MD/DO Match Data

2026 NRMP match rates for Allopathic and Osteopathic seniors, with specialty-level breakdowns.

NRMP Match Data

Year	Applicants	Positions	Filled	Fill Rate	MD Rate	DO Rate
2026	53,373	44,344	41,482	93.5%	93.5%	93.2%
2025	52,498	43,237	40,764	94.3%	93.5%	92.6%

79.8%

Applicants Matched (2026)

9,696

Went Unmatched

2,862

Positions Unfilled (→ SOAP)

Source: NRMP Advance Data Tables 2026, Tables 3 & 4 | nrmp.org

Match Rate by Applicant Type (2026)

Share of active applicants who matched to a PGY-1 position. The drop from current-year seniors to prior-year graduates is the cliff worth knowing about.

U.S. MD Seniors93.5%

U.S. DO Seniors93.2%

U.S. IMGs70%

Non-U.S. IMGs56.4%

U.S. DO Graduates48.3%

U.S. MD Graduates47.7%

Source: NRMP Advance Data Tables 2026, Table 4 (matches ÷ active applicants). | nrmp.org

Supply vs Demand (2022–2026)

Positions offered vs total applicants registered. Applicant growth has outpaced new positions — the reason the overall fill rate eased to 93.5% in 2026.

2022Seats 39,205|Applicants 47,675

SEATS

APPS

2023Seats 40,375|Applicants 48,156

SEATS

APPS

2024Seats 41,503|Applicants 50,413

SEATS

APPS

2025Seats 43,237|Applicants 52,498

SEATS

APPS

2026Seats 44,344|Applicants 53,373

SEATS

APPS

Source: NRMP Advance Data Tables 2026, Table 3 (positions) & Table 4 (registrants). | nrmp.org

Position Fill Rate by Specialty (2026)

% of offered positions filled — lower % = more unfilled spots

Family Medicine83.6%

4,592 filled5,491 positions

Pediatrics94.4%

2,951 filled3,126 positions

Internal Medicine95.2%

10,657 filled11,194 positions

Emergency Medicine95.6%

3,058 filled3,198 positions

Interventional Radiology - Integrated96.4%

162 filled168 positions

Psychiatry97.4%

2,451 filled2,516 positions

Radiation Oncology97.7%

167 filled171 positions

Diagnostic Radiology98.4%

1,066 filled1,083 positions

Plastic Surgery99.1%

228 filled230 positions

General Surgery99.8%

1,804 filled1,807 positions

Dermatology99.8%

545 filled546 positions

Otolaryngology (ENT)99.8%

402 filled403 positions

Ophthalmology99.8%

524 filled525 positions

OB/GYN99.9%

1,636 filled1,638 positions

Anesthesiology100%

1,865 filled1,865 positions

Orthopedic Surgery100%

963 filled963 positions

Neurosurgery100%

280 filled280 positions

Source: NRMP 2026 Main Residency Match | nrmp.org

Specialty Competitiveness — MD vs DO (2026)

US MD senior vs US DO senior match rate, grouped by competitiveness for DO applicants (hardest first). The wider the MD–DO gap, the harder the specialty is for DOs.

Ultra Competitive

DermatologyMD 58.6%|DO 29.7%

Plastic SurgeryMD 64.6%|DO 30.8%

OphthalmologyMD 72%|DO 34%

Interventional Radiology - IntegratedMD 52.5%|DO 38%

Otolaryngology (ENT)MD 75.5%|DO 41.8%

Orthopedic SurgeryMD 67.8%|DO 42.8%

Highly Competitive

NeurosurgeryMD 69.6%|DO 47.4%

Diagnostic RadiologyMD 70.7%|DO 60%

General SurgeryMD 70.3%|DO 60.3%

AnesthesiologyMD 73.1%|DO 62.2%

Moderately Competitive

OB/GYNMD 85.6%|DO 67.8%

Radiation OncologyMD 81.5%|DO 78.3%

Internal MedicineMD 84.2%|DO 78.7%

Family MedicineMD 85.2%|DO 79.5%

Less Competitive

PsychiatryMD 88.2%|DO 83.4%

PediatricsMD 87.4%|DO 89.4%

Emergency MedicineMD 91.7%|DO 90%

Bold = 2026 NRMP match rate (matches ÷ applicants of that type). Ophthalmology runs separately via SF Match (2025 AUPO data). Source: NRMP 2026 | nrmp.org

DO Seniors — Positions Filled by Specialty (2026)

% of each specialty's filled positions taken by DO seniors

Emergency Medicine36.6%

1,119 DO seniors matched

Family Medicine30.6%

1,403 DO seniors matched

Psychiatry23.1%

566 DO seniors matched

Transitional Year21.8%

381 DO seniors matched

Pediatrics20.8%

615 DO seniors matched

OB/GYN20.2%

330 DO seniors matched

Pathology18.3%

116 DO seniors matched

Anesthesiology18.2%

340 DO seniors matched

Neurology18.1%

181 DO seniors matched

Internal Medicine18%

1,914 DO seniors matched

General Surgery16.5%

298 DO seniors matched

Orthopedic Surgery12.6%

121 DO seniors matched

93.2%

DO Match Rate (2026)

7,928

DOs Matched (2026)

20.7%

of All PGY-1 Matches

Source: NRMP & NBOME 2026 | nrmp.org | nbome.org

The numbers tell part of the story. A verified resident tells the rest.

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