too few for a percentage |
Not in the table: specialties with fewer than 20 positions, which NRMP omits; specialties no IMG ranked as their only choice; Transitional Year; and Ophthalmology and Urology, which run their own matches. The overall rates below count every active applicant, whatever they ranked, and the MD vs DO rates by specialty count every US senior who ranked at least one of a specialty's programs, so neither compares with these. Each row combines a specialty's PGY-1 and PGY-2 (first and second post-graduate year) programs, including Physician (R) programs for applicants with prior graduate training; Internal Medicine and Pediatrics combine their categorical and primary care positions; and preliminary (one-year) programs get their own (Prelim) rows. Preventive Medicine here is NRMP's Public Health and Preventive Medicine, not the Medicine-Preventive Med track. NRMP's printed Percent Matched is each specialty's share of all matched only-choice IMGs, not this rate; this rate is 100 minus its printed Percent Unmatched, to within rounding. US IMGs are US citizens, and Non-US IMGs non-US citizens, from medical schools outside the United States that the LCME and AOA COCA do not accredit (NRMP's definitions). Source: NRMP Results and Data: 2026 Main Residency Match, Table 12C | nrmp.org
IMG Share of Positions by Specialty (2026)
Not a match rate: the share of each specialty's positions that went to IMGs (US + Non-US), sorted highest first.
Medicine-Preventive Med is a combined internal-medicine track, and its 80% share is 4 of just 5 positions — by volume, Internal Medicine dominates IMG matches (4,508 of 11,194 spots). Source: NRMP 2026 Main Residency Match | nrmp.org
Every Specialty — IMG Matches (2026)
All 72 specialty lines NRMP published for 2026 — US IMG and Non-US IMG matches per specialty, and the share of offered positions that went to IMGs. Sort by any column header; search covers every position type at once. A caution on the extremes: small specialties can post outsized shares from a handful of seats — check the Offered column before reading much into a percentage.
PGY-1 = positions starting at intern year. PGY-2 = advanced positions starting after a preliminary or transitional year. Physician (R) = reserved for applicants with prior graduate medical education.
| Medicine-Preventive Med | 80.0% | 1 | 3 | 5 | 5 |
| Pediatrics-Primary | 55.9% | 1 | 32 | 59 | 55 |
| Neurodevelopmental Disabilities | 42.9% | 1 | 2 | 7 | 5 |
| Internal Medicine (Categorical) | 40.3% | 1,060 | 3,448 | 11,194 | 10,657 |
| Pathology | 34.6% | 50 | 170 | 636 | 634 |
| Medicine-Medical Genetics | 33.3% | 0 | 1 | 3 | 3 |
| Medicine-Primary | 31.1% | 31 | 105 | 438 | 421 |
| Pediatrics (Categorical) | 28.7% | 213 | 684 | 3,126 | 2,951 |
| Family Medicine | 28.2% | 585 | 962 | 5,491 | 4,592 |
| Pediatrics-Medical Genetics | 25.8% | 2 | 6 | 31 | 27 |
| Psychiatry-Neurology | 25.0% | 0 | 1 | 4 | 4 |
| Surgery-Preliminary (PGY-1 Only) | 24.0% | 72 | 218 | 1,207 | 664 |
| Neurology | 22.3% | 49 | 175 | 1,003 | 999 |
| Pediatrics-Preliminary | 20.0% | 3 | 2 | 25 | 25 |
| Child Neurology | 18.0% | 9 | 29 | 211 | 205 |
| Radiology-Diagnostic | 17.3% | 8 | 19 | 156 | 148 |
| Radiation Oncology | 16.7% | 0 | 2 | 12 | 12 |
| Psychiatry | 15.9% | 177 | 222 | 2,516 | 2,451 |
| Emergency Medicine | 12.9% | 319 | 93 | 3,198 | 3,058 |
| Pediatrics-Emergency Med | 12.5% | 0 | 1 | 8 | 7 |
| Surgery (Categorical) | 11.8% | 85 | 128 | 1,807 | 1,804 |
| Medicine-Preliminary (PGY-1 Only) | 11.3% | 48 | 129 | 1,565 | 1,430 |
| Transitional (PGY-1 Only) | 10.4% | 92 | 110 | 1,937 | 1,746 |
| Emergency Med-Internal Med | 8.8% | 2 | 1 | 34 | 33 |
| Interventional Radiology (Integrated) | 8.6% | 3 | 3 | 70 | 66 |
| Anesthesiology | 7.4% | 56 | 82 | 1,865 | 1,865 |
| Dermatology | 6.5% | 1 | 1 | 31 | 31 |
| Vascular Surgery (Integrated) | 6.4% | 3 | 4 | 110 | 110 |
| Neurological Surgery | 6.1% | 2 | 15 | 280 | 280 |
| Obstetrics-Gynecology | 5.9% | 51 | 45 | 1,638 | 1,636 |
| Medicine-Pediatrics | 5.4% | 8 | 14 | 404 | 404 |
| Thoracic Surgery (Integrated) | 5.4% | 1 | 2 | 56 | 56 |
| OB/GYN-Preliminary (PGY-1 Only) | 4.8% | 1 | 0 | 21 | 10 |
| Medicine-Psychiatry | 3.7% | 1 | 0 | 27 | 27 |
| Peds/Psych/Child Psych | 3.3% | 0 | 1 | 30 | 30 |
| Otolaryngology | 3.2% | 5 | 8 | 403 | 402 |
| Physical Medicine & Rehab | 3.2% | 3 | 5 | 253 | 253 |
| Plastic Surgery (Integrated) | 2.6% | 1 | 5 | 230 | 228 |
| Orthopaedic Surgery | 1.0% | 5 | 5 | 963 | 963 |
| Dermatology-Internal Med | 0.0% | 0 | 0 | 8 | 8 |
| Emergency Med-Aerospace Medicine | 0.0% | 0 | 0 | 1 | 1 |
| Emergency Med-Anesthesiology | 0.0% | 0 | 0 | 2 | 2 |
| Emergency Med-Family Med | 0.0% | 0 | 0 | 7 | 7 |
| Osteo Neuromusculoskeletal Med | 0.0% | 0 | 0 | 27 | 12 |
| Pediatrics-Anesthesiology | 0.0% | 0 | 0 | 8 | 8 |
| Pediatrics-P M & R | 0.0% | 0 | 0 | 5 | 5 |
| Psychiatry-Family Medicine | 0.0% | 0 | 0 | 14 | 14 |
| Medicine-Aerospace Medicine | — | 0 | 0 | 0 | 0 |
| Anesthesiology | 6.5% | 15 | 5 | 306 | 306 |
| Child Neurology | 44.4% | 3 | 1 | 9 | 8 |
| Dermatology | 2.4% | 9 | 4 | 546 | 545 |
| Interventional Radiology (Integrated) | 9.5% | 3 | 13 | 168 | 162 |
| Neurodevelopmental Disabilities | 50.0% | 0 | 1 | 2 | 1 |
| Neurology | 21.5% | 12 | 38 | 233 | 233 |
| Occupational & Environmental Med | 0.0% | 0 | 0 | 4 | 1 |
| Physical Medicine & Rehab | 7.5% | 8 | 17 | 334 | 334 |
| Public Health and Preventive Medicine | 16.7% | 1 | 0 | 6 | 4 |
| Radiation Oncology | 10.5% | 2 | 16 | 171 | 167 |
| Radiology-Diagnostic | 11.2% | 30 | 91 | 1,083 | 1,066 |
| Radiology-Nuclear Med | 50.0% | 0 | 1 | 2 | 2 |
| Anesthesiology | 7.6% | 7 | 2 | 119 | 115 |
| Child Neurology | 34.8% | 3 | 5 | 23 | 13 |
| Dermatology | 0.0% | 0 | 0 | 25 | 25 |
| Interventional Radiology (Integrated) | 0.0% | 0 | 0 | 7 | 7 |
| Neurodevelopmental Disabilities | 100.0% | 0 | 2 | 2 | 2 |
| Neurology | 62.5% | 2 | 13 | 24 | 23 |
| Occupational & Environmental Med | 5.4% | 1 | 1 | 37 | 28 |
| Osteo Neuromusculoskeletal Med | 7.7% | 0 | 1 | 13 | 3 |
| Physical Medicine & Rehab | 14.3% | 2 | 0 | 14 | 14 |
| Public Health and Preventive Medicine | 14.0% | 5 | 3 | 57 | 41 |
| Radiation Oncology | 0.0% | 0 | 0 | 4 | 4 |
| Radiology-Diagnostic | 10.3% | 2 | 1 | 29 | 24 |
IMG Share = (US IMG + Non-US IMG matches) ÷ positions offered — the same basis as the chart above. Source: NRMP Results and Data: 2026 Main Residency Match, Table 2 | nrmp.org
IMG-Friendly Specialties
Most IMG-Friendly
Moderately IMG-Friendly
Competitive for IMGs
Very Competitive for IMGs
Editorial groupings by the share of each specialty's 2026 PGY-1 (first post-graduate year) positions that went to IMGs, as in the share chart and the every-specialty table; Dermatology, whose positions are mostly PGY-2, goes by its PGY-2 share. They do not follow the match rates at the top: a specialty can fill few of its positions with IMGs yet match most of the IMGs who rank it as their only choice. Short names here match the every-specialty table's formal ones (ENT = Otolaryngology; General Surgery = Surgery (Categorical); OB/GYN = Obstetrics-Gynecology; Surgery (Prelim) = Surgery-Preliminary (PGY-1 Only)). Ophthalmology matches through SF Match, outside NRMP's tables, so its placement is editorial. Source: NRMP Results and Data: 2026 Main Residency Match, Table 2 | nrmp.org
IMG Match Rate Trend (2020–2026)
Percentage of active applicants who matched to a PGY-1 (first post-graduate year) position: every IMG who certified a rank order list counts, whatever they ranked (NRMP Table 6).
70.0%
US IMG Rate (2026)
56.4%
Non-US IMG Rate (2026)
9,682
IMGs Matched (PGY-1)
Source: NRMP 2020–2026 Main Residency Match Reports | nrmp.org
US IMG vs Non-US IMG (2026)
| Metric | US IMG | Non-US IMG |
|---|---|---|
| Overall Match Rate | 70.0% | 56.4% |
| Active Applicants | 4,210 | 11,944 |
| Matched (PGY-1) | 2,949 | 6,733 |
| Unmatched | 30.0% | 43.6% |
| #1 Specialty by Matches | Internal Medicine | Internal Medicine |
| #2 Specialty by Matches | Family Medicine | Family Medicine |
| #3 Specialty by Matches | Emergency Medicine | Pediatrics |
| Share of All PGY-1 Matches | 7.7% | 17.6% |
Source: NRMP 2026 Main Residency Match | nrmp.org
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