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)

SOAP = the Supplemental Offer and Acceptance Program, Match Week's process for filling unfilled positions. Source: NRMP (National Resident Matching Program) Advance Data Tables 2026, Tables 1A, 3, and 4 | nrmp.org

Every Specialty — The Full 2026 Table

All 72 specialty lines NRMP published for the 2026 Main Residency Match — positions offered and filled, fill rate, and who filled them (US MD seniors, US DO seniors, IMGs). Sort by any column header; search covers every position type at once.

PGY-1 = positions starting at intern year. PGY-2 = advanced positions starting after a preliminary/transitional year. Physician (R) = reserved for applicants with prior graduate medical education.


Internal Medicine (Categorical)	11,194	10,657	537	95.2%	4,001	1,914	4,508	788
Family Medicine	5,491	4,592	899	83.6%	1,492	1,403	1,547	848
Emergency Medicine	3,198	3,058	140	95.6%	1,416	1,119	412	303
Pediatrics (Categorical)	3,126	2,951	175	94.4%	1,407	615	897	250
Psychiatry	2,516	2,451	65	97.4%	1,414	566	399	434
Transitional (PGY-1 Only)	1,937	1,746	191	90.1%	1,144	381	202	239
Anesthesiology	1,865	1,865	0	100.0%	1,315	340	138	200
Surgery (Categorical)	1,807	1,804	3	99.8%	1,111	298	213	383
Obstetrics-Gynecology	1,638	1,636	2	99.9%	1,119	330	96	310
Medicine-Preliminary (PGY-1 Only)	1,565	1,430	135	91.4%	1,116	121	177	325
Surgery-Preliminary (PGY-1 Only)	1,207	664	543	55.0%	289	64	290	265
Neurology	1,003	999	4	99.6%	583	181	224	171
Orthopaedic Surgery	963	963	0	100.0%	765	121	10	223
Pathology	636	634	2	99.7%	264	116	220	174
Medicine-Primary	438	421	17	96.1%	244	36	136	97
Medicine-Pediatrics	404	404	0	100.0%	325	53	22	81
Otolaryngology	403	402	1	99.8%	355	23	13	140
Neurological Surgery	280	280	0	100.0%	243	9	17	121
Physical Medicine & Rehab	253	253	0	100.0%	134	103	8	58
Plastic Surgery (Integrated)	230	228	2	99.1%	208	4	6	94
Child Neurology	211	205	6	97.2%	136	27	38	83
Radiology-Diagnostic	156	148	8	94.9%	83	33	27	34
Vascular Surgery (Integrated)	110	110	0	100.0%	92	8	7	83
Interventional Radiology (Integrated)	70	66	4	94.3%	49	10	6	32
Pediatrics-Primary	59	55	4	93.2%	17	5	33	12
Thoracic Surgery (Integrated)	56	56	0	100.0%	52	1	3	39
Emergency Med-Internal Med	34	33	1	97.1%	16	14	3	14
Dermatology	31	31	0	100.0%	23	6	2	15
Pediatrics-Medical Genetics	31	27	4	87.1%	17	2	8	25
Peds/Psych/Child Psych	30	30	0	100.0%	28	1	1	11
Medicine-Psychiatry	27	27	0	100.0%	21	5	1	13
Osteo Neuromusculoskeletal Med	27	12	15	44.4%	0	11	0	9
Pediatrics-Preliminary	25	25	0	100.0%	18	2	5	19
OB/GYN-Preliminary (PGY-1 Only)	21	10	11	47.6%	8	0	1	18
Psychiatry-Family Medicine	14	14	0	100.0%	14	0	0	6
Radiation Oncology	12	12	0	100.0%	8	2	2	6
Dermatology-Internal Med	8	8	0	100.0%	8	0	0	5
Pediatrics-Anesthesiology	8	8	0	100.0%	8	0	0	5
Pediatrics-Emergency Med	8	7	1	87.5%	5	1	1	4
Emergency Med-Family Med	7	7	0	100.0%	6	1	0	3
Neurodevelopmental Disabilities	7	5	2	71.4%	2	0	3	5
Medicine-Preventive Med	5	5	0	100.0%	1	0	4	3
Pediatrics-P M & R	5	5	0	100.0%	3	2	0	4
Psychiatry-Neurology	4	4	0	100.0%	3	0	1	3
Medicine-Medical Genetics	3	3	0	100.0%	2	0	1	3
Emergency Med-Anesthesiology	2	2	0	100.0%	1	0	0	1
Emergency Med-Aerospace Medicine	1	1	0	100.0%	1	0	0	1
Medicine-Aerospace Medicine	0	0	0	0.0%	0	0	0	1

IMGs = US IMG + Non-US IMG matches combined; the remaining seats went to MD/DO prior-year graduates and other applicant types. Source: NRMP Results and Data: 2026 Main Residency Match, Tables 1A & 2 | nrmp.org

Match Rate by Applicant Type (2026)

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

US MD Seniors93.5%

US DO Seniors93.2%

US IMGs70.0%

Non-US IMGs56.4%

US DO Graduates48.3%

US 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 39,205Applicants 47,675

Seats

Apps

2023Seats 40,375Applicants 48,156

Seats

Apps

2024Seats 41,503Applicants 50,413

Seats

Apps

2025Seats 43,237Applicants 52,498

Seats

Apps

2026Seats 44,344Applicants 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

Ophthalmology99.2%

524 filled528 positions

General Surgery99.8%

1,804 filled1,807 positions

Dermatology99.8%

545 filled546 positions

Otolaryngology (ENT)99.8%

402 filled403 positions

OB/GYN99.9%

1,636 filled1,638 positions

Anesthesiology100.0%

1,865 filled1,865 positions

Orthopaedic Surgery100.0%

963 filled963 positions

Neurosurgery100.0%

280 filled280 positions

Ophthalmology runs separately through SF Match, not the NRMP. Sources: NRMP 2026 Main Residency Match (nrmp.org); Ophthalmology via AUPO 2026 Ophthalmology Residency Match Data Report (aupo.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

OphthalmologyMD 72.0%DO 28.1%

DermatologyMD 58.6%DO 29.7%

Plastic SurgeryMD 64.6%DO 30.8%

Interventional Radiology - IntegratedMD 52.5%DO 38.0%

Otolaryngology (ENT)MD 75.5%DO 41.8%

Orthopaedic SurgeryMD 67.8%DO 42.8%

Highly Competitive

NeurosurgeryMD 69.6%DO 47.4%

Diagnostic RadiologyMD 70.7%DO 60.0%

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 90.0%

Percentages are 2026 NRMP match rates (matches ÷ applicants of that type). Ophthalmology runs separately via SF Match (AUPO 2026 data). Sources: NRMP 2026 (nrmp.org); AUPO 2026 (aupo.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 Medicine18.0%

1,914 DO seniors matched

General Surgery16.5%

298 DO seniors matched

Orthopaedic Surgery12.6%

121 DO seniors matched

93.2%

DO Senior Match Rate (2026)

7,928

DO Seniors Matched (PGY-1)

20.7%

Of All PGY-1 Matches

Source: NRMP Advance Data Tables 2026, Tables 1B & 4 | nrmp.org

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