Results of the 2018 NRMP Program Director Survey€¦ · 0% 20% 40% 60% 80% 100% Yes, pass only...

179
Results of the 2018 NRMP Program Director Survey www.nrmp.org June 2018

Transcript of Results of the 2018 NRMP Program Director Survey€¦ · 0% 20% 40% 60% 80% 100% Yes, pass only...

Results of the 2018 NRMP Program Director Survey

www.nrmp.org

June 2018

Requests for permission to use these data as well as questions about the content of this publication or the National Resident Matching Program data and reports may be directed to

Mei Liang, Director of Research, NRMP, at [email protected].

Questions about the NRMP should be directed to Mona M. Signer, President and CEO, NRMP, at [email protected].

Suggested CitationNational Resident Matching Program, Data Release and Research Committee: Results of the

2018 NRMP Program Director Survey. National Resident Matching Program, Washington, DC. 2018.

Copyright © 2018 National Resident Matching Program. All rights reserved. Permission to use, copy and/or distribute any documentation and/or related images from this publication shall be

expressly obtained from the NRMP.

Introduction .................................................................................................................................................................. 1 All Specialties............................................................................................................................................................... 2 Charts for Individual Specialties

Anesthesiology ....................................................................................................................................................... 9 Child Neurology ................................................................................................................................................... 16 Dermatology ......................................................................................................................................................... 23 Emergency Medicine ........................................................................................................................................... 30 Family Medicine ................................................................................................................................................... 37 Internal Medicine .................................................................................................................................................. 44 Internal Medicine/Pediatrics ................................................................................................................................. 51 Interventional Radiology ...................................................................................................................................... 58 Neurological Surgery ............................................................................................................................................ 65 Neurology ............................................................................................................................................................. 72 Obstetrics and Gynecology .................................................................................................................................. 79 Orthopaedic Surgery ............................................................................................................................................. 86 Otolaryngology ..................................................................................................................................................... 93 Pathology ............................................................................................................................................................ 100 Pediatrics ............................................................................................................................................................ 107 Physical Medicine and Rehabilitation ................................................................................................................ 114 Plastic Surgery .................................................................................................................................................... 121 Psychiatry ........................................................................................................................................................... 128 Radiation Oncology ............................................................................................................................................ 135 Radiology-Diagnostic ......................................................................................................................................... 142 Surgery ............................................................................................................................................................... 149 Thoracic Surgery ................................................................................................................................................ 156 Transitional Year ................................................................................................................................................ 163 Vascular Surgery ................................................................................................................................................ 170

Table of Contents

Introduction

1NRMP Program Director Survey Results, 2018

In March 2018, the National Resident Matching Program (NRMP) conducted its biennial survey of the directors of all programs participating in the Main Residency Match®. The primary purpose of the survey was to shed light on the factors that program directors use to (1) select applicants to interview and (2) rank applicants for the Match.

The survey was fielded during the 18 days between the Rank Order List Deadline and Match Week so that program match outcomes would not influence respondents' answers.

The survey solicited information on: the number of applications received, screened, and

reviewed, as well as the number of applicants interviewed and ranked

whether the program typically interviews and ranks specific applicant groups

use of test scores in considering which applicants to interview, and

the factors used for both interview selection and for ranking applicants.

The overall response rate for all specialties in this report was 29.2 percent. Transitional Year programs and programs in 23 specialties with 10 or more responses are included in this report. Response rates are listed in the table below.

Beginning with the 2016 survey, program directors were asked to indicate the percentage of interview invitations sent and

interviews conducted in certain time periods. They also were asked how often they interviewed and ranked candidates from each applicant group. In addition, program directors rated factors used in assessing residents' success. In surveys conducted prior to 2014, program directors were asked to indicate factors they used in selecting applicants to interview and to rate the importance of each factor in ranking. Beginning with the 2014 survey, program directors have been asked to indicate factors they used in selecting applicants to interview and rank and rate their importance on a scale of 1 to 5.

Numbers of responses are presented in most of the graphs, and some graphs use data from multiple survey questions. In those cases, different N's are listed. Numbers of applicants ranked and positions in the Match are extracted from the NRMP database. Graphs are suppressed for questions with fewer than five responses.

This report presents results by specialty on selected items from the survey. The NRMP hopes that program directors, medical school officials, and applicants find these data useful as they prepare for and participate in the Main Residency Match._______________

The NRMP's data reporting and research activities are guided by its Data Release and Research Committee. NRMP data and reports can be found at: www.nrmp.org/main-residency-match-data/.

Specialty Surveys Sent Number Responding Response Rate

Anesthesiology 234 62 26.5%

Child Neurology 94 36 38.3%

Dermatology 124 21 16.9%

Emergency Medicine 190 92 48.4%

Family Medicine 487 152 31.2%

Internal Medicine 741 181 24.4%

Internal Medicine/Pediatrics 72 27 37.5%

Interventional Radiology 70 18 25.7%

Neurological Surgery 104 28 26.9%

Neurology 151 41 27.2%

Obstetrics and Gynecology 263 85 32.3%

Orthopaedic Surgery 142 49 34.5%

Otolaryngology 97 35 36.1%

Pathology 128 43 33.6%

Pediatrics 209 78 37.3%

Physical Medicine and Rehabilitation 99 28 28.3%

Plastic Surgery 77 22 28.6%

Psychiatry 205 61 29.8%

Radiation Oncology 90 27 30.0%

Radiology‐Diagnostic 203 48 23.6%

Surgery‐General 492 107 21.7%

Thoracic Surgery 24 11 45.8%

Transitional Year 103 30 29.1%

Vascular Surgery 52 16 30.8%

All Others 95 35 36.8%

Total 4,546 1,333 29.3%

All Specialties Combined(N=1,333)

100% 50% 0%

94%

86%

81%

80%

78%

76%

70%

70%

69%

68%

67%

65%

65%

61%

60%

59%

58%

56%

54%

54%

53%

52%

50%

47%

46%

41%

40%

37%

26%

24%

24%

22%

16%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

1 2 3 4 5

4.1

4.2

4.0

4.0

3.7

4.1

4.5

3.9

4.3

4.2

4.3

4.2

4.5

4.1

3.9

4.1

3.8

4.2

3.8

4.0

4.0

3.6

3.8

3.8

3.8

3.7

4.1

4.8

3.8

3.8

3.7

3.3

3.4

Figure 1All SpecialtiesPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=1,233)

Percent Citing Factor Average Rating

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

3NRMP Program Director Survey Results, 2018

100% 50% 0%

96%95%91%

86%78%

72%70%65%65%64%63%60%59%58%58%56%54%51%47%46%45%44%41%40%38%36%36%32%30%30%26%25%23%22%19%17%16%14%14%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

All SpecialtiesPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=1,208)

Figure 2

1 2 3 4 5

4.84.94.84.7

4.14.14.14.1

4.64.4

4.24.2

4.04.34.3

3.64.14.2

4.54.2

3.83.94.0

3.84.0

3.83.93.84.0

3.74.7

4.03.73.84.03.9

3.63.6

3.4

Average RatingPercent Citing Factor

4NRMP Program Director Survey Results, 2018

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

21%

39% 40%

Exam Required?

All SpecialtiesPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure 3

Percentage of Programs That Use USMLE Step 1 Scores

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

34%

64%

2%

Exam Required?

0%

20%

40%

60%

80%

100%

Never Seldom Often

30%

58%

12%

Would your program consider applicants who fail theexam on the first attempt?

0%

20%

40%

60%

80%

100%

Never Seldom often

35%

57%

8%

Would your program consider applicants who fail theexam on the first attempt?

N=1,232N=1,215

N=1,207 N=1,171

N=342N=623N=736

USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

N=394

170

180

190

200

210

220

230

240

250

260

Scores Below Which Programs Generally Do Not Grant Interviews

170

180

190

200

210

220

230

240

250

260

Scores Above Which Programs Almost Always Grant Interviews

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol in the box represents the mean.

USMLE Step 2 CKUSMLE Step 1USMLE Step 2 CKUSMLE Step 1

5NRMP Program Director Survey Results, 2018

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

4% 3%

93%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

27%

39%34%

COMLEX-USA Level 1*Exam Required?

N=590%

20%

40%

60%

80%

100%

Yes No

54%46%

USMLE Step 2 Clinical Skills (CS)Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

18%

28%

54%

COMLEX-USA Level 2-CE*Exam Required?

N=470%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

5% 3%

92%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

29%

13%

58%

COMLEX-USA Level 2-PE*Exam Required?

N=965 N=946

N=939 N=842

* Osteopathic applicants only

Figure 4 All SpecialtiesPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA

Scores* When Considering Which Applicants to Interview

N=1,195 N=1,024

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

6NRMP Program Director Survey Results, 2018

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior to Oct. 12017

October 2017 November 2017 December 2017 January 2018 orlater

18%

47%

22%

9%4%

Percentage of Program's Interviews Extended During Each TimePeriod

All SpecialtiesProgram's Interview Activities Figure 5

0

100

200

300

400

500

600

700

800

900

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants ranked

7

904

121 95 82

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applications rejectedbased on a standardized screening

process

Percentage of applicants receiving anin-depth review

48% 47%

Average Percentage of Applicants Rejected and Reviewed

N=1,223 N=1,254N=1,288 N=1,284 N=1,301 N=1,303*N=1,333*

7NRMP Program Director Survey Results, 2018

* Data from the NRMP database. All Responding programs included

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior to Oct. 12017

October 2017 November 2017 December 2017 January 2018 orlater

1%

12%

31% 33%

23%

Percentage of Program's Interviews Conducted During Each TimePeriod

N=1,209 N=1,210

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

U.S. Senior U.S. Graduate Osteopathic Physician Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

97%

65%71%

39%

16%

59%

42%

Percentage of Programs that Typically Interview and Rank Each Applicant Type

N=1,242

13% of all programs consider all applicant groups

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev. Grad Osteo Pathway Canadian US IMG Non-US IMG1% 6%

12%

70%

32%

14%

32%

4%

62%

31%

27%

55%

54%

46%95%

32%

57%

3%12%

32%21%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev. Grad Osteo Pathway Canadian US IMG Non-US IMG1%

7%14%

72%

34%

16%

34%

3%

60%

29%

25%

52%

52%

45%96%

33%

57%

3%14%

32%20%

Often Seldom Never

Ranking

Frequency of Programs Interviewing and Ranking Candidates

n=1,228 n=1,225

All SpecialtiesOther Topics Figure 6

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

We want to receive onlythe ERAS application

We will initiate contactwith references and/orthe medical school, but

we do not wish to becontacted

We want to be contactedby the applicant’s medical

school after we haveinitiated contact with the

applicant

Other

48%

22%18%

12%

Preferred Type of Communication About Applicants During SOAP

N=1,075

8NRMP Program Director Survey Results, 2018

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

4.9

4.9

4.9

4.8

4.7

4.3

4.3

3.9

3.8

3.3

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

n=1,165

Anesthesiology(N=62)

NRMP Program Director Survey Results, 2018 9

Figure AN-1AnesthesiologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=58)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.4

4.0

4.2

4.3

3.5

4.2

4.7

4.1

4.1

4.2

4.2

4.2

4.5

4.2

3.9

3.9

3.8

4.3

3.7

4.2

4.4

3.7

3.9

3.8

4.0

3.6

4.3

4.7

3.2

2.9

3.6

3.7

3.0

100% 50% 0%

97%

88%

84%

79%

79%

84%

79%

83%

71%

78%

50%

76%

69%

71%

66%

79%

55%

43%

50%

74%

50%

59%

57%

55%

34%

29%

31%

57%

16%

16%

26%

26%5%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 10

AnesthesiologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=58)

Figure AN-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.94.9

4.84.7

4.33.7

4.24.2

4.74.34.34.24.24.34.4

3.74.44.3

4.74.0

3.84.0

4.43.7

4.24.14.04.14.1

3.84.7

3.93.9

3.33.8

3.43.7

3.33.9

100% 50% 0%

97%97%

91%88%

81%62%

71%62%

67%64%66%

60%66%66%

59%47%

52%41%43%

36%53%

57%53%

31%36%

52%47%

34%29%

24%33%

21%40%

19%14%14%19%

24%26%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 11

170

180

190

200

210

220

230

240

250

260

AnesthesiologyPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure AN-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

34%

66%

0%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

40%

58%

2%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

14%

86%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

14%

47%

39%

Exam Required?

N=59

N=58

N=59N=57

N=27N=50 N=45 N=22

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 12

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

10%

45% 45%

COMLEX-USA Level 1*Exam Required?

N=59

0%

20%

40%

60%

80%

100%

Yes No

53%47%

USMLE Step 2 CSExam Required?

AnesthesiologyPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure AN-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

7%

31%

62%

COMLEX-USA Level 2-CE*Exam Required?

N=47

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

9%2%

89%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

8%3%

89%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

21%

10%

69%

COMLEX-USA Level 2-PE*Exam Required?

N=59N=47

N=42 N=42

N=42 N=36

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 13

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 95%86%

78%

54%

15%

73%

51%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure AN-5AnesthesiologyProgram's Interview Activities

0

100

200

300

400

500

600

700

800

900

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

7

805

164131 111

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

47% 47%

Average Percentage of Applicants Rejected and Reviewed

N=60N=59N=62* N=61*N=61N=61

N=59

10% of Anesthesiology programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=61

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

2%

72%

14%7%

14%3%

32% 34%

26%

63%

59%

68%95%

68% 66%

2%

23%34%

18%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

2% 5%

73%

20%9%

18%4%

32%29%

27%

57%

51%

61%95%

68% 65%

23%

40%

21%

Often Seldom Never

Ranking

n=59n=59

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 14

Figure AN-6AnesthesiologyProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=56

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

23%

44%

21%

8% 5%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1%

14%

35% 33%

18%

Percentage of Program's InterviewsConducted During Each Time Period

N=59 N=59

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

5.0

5.0

4.9

4.9

4.8

4.9

4.5

4.4

3.7

4.3

3.2

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 15

Child Neurology(N=36)

NRMP Program Director Survey Results, 2018 16

Figure CN-1Child NeurologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=33)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

3.9

4.1

4.2

3.9

3.5

3.8

4.5

3.7

4.5

4.2

4.3

4.0

4.6

4.0

3.7

4.0

3.4

4.4

3.5

3.9

4.1

3.6

3.9

3.5

4.0

3.6

3.5

4.8

3.2

3.9

3.7

3.2

3.6

100% 50% 0%

100%

91%

91%

88%

79%

85%

67%

76%

88%

58%

82%

70%

70%

52%

58%

61%

67%

67%

55%

58%

52%

73%

79%

45%

67%

55%

33%

39%

33%

30%

9%

39%24%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 17

Child NeurologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=33)

Figure CN-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.84.84.8

4.64.1

3.84.04.1

4.64.5

4.34.2

3.94.3

3.93.6

4.04.54.4

4.23.4

4.13.6

3.43.93.8

3.63.63.93.9

4.52.6

3.13.94.0

2.63.4

4.03.0

100% 50% 0%

97%97%97%97%

82%88%

79%76%

79%88%

79%58%

85%52%

61%76%

64%67%

39%70%

42%58%

48%36%

48%58%

52%61%61%

45%24%

27%21%

45%12%15%

27%21%

36%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 18

170

180

190

200

210

220

230

240

250

260

Child NeurologyPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure CN-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

27%

70%

3%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

39%

58%

3%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

45%

55%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

38%31% 31%

Exam Required?

N=33

N=33

N=32N=33

N=8N=18 N=17 N=8

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 19

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

31%23%

46%

COMLEX-USA Level 1*Exam Required?

N=32

0%

20%

40%

60%

80%

100%

Yes No

66%

34%

USMLE Step 2 CSExam Required?

Child NeurologyPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure CN-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

28%

8%

64%

COMLEX-USA Level 2-CE*Exam Required?

N=26

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

19%

0%

81%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

16%

0%

84%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

31%

8%

62%

COMLEX-USA Level 2-PE*Exam Required?

N=32N=26

N=26 N=25

N=26 N=25

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 20

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 94%

64%73%

45%

18%

61%52%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure CN-5Child NeurologyProgram's Interview Activities

0

20

40

60

80

100

120

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

2

101

2922 20

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

39%

60%

Average Percentage of Applicants Rejected and Reviewed

N=35N=34N=36* N=36*N=36N=35

N=33

12% of Child Neurology programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=36

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

6%15%

72%

15%6%

18%

52%

52%

28%

76%

73%64%94%

33%48%

9%21% 18%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

3%13%

6%

77%

15%9%

16%

47%45%

23%

73%76% 69%97%

41%48%

12% 15% 16%

Often Seldom Never

Ranking

n=33n=33

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 21

Figure CN-6Child NeurologyProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=32

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

21%

48%

19%

8%4%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0%

10%

30%

41%

19%

Percentage of Program's InterviewsConducted During Each Time Period

N=33 N=33

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

4.9

4.8

4.8

4.8

4.8

4.5

4.1

3.9

3.5

3.3

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 22

Dermatology(N=21)

NRMP Program Director Survey Results, 2018 23

Figure D-1DermatologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=18)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.3

4.1

4.4

3.6

3.8

4.3

4.4

4.1

4.1

4.7

4.0

4.5

4.3

4.0

3.8

3.9

3.8

3.8

3.9

4.0

3.5

3.4

3.8

3.8

3.7

4.0

4.7

4.7

3.6

4.2

3.3

3.5

3.4

100% 50% 0%

100%

100%

83%

83%

89%

89%

56%

72%

94%

83%

50%

83%

94%

72%

83%

89%

78%

33%

83%

61%

17%

67%

33%

56%

33%

61%

33%17%

56%

61%

17%

33%28%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 24

DermatologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=18)

Figure D-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.84.64.6

4.24.0

3.83.7

3.94.1

3.74.1

4.44.64.84.7

3.54.3

4.53.3

4.74.1

4.44.0

3.8

4.04.24.34.5

4.2

4.04.6

4.05.0

4.0100% 50% 0%

94%100%

83%94%

83%67%

33%78%

61%50%

61%61%

39%56%

61%56%

44%11%17%

17%44%

39%28%

33%0%

17%28%

17%

11%33%

0%0%

11%39%

0%17%6%0%

11%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 25

170

180

190

200

210

220

230

240

250

260

DermatologyPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure D-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

50% 50%

0%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

60%

40%

0%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

18%

82%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

12%18%

71%

Exam Required?

N=17

N=18

N=17N=15

N=13 N=10

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 1 USMLE Step 1

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

USMLE Step 2 CK not reported

because of low response rate

USMLE Step 2 CK not reported

because of low response rate

NRMP Program Director Survey Results, 2018 26

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0%

10%

90%

COMLEX-USA Level 1*Exam Required?

N=17

0%

20%

40%

60%

80%

100%

Yes No

35%

65%

USMLE Step 2 CSExam Required?

DermatologyPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure D-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0% 0%

100%

COMLEX-USA Level 2-CE*Exam Required?

N=16

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

13%6%

81%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0% 0%

100%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0% 0%

100%

COMLEX-USA Level 2-PE*Exam Required?

N=17N=16

N=10 N=10

N=10 N=10

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 27

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%100%

68%

32%

21%

5%

26%21%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure D-5DermatologyProgram's Interview Activities

0

100

200

300

400

500

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

4

485

38 36 34

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

34%

58%

Average Percentage of Applicants Rejected and Reviewed

N=21N=21N=21* N=21*N=21N=21

N=19

5% of Dermatology programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=21

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

6%

33%

88%

47%

19%

59%67%

61%

13%

47%

81%

41%

94%

33%

6% 6%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

6%

33%

88%

47%

25%

59%53%

67%

13%

47%

75%

41%

94%

47%

6%

Often Seldom Never

Ranking

n=18n=18

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 28

Figure D-6DermatologyProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=18

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

3% 5%

70%

15%7%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

4% 0%5%

39%

53%

Percentage of Program's InterviewsConducted During Each Time Period

N=19 N=19

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

5.0

5.0

4.9

4.9

4.9

5.0

4.7

4.6

3.9

4.1

3.9

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 29

Emergency Medicine(N=92)

NRMP Program Director Survey Results, 2018 30

Figure EM-1Emergency MedicinePercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=87)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

3.8

4.8

3.3

3.9

3.2

3.9

4.6

3.5

4.2

4.3

4.5

4.6

4.5

4.1

3.5

3.7

3.7

4.0

3.6

3.8

3.3

3.0

3.2

3.5

3.9

3.0

4.0

4.6

4.6

3.3

3.3

2.4

3.4

100% 50% 0%

97%

97%

83%

86%

62%

75%

83%

72%

76%

70%

85%

82%

61%

69%

59%

61%

64%

64%

64%

43%

51%

47%

45%

54%

55%

33%

36%

24%

75%20%

18%

11%

16%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 31

Emergency MedicinePercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=87)

Figure EM-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.84.94.8

4.53.7

4.73.9

3.54.6

4.14.04.1

3.44.3

4.73.1

3.84.0

4.64.3

3.73.43.7

3.53.8

3.13.6

3.23.9

3.14.34.2

3.73.3

4.04.5

3.33.7

2.5100% 50% 0%

94%98%94%

88%78%

89%76%

57%67%65%61%

67%56%

65%78%

50%59%55%56%

63%43%

46%30%

48%29%27%

41%30%33%

20%26%

16%23%17%

9%66%

23%17%

7%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 32

170

180

190

200

210

220

230

240

250

260

Emergency MedicinePrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure EM-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

37%

61%

2%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

46%53%

1%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

32%

62%

6%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

17%

31%

51%

Exam Required?

N=87

N=84

N=86N=83

N=24N=49 N=39 N=20

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 33

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

18%

38%44%

COMLEX-USA Level 1*Exam Required?

N=84

0%

20%

40%

60%

80%

100%

Yes No

45%

55%

USMLE Step 2 CSExam Required?

Emergency MedicinePrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure EM-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

13%23%

64%

COMLEX-USA Level 2-CE*Exam Required?

N=76

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

3% 4%

93%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

3% 3%

94%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

18%12%

71%

COMLEX-USA Level 2-PE*Exam Required?

N=84N=76

N=71 N=70

N=68 N=64

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 34

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 95%

74%81%

25%

7%

42%

14%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure EM-5Emergency MedicineProgram's Interview Activities

0

200

400

600

800

1,000

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

11

940

193146 136

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

30%

64%

Average Percentage of Applicants Rejected and Reviewed

N=86N=82N=92* N=90*N=90N=90

N=88

2% of Emergency Medicine programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=87

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

1% 6% 5%

77%

34%22%

56%

2%

71%

35%

23%

64%

66%

44%

97%

24%

60%

2%12%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

2% 7% 6%

77%

39%27%

60%

1%

66%

33%

23%

55%64%

39%

96%

27%

62%

6% 8%1%

Often Seldom Never

Ranking

n=85n=86

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 35

Figure EM-6Emergency MedicineProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=79

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

6%

60%

21%

8% 4%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

2%10%

36% 34%

18%

Percentage of Program's InterviewsConducted During Each Time Period

N=84 N=84

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

4.9

4.9

4.8

4.8

4.5

4.4

4.1

3.6

3.7

2.8

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 36

Family Medicine(N=152)

NRMP Program Director Survey Results, 2018 37

Figure FM-1Family MedicinePercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=142)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

3.8

4.1

3.8

3.9

4.1

3.8

4.2

3.5

4.6

4.3

4.0

4.3

4.7

4.2

3.6

4.4

3.9

4.3

4.1

4.0

4.2

3.4

3.9

3.7

3.7

3.4

4.2

4.8

3.6

4.0

3.8

3.4

3.4

100% 50% 0%

89%

85%

75%

87%

87%

63%

80%

49%

92%

69%

53%

66%

68%

60%

34%

66%

61%

82%

63%

51%

70%

42%

39%

42%

42%

14%

56%

46%

16%

10%

41%8%

23%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 38

Family MedicinePercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=142)

Figure FM-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.94.94.84.8

3.74.03.94.0

4.74.6

4.34.1

3.64.4

4.33.94.0

4.34.24.1

4.03.5

3.94.24.1

3.83.73.73.9

3.64.6

4.43.7

3.94.1

3.63.83.7

3.3100% 50% 0%

96%96%

89%89%

72%67%

76%73%

53%86%

73%64%

44%62%

66%67%

46%72%

66%38%

54%27%

38%52%51%

33%33%

25%23%

9%28%

31%40%

8%37%

10%22%

31%

8%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 39

170

180

190

200

210

220

230

240

250

260

Family MedicinePrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure FM-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

3%

47%50%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

7%

60%

33%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

62%

38%

1%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

40%36%

24%

Exam Required?

N=141

N=141

N=136N=140

N=38N=46 N=43 N=35

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 40

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

59%

36%

4%

COMLEX-USA Level 1*Exam Required?

N=135

0%

20%

40%

60%

80%

100%

Yes No

71%

29%

USMLE Step 2 CSExam Required?

Family MedicinePrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure FM-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

40%34%

26%

COMLEX-USA Level 2-CE*Exam Required?

N=116

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

4% 1%

95%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

4% 2%

95%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

57%

12%

31%

COMLEX-USA Level 2-PE*Exam Required?

N=135N=116

N=137 N=135

N=132 N=111

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 41

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%99%

70%

94%

42%

24%

77%

44%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure FM-5Family MedicineProgram's Interview Activities

0

200

400

600

800

1,000

1,200

1,400

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

7

1,322

113 85 72

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

61%

30%

Average Percentage of Applicants Rejected and Reviewed

N=142N=142N=152* N=148*N=148N=148

N=142

14% of Family Medicine programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=147

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

1% 1%

61%

35%

5%

35%

2%

65%

10%

32%

55%

40%

42%97%

34%

90%

6% 11%

55%

23%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

1% 4%

62%

38%

6%

37%

61%

11%

31%

49%

39%

42%99%

35%

89%

7% 13%

55%

21%

Often Seldom Never

Ranking

n=142n=142

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 42

Figure FM-6Family MedicineProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=135

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

29%

41%

17%9%

4%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1%

18%

33% 31%

17%

Percentage of Program's InterviewsConducted During Each Time Period

N=133 N=133

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

5.0

5.0

4.9

4.9

4.9

4.6

4.3

4.4

3.7

3.9

2.8

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 43

Internal Medicine(N=181)

NRMP Program Director Survey Results, 2018 44

Figure IM-1Internal MedicinePercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=164)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.2

3.9

4.3

4.3

3.5

4.1

4.6

4.2

3.9

4.0

4.3

4.1

4.5

3.8

4.0

3.9

3.7

4.3

3.6

4.0

4.1

3.5

3.8

4.0

3.7

3.3

4.1

4.9

3.4

3.6

3.8

3.1

3.2

100% 50% 0%

95%

74%

85%

90%

70%

73%

81%

76%

44%

66%

66%

51%

62%

50%

53%

52%

49%

72%

44%

59%

54%

47%

46%

39%

37%

26%

49%

44%10%

21%

33%16%

24%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 45

Internal MedicinePercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=164)

Figure IM-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.84.8

4.74.6

4.13.9

4.34.44.5

4.14.24.14.24.14.3

3.74.34.3

4.64.2

3.84.04.0

3.74.1

4.04.0

3.93.8

3.64.9

4.03.63.8

4.13.23.2

2.53.4

100% 50% 0%

94%93%

84%75%

86%66%

85%65%

83%43%

59%56%

71%58%

49%55%

61%67%62%

50%43%43%

48%34%

43%34%

37%30%28%

20%35%

44%11%17%

31%4%

21%4%

10%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 46

170

180

190

200

210

220

230

240

250

260

Internal MedicinePrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure IM-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

23%

66%

11%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

33%

61%

6%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

27%

70%

2%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

17%

51%

32%

Exam Required?

N=165

N=163

N=161N=160

N=76N=110 N=97 N=67

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 47

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

24%

57%

19%

COMLEX-USA Level 1*Exam Required?

N=159

0%

20%

40%

60%

80%

100%

Yes No

61%

39%

USMLE Step 2 CSExam Required?

Internal MedicinePrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure IM-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

20%

46%

35%

COMLEX-USA Level 2-CE*Exam Required?

N=133

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

2% 2%

96%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

2% 5%

93%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

35%

21%

44%

COMLEX-USA Level 2-PE*Exam Required?

N=159N=133

N=139 N=138

N=136 N=119

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 48

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 97%

69%

81%

48%

27%

77%

63%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure IM-5Internal MedicineProgram's Interview Activities

0

400

800

1,200

1,600

2,000

2,400

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

14

2,220

220 177 149

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

61%

32%

Average Percentage of Applicants Rejected and Reviewed

N=168N=163N=181* N=172*N=173N=174

N=166

25% of Internal Medicine programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=172

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

9% 9%

64%

29%

9%18%

12%

60%

21%

34%

60%

40%

42%

88%

31%

70%

2%11%

51%39%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

10% 10%

66%

29%

10%20%

9%

60%

19%

31%

60%

39%

41%

91%

30%

71%

3%12%

51%39%

Often Seldom Never

Ranking

n=165n=165

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 49

Figure IM-6Internal MedicineProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=146

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

20%

51%

17%9%

4%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1%

13%

34% 32%

21%

Percentage of Program's InterviewsConducted During Each Time Period

N=161 N=161

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

4.9

4.9

4.9

4.8

4.6

4.4

4.4

3.9

3.7

3.1

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 50

Internal Medicine/Pediatrics(N=27)

NRMP Program Director Survey Results, 2018 51

Figure IMP-1Internal Medicine/PediatricsPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=27)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.1

3.8

4.1

4.2

3.5

4.1

4.4

3.8

3.8

4.0

4.3

4.0

4.5

3.8

3.8

3.7

3.5

3.7

3.9

4.0

3.9

3.5

3.4

4.0

3.8

4.0

3.5

4.4

2.7

4.0

3.5

2.2

4.0

100% 50% 0%

100%

78%

81%

74%

63%

85%

67%

74%

67%

52%

85%

33%

44%

63%

70%

33%

37%

44%

59%

48%

41%

41%

52%

67%

44%

11%

22%

19%

11%

11%

7%

19%

4%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 52

Internal Medicine/PediatricsPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=27)

Figure IMP-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.84.84.8

4.64.5

3.64.4

4.24.4

3.94.14.2

4.03.9

4.13.1

4.24.1

4.84.4

3.83.93.9

4.13.3

4.23.94.1

3.83.1

4.03.5

3.03.7

2.73.0

2.53.0

100% 50% 0%

93%96%93%89%89%

67%85%

70%78%

63%48%

78%85%

59%33%

56%67%

59%52%

63%48%

67%37%

63%30%

37%74%

33%33%

41%15%

7%

7%15%11%7%

0%7%

15%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 53

170

180

190

200

210

220

230

240

250

260

Internal Medicine/PediatricsPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure IMP-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

35%

62%

4%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

48%52%

0%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

23%

73%

4%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

15%

31%

54%

Exam Required?

N=26

N=26

N=26N=25

N=8N=19 N=19 N=8

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 54

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

17%

35%

48%

COMLEX-USA Level 1*Exam Required?

N=26

0%

20%

40%

60%

80%

100%

Yes No

50% 50%

USMLE Step 2 CSExam Required?

Internal Medicine/PediatricsPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure IMP-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

17% 17%

67%

COMLEX-USA Level 2-CE*Exam Required?

N=24

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

4% 4%

92%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

9%0%

91%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

33%

0%

67%

COMLEX-USA Level 2-PE*Exam Required?

N=26N=24

N=23 N=24

N=24 N=22

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 55

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%100%

12%

65%

12%

0%

42%

19%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure IMP-5Internal Medicine/PediatricsProgram's Interview Activities

0

40

80

120

160

200

240

280

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

5

260

85

66 64

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

40%

56%

Average Percentage of Applicants Rejected and Reviewed

N=24N=23N=27* N=26*N=26N=25

N=26

0% of Internal Medicine/Pediatrics programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=25

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

19%12%

88%

64%

19%

50%

77%

42%

12%

32%

58%

35%

100%

4%

46%

4%

23%15%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

17% 12%

88%

67%

20%

48%

75%

32%

8%

25%

56%

40%

100%

8%

56%

4% 8%

24%12%

Often Seldom Never

Ranking

n=26n=25

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 56

Figure IMP-6Internal Medicine/PediatricsProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=26

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

35%

52%

8%3% 2%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0%

11%

39%35%

15%

Percentage of Program's InterviewsConducted During Each Time Period

N=24 N=24

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

4.8

4.9

4.8

4.8

4.8

3.9

4.2

4.2

3.4

2.9

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 57

Interventional Radiology(N=18)

NRMP Program Director Survey Results, 2018 58

Figure IR-1Interventional RadiologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=15)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.3

4.5

4.5

4.1

3.6

4.4

4.5

4.3

4.9

3.9

4.6

4.1

4.2

4.2

3.9

4.7

3.8

4.1

3.8

4.2

3.0

4.5

4.0

4.0

4.7

3.8

4.3

5.0

3.6

3.8

4.5

3.9

4.3

100% 50% 0%

100%

100%

93%

73%

93%

87%

40%

73%

87%

73%

60%

73%

67%

87%

87%

80%

60%

67%

73%

67%13%

87%

73%

47%

47%

80%

27%

33%

67%

33%

13%

47%20%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 59

Interventional RadiologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=15)

Figure IR-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

5.04.94.85.0

4.74.54.64.54.64.85.0

4.14.5

4.44.4

4.04.7

4.34.5

4.33.7

4.34.6

3.64.0

3.84.34.44.5

4.25.05.0

4.04.3

5.03.3

4.33.5

4.6100% 50% 0%

93%86%86%

64%71%

79%57%

64%79%79%79%

64%64%64%

71%36%

71%43%

29%50%

21%50%

36%50%

7%43%

36%57%

29%43%

14%

14%29%

21%7%

29%21%14%

36%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 60

170

180

190

200

210

220

230

240

250

260

Interventional RadiologyPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure IR-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

64%

36%

0%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

43%

57%

0%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

14%

86%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

0%

57%

43%

Exam Required?

N=14

N=14

N=14N=14

N=5N=12 N=10

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

USMLE Step 2 CK not reported

because of low response rate

NRMP Program Director Survey Results, 2018 61

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

9%

55%

36%

COMLEX-USA Level 1*Exam Required?

N=14

0%

20%

40%

60%

80%

100%

Yes No

57%

43%

USMLE Step 2 CSExam Required?

Interventional RadiologyPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure IR-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0%

45%55%

COMLEX-USA Level 2-CE*Exam Required?

N=12

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

8%17%

75%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0%

20%

80%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

9%

36%

55%

COMLEX-USA Level 2-PE*Exam Required?

N=14N=12

N=11 N=11

N=11 N=10

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 62

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 93%

43%

71%

50%

0%

57%

29%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure IR-5Interventional RadiologyProgram's Interview Activities

0

40

80

120

160

200

240

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

2

236

36 34 30

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

40%

60%

Average Percentage of Applicants Rejected and Reviewed

N=15N=16N=18* N=18*N=18N=18

N=14

0% of Interventional Radiology programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=18

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

7% 7%

79%

36% 33%

57%

7%

67%

36%

21%

50%47%

36%

93%

27%

57%

14% 20%7%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

13%7% 7%

79%

36% 33%

57%

60%

36%

21%

43% 47%

36%

87%

33%

57%

21% 20%7%

Often Seldom Never

Ranking

n=15n=14

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 63

Figure IR-6Interventional RadiologyProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=13

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

13%

49%

22%12%

3%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0%

13%

33%27% 27%

Percentage of Program's InterviewsConducted During Each Time Period

N=15 N=15

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.8

4.8

4.8

4.8

4.7

4.9

4.7

4.7

3.8

4.4

3.8

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 64

Neurological Surgery(N=28)

NRMP Program Director Survey Results, 2018 65

Figure NS-1Neurological SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=25)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.6

4.6

3.7

3.9

3.5

4.3

4.5

4.1

4.5

4.6

4.4

4.3

4.7

4.4

4.0

4.3

3.7

4.3

3.8

3.9

3.8

4.1

3.7

4.0

4.3

4.6

3.7

4.8

4.1

4.5

4.0

3.7

3.5

100% 50% 0%

100%

100%

76%

64%

72%

76%

48%

80%

80%

80%

80%

88%

84%

76%

88%

60%

72%

36%

56%

76%

48%

72%

68%

12%

64%

76%

52%

40%

68%

44%

12%

52%

8%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 66

Neurological SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=25)

Figure NS-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.95.04.9

4.84.1

4.44.0

3.74.7

4.54.54.4

4.14.6

4.43.4

3.94.4

5.04.2

3.63.93.93.94.0

3.84.0

3.63.8

4.44.7

3.74.0

4.34.5

4.14.04.0

3.4100% 50% 0%

96%88%88%

80%84%84%

52%64%

44%76%

60%60%

44%64%

72%52%

60%32%28%

56%52%

36%48%44%

28%40%

12%36%

44%60%

24%24%12%

48%8%

40%4%

28%28%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 67

170

180

190

200

210

220

230

240

250

260

Neurological SurgeryPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure NS-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

58%

38%

4%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

43%

52%

5%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

16%

84%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

29%25%

46%

Exam Required?

N=25

N=24

N=24N=21

N=6N=21 N=16 N=5

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 68

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

18% 18%

64%

COMLEX-USA Level 1*Exam Required?

N=24

0%

20%

40%

60%

80%

100%

Yes No

54%46%

USMLE Step 2 CSExam Required?

Neurological SurgeryPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure NS-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

18%9%

73%

COMLEX-USA Level 2-CE*Exam Required?

N=19

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

5% 5%

89%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

18%

0%

82%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

27%

0%

73%

COMLEX-USA Level 2-PE*Exam Required?

N=24N=19

N=11 N=11

N=11 N=11

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 69

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 96%

56%

20%16%

4%

40%32%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure NS-5Neurological SurgeryProgram's Interview Activities

0

40

80

120

160

200

240

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

2

216

4736

29

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

40%

58%

Average Percentage of Applicants Rejected and Reviewed

N=25N=25N=28* N=27*N=27N=26

N=25

4% of Neurological Surgery programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=26

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

4% 4%

58%

78%

29%

13%22%

83%

33%

22%

67%

79% 65%96%

13% 8% 4% 8% 13%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

4% 4%

58%

83%

33%

13%22%

75%

29%

17%

63%

74%70%

96%

21%13%

4%13% 9%

Often Seldom Never

Ranking

n=24n=24

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 70

Figure NS-6Neurological SurgeryProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=25

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

8%

59%

7%

18%

8%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0%7%

36% 34%

24%

Percentage of Program's InterviewsConducted During Each Time Period

N=24 N=24

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

5.0

4.9

5.0

5.0

4.5

5.0

4.2

4.5

3.8

4.1

4.3

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 71

Neurology(N=41)

NRMP Program Director Survey Results, 2018 72

Figure N-1NeurologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=37)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.1

4.2

4.1

4.0

4.1

4.3

4.3

4.2

4.6

4.4

4.3

3.8

4.6

4.0

3.7

4.5

3.7

4.3

3.8

4.3

4.3

3.7

4.0

3.7

3.8

3.5

4.2

4.7

3.4

4.2

4.1

3.3

3.4

100% 50% 0%

89%

81%

78%

78%

73%

86%

89%

78%

65%

68%

84%

51%

62%

54%

62%

46%

59%

49%

43%

49%

78%

57%

62%

51%

51%

35%

27%

43%

19%

30%

24%22%

14%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 73

NeurologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=37)

Figure N-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.94.94.84.7

4.14.14.24.1

4.64.6

4.34.24.14.34.3

3.84.14.1

4.44.3

3.63.7

4.23.8

4.34.1

3.94.0

4.33.2

4.83.83.7

4.24.4

5.04.34.3

3.3100% 50% 0%

100%100%

94%97%

83%77%

66%74%

77%80%

57%60%

69%54%

34%60%60%

49%60%

46%46%

40%46%

37%46%

40%29%

31%29%

34%26%26%17%

26%29%

3%17%11%

11%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 74

170

180

190

200

210

220

230

240

250

260

NeurologyPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure N-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

27%

59%

14%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

36%

58%

6%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

38%

62%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

25%33%

42%

Exam Required?

N=37

N=37

N=36N=36

N=10N=22 N=18 N=8

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 75

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

22%

48%

30%

COMLEX-USA Level 1*Exam Required?

N=36

0%

20%

40%

60%

80%

100%

Yes No

56%

44%

USMLE Step 2 CSExam Required?

NeurologyPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure N-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

19% 19%

62%

COMLEX-USA Level 2-CE*Exam Required?

N=35

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

6%0%

94%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

8%0%

92%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

24%

8%

68%

COMLEX-USA Level 2-PE*Exam Required?

N=36N=35

N=27 N=26

N=25 N=26

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 76

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 97%

64%

74% 72%

21%

85%79%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure N-5NeurologyProgram's Interview Activities

0

100

200

300

400

500

600

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

6

502

8565 58

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

50%47%

Average Percentage of Applicants Rejected and Reviewed

N=40N=37N=41* N=40*N=40N=40

N=39

21% of Neurology programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=40

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

14% 16%

63%

24%

8% 5%3%

46%

21%

29%

51%

39% 47%

97%

41%

63%

8%

24%

53% 47%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

13%19%

66%

24%

8% 5%3%

50%

19%

29%

45%

39% 41%

97%

37%

61%

5%

32%

53% 54%

Often Seldom Never

Ranking

n=37n=38

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 77

Figure N-6NeurologyProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=36

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

31%

48%

11% 9%1%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1%

17%

37%31%

14%

Percentage of Program's InterviewsConducted During Each Time Period

N=36 N=36

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

5.0

4.9

4.9

4.8

4.8

4.6

4.1

4.4

4.3

3.4

3.2

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 78

Obstetrics and Gynecology(N=85)

NRMP Program Director Survey Results, 2018 79

Figure OG-1Obstetrics and GynecologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=79)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.1

4.0

3.9

4.1

3.6

4.3

4.7

4.0

4.1

4.1

4.4

4.2

4.5

4.3

3.8

4.0

3.8

4.3

3.6

4.1

3.9

3.4

3.6

3.8

3.7

3.6

4.5

4.7

3.1

3.8

3.4

3.1

3.3

100% 50% 0%

94%

87%

87%

78%

81%

85%

66%

78%

53%

57%

73%

65%

65%

63%

66%

57%

61%

41%

54%

47%

49%

52%

39%

59%

49%

41%

27%

24%10%

23%

19%16%8%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 80

Obstetrics and GynecologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=79)

Figure OG-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.84.94.94.8

4.03.94.1

4.04.6

4.24.0

4.34.0

4.34.2

3.54.0

4.34.7

3.93.8

3.74.0

3.94.2

3.53.93.93.9

3.54.6

4.13.9

3.63.0

3.54.0

3.63.0

100% 50% 0%

96%95%93%

85%67%

51%61%63%

56%44%

51%57%

51%45%

52%43%

49%36%

25%36%

41%39%

32%24%20%

25%35%

20%20%20%15%11%

28%17%

9%3%8%12%1%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 81

170

180

190

200

210

220

230

240

250

260

Obstetrics and GynecologyPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure OG-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

34%

65%

1%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

51% 49%

0%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

23%

76%

1%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

22%

51%

27%

Exam Required?

N=79

N=79

N=78N=77

N=31N=54 N=43 N=26

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 82

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

10%

37%

53%

COMLEX-USA Level 1*Exam Required?

N=78

0%

20%

40%

60%

80%

100%

Yes No

65%

35%

USMLE Step 2 CSExam Required?

Obstetrics and GynecologyPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure OG-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

10%

34%

55%

COMLEX-USA Level 2-CE*Exam Required?

N=58

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

3% 2%

95%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

2% 2%

96%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

29%

15%

56%

COMLEX-USA Level 2-PE*Exam Required?

N=78N=58

N=59 N=58

N=59 N=47

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 83

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 97%

40%

63%

24%

4%

28%19%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure OG-5Obstetrics and GynecologyProgram's Interview Activities

0

100

200

300

400

500

600

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

6

534

9174 67

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

50%46%

Average Percentage of Applicants Rejected and Reviewed

N=82N=79N=85* N=84*N=83N=83

N=78

4% of Obstetrics and Gynecology programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=82

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

1%11% 6%

83%

46%

23%

46%

3%

74%

48%

17%

46%

67%

49%

96%

16%

45%

8% 10% 5%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

1%15% 9%

83%

47%

28%

49%

3%

67%

45%

17%

45%

60%

47%

96%

19%

45%

8% 12%4%

Often Seldom Never

Ranking

n=76n=77

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 84

Figure OG-6Obstetrics and GynecologyProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=74

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

20%

60%

13%5%

2%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0%

15%

42%36%

6%

Percentage of Program's InterviewsConducted During Each Time Period

N=79 N=79

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

4.9

4.9

4.9

4.8

4.8

4.3

4.2

4.1

3.7

3.2

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 85

Orthopaedic Surgery(N=49)

NRMP Program Director Survey Results, 2018 86

Figure OS-1Orthopaedic SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=47)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.5

4.3

3.6

4.1

3.5

4.2

4.8

4.1

4.2

4.1

4.3

4.6

4.6

4.3

4.0

4.0

3.6

4.0

4.1

4.1

3.9

4.1

3.8

3.5

4.0

3.9

4.6

4.9

3.9

3.1

4.0

3.5

5.0

100% 50% 0%

91%

89%

72%

53%

72%

79%

28%

70%

49%

74%

64%

77%

64%

72%

81%

45%

62%

19%

55%

47%

36%

64%

47%

32%

43%

66%

17%

17%

34%

17%

4%

32%2%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 87

Orthopaedic SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=47)

Figure OS-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.94.94.84.8

4.14.14.1

3.64.3

3.94.24.3

4.04.2

4.53.4

4.34.0

4.64.2

3.63.9

4.53.6

4.23.9

3.74.14.2

3.45.0

4.74.0

2.94.0

4.33.5

4.03.6

100% 50% 0%

91%91%87%

78%71%69%

47%51%

44%38%

42%49%44%44%

69%44%44%

16%

18%33%36%

53%36%

42%11%

33%16%

36%27%

40%9%7%

2%22%

2%20%4%7%

18%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 88

170

180

190

200

210

220

230

240

250

260

Orthopaedic SurgeryPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure OS-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

65%

35%

0%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

63%

37%

0%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

2%

98%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

2%

45%

53%

Exam Required?

N=48

N=46

N=47N=41

N=18N=45 N=34 N=16

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 89

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0%

19%

81%

COMLEX-USA Level 1*Exam Required?

N=46

0%

20%

40%

60%

80%

100%

Yes No

39%

61%

USMLE Step 2 CSExam Required?

Orthopaedic SurgeryPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure OS-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0%

19%

81%

COMLEX-USA Level 2-CE*Exam Required?

N=43

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

2%7%

91%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0%

12%

88%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0%

15%

85%

COMLEX-USA Level 2-PE*Exam Required?

N=46N=43

N=26 N=26

N=26 N=25

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 90

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 98%

46%

15% 13%4%

10%6%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure OS-5Orthopaedic SurgeryProgram's Interview Activities

0

100

200

300

400

500

600

700

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

5

641

72 62 55

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

51%47%

Average Percentage of Applicants Rejected and Reviewed

N=47N=46N=49* N=49*N=49N=48

N=48

4% of Orthopaedic Surgery programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=48

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

2%10%

67%

85%

60% 60%

79%71%

27%

15%

38% 36%

21%

98%

19%6% 2% 4%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

11%

68%

89%

62% 67%82%

72%

26%

11%

36% 30%

18%

100%

17%6% 2% 2%

Often Seldom Never

Ranking

n=48n=48

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 91

Figure OS-6Orthopaedic SurgeryProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=46

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

3%

21%

52%

20%

4%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

2% 1%10%

33%

54%

Percentage of Program's InterviewsConducted During Each Time Period

N=48 N=48

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

4.9

4.8

4.9

4.7

4.9

4.2

4.1

3.6

3.8

3.8

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 92

Otolaryngology(N=35)

NRMP Program Director Survey Results, 2018 93

Figure O-1OtolaryngologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=34)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.1

4.5

3.8

3.7

3.7

4.2

4.7

3.8

4.3

4.6

4.3

4.5

4.3

3.9

3.9

4.1

3.6

3.8

3.5

3.8

3.2

3.7

3.7

3.6

3.7

4.0

4.1

4.2

3.4

3.4

3.0

3.3

100% 50% 0%

97%

97%

74%

56%

91%

88%

47%

68%

76%

74%

74%

71%

65%

79%

88%

74%

65%

32%

62%

56%

26%

68%

41%

50%

65%

74%

26%

32%

41%

29%

15%

41%

0%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 94

OtolaryngologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=34)

Figure O-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.94.94.84.7

3.94.3

3.63.7

4.64.44.34.3

4.24.74.7

3.43.9

3.34.03.93.9

3.84.0

3.9

3.53.83.73.84.0

4.43.3

3.04.1

3.54.0

4.03.3

100% 50% 0%

97%91%

97%91%

56%85%

29%74%

35%59%

68%62%

38%65%

59%47%

50%18%

6%44%44%

56%24%24%

0%24%

15%29%29%

56%15%12%

9%24%12%18%0%6%

12%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 95

170

180

190

200

210

220

230

240

250

260

OtolaryngologyPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure O-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

56%

44%

0%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

58%

42%

0%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

35%

65%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

12%18%

70%

Exam Required?

N=34

N=32

N=33N=26

N=21 N=16

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 1 USMLE Step 1

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

USMLE Step 2 CK not reported

because of low response rate

USMLE Step 2 CK not reported

because of low response rate

NRMP Program Director Survey Results, 2018 96

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

12%6%

82%

COMLEX-USA Level 1*Exam Required?

N=33

0%

20%

40%

60%

80%

100%

Yes No

33%

67%

USMLE Step 2 CSExam Required?

OtolaryngologyPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure O-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

6%0%

94%

COMLEX-USA Level 2-CE*Exam Required?

N=28

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0% 0%

100%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

6%0%

94%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

6%0%

94%

COMLEX-USA Level 2-PE*Exam Required?

N=33N=28

N=17 N=17

N=17 N=17

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 97

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%100%

79%

29%

12%6%

29%

18%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure O-5OtolaryngologyProgram's Interview Activities

0

40

80

120

160

200

240

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

3

219

58

42 39

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

14%

86%

Average Percentage of Applicants Rejected and Reviewed

N=35N=32N=35* N=35*N=35N=35

N=34

0% of Otolaryngology programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=35

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

3%

38%

82%

47%

24%

44%

71%

56%

18%

53%

74%

53%

100%

26%

6% 3% 3%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

3%

44%

82%

47%

24%

47%

68%

50%

18%

47%

74%

50%

100%

29%

6% 6% 3% 3%

Often Seldom Never

Ranking

n=34n=34

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 98

Figure O-6OtolaryngologyProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=34

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1%

44% 40%

10% 6%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1% 1%10%

47%42%

Percentage of Program's InterviewsConducted During Each Time Period

N=35 N=35

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

5.0

5.0

4.9

5.0

4.8

4.8

4.2

4.3

3.6

3.7

3.7

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 99

Pathology(N=43)

NRMP Program Director Survey Results, 2018 100

Figure PA-1PathologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=40)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.1

4.6

4.1

3.9

4.0

4.1

4.6

3.8

4.4

4.1

4.2

4.0

4.5

4.0

3.8

4.1

3.6

3.7

3.5

4.2

4.0

3.7

4.1

3.9

3.7

3.5

3.9

4.9

3.9

3.5

4.6

3.6

3.3

100% 50% 0%

90%

95%

75%

85%

80%

75%

78%

65%

88%

60%

63%

78%

63%

50%

45%

50%

38%

65%

30%

53%

60%

38%

55%

23%

40%

50%

38%

48%

35%

33%

18%

30%25%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 101

PathologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=40)

Figure PA-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.84.94.94.8

4.24.04.2

4.04.6

4.34.3

4.13.9

4.34.3

3.74.14.1

4.63.9

3.64.2

3.73.4

4.14.5

4.03.4

3.93.6

4.83.7

3.43.4

4.74.0

3.34.04.0

100% 50% 0%

97%97%95%

87%74%

85%67%64%

72%87%

49%46%

59%46%

59%59%

41%46%

56%38%

28%31%

38%21%

41%28%

13%21%

26%23%

36%23%21%

28%18%

18%18%

3%15%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 102

170

180

190

200

210

220

230

240

250

260

PathologyPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure PA-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

28%

68%

5%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

21%

74%

5%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

46%54%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

26%

38% 36%

Exam Required?

N=39

N=40

N=39N=39

N=11N=17 N=14 N=10

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 103

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

35%

51%

14%

COMLEX-USA Level 1*Exam Required?

N=38

0%

20%

40%

60%

80%

100%

Yes No

55%

45%

USMLE Step 2 CSExam Required?

PathologyPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure PA-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

22%

38% 41%

COMLEX-USA Level 2-CE*Exam Required?

N=33

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

3% 3%

94%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

3% 3%

94%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

27%22%

51%

COMLEX-USA Level 2-PE*Exam Required?

N=38N=33

N=37 N=37

N=37 N=32

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 104

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 98%90% 93%

78%

48%

85%90%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure PA-5PathologyProgram's Interview Activities

0

50

100

150

200

250

300

350

400

450

500

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

5

454

7150 41

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

46%52%

Average Percentage of Applicants Rejected and Reviewed

N=40N=38N=43* N=42*N=42N=41

N=40

43% of Pathology programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=41

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

3% 3%

41%

10%3%

36%

23%

49%

59%

38%23%

97%

62%

77%

11%

31%

62%74%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

43%

11%3% 3%

43%

24%

49%

58%

37%24%

100%

57%

76%

9%

32%

61%74%

Often Seldom Never

Ranking

n=39n=39

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 105

Figure PA-6PathologyProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=38

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

33%

46%

15%

5% 1%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0%

18%

39%30%

13%

Percentage of Program's InterviewsConducted During Each Time Period

N=40 N=40

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

5.0

4.9

4.8

4.9

4.6

4.7

4.2

4.6

3.5

4.0

3.4

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 106

Pediatrics(N=78)

NRMP Program Director Survey Results, 2018 107

Figure P-1PediatricsPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=73)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.1

3.9

4.3

3.9

3.5

4.1

4.5

3.8

4.0

4.1

4.1

4.0

4.5

4.2

4.0

3.9

3.8

4.0

4.0

4.0

3.9

3.5

3.8

4.0

3.5

3.3

3.9

4.8

3.5

3.3

3.5

2.5

3.7

100% 50% 0%

95%

73%

81%

82%

73%

77%

78%

75%

51%

70%

64%

75%

53%

53%

70%

45%

56%

60%

58%

55%

60%

42%

55%

71%

41%

26%

36%

42%15%

10%

30%

22%

15%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 108

PediatricsPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=73)

Figure P-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.94.94.9

4.74.0

3.94.0

4.44.5

4.13.8

4.24.24.14.1

3.44.14.3

4.64.2

3.94.03.93.93.83.83.93.93.9

3.34.8

3.53.3

3.83.6

3.04.2

3.42.8

100% 50% 0%

99%96%94%93%

86%66%

87%72%

77%51%51%

66%72%73%

76%59%

65%79%

61%62%59%

65%55%

63%58%54%

58%34%35%

24%37%

30%27%

14%28%

17%15%

23%20%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 109

170

180

190

200

210

220

230

240

250

260

PediatricsPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure P-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

4%

79%

16%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

15%

79%

5%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

56%

40%

4%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

24% 23%

53%

Exam Required?

N=72

N=73

N=70N=73

N=14N=27 N=24 N=12

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 110

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

39% 41%

20%

COMLEX-USA Level 1*Exam Required?

N=70

0%

20%

40%

60%

80%

100%

Yes No

44%

56%

USMLE Step 2 CSExam Required?

PediatricsPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure P-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

19% 22%

59%

COMLEX-USA Level 2-CE*Exam Required?

N=60

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

3% 0%

97%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

5%0%

95%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

28%

9%

63%

COMLEX-USA Level 2-PE*Exam Required?

N=70N=60

N=66 N=64

N=64 N=56

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 111

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 97%

65%

87%

56%

16%

67%61%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure P-5PediatricsProgram's Interview Activities

0

200

400

600

800

1,000

1,200

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

16

1,174

249190 178

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

53%

43%

Average Percentage of Applicants Rejected and Reviewed

N=70N=70N=78* N=77*N=77N=75

N=75

13% of Pediatrics programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=76

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

5% 3%

73%

14%7% 12%

3%

72%

23%

24%

70%

57%58%

97%

23%

74%

3%16%

36%30%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

6% 4%

76%

17%7%

14%3%

66%

19%

21%

62%

56%55%

97%

28%

77%

3%

21%

37% 32%

Often Seldom Never

Ranking

n=74n=74

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 112

Figure P-6PediatricsProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=70

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

37%45%

10%6% 2%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1%

18%

34% 32%

15%

Percentage of Program's InterviewsConducted During Each Time Period

N=71 N=71

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

5.0

5.0

4.9

4.8

4.8

4.6

4.3

4.2

4.1

3.4

2.8

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 113

Physical Medicine and Rehabilitation(N=28)

NRMP Program Director Survey Results, 2018 114

Figure PMR-1Physical Medicine and RehabilitationPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=23)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.2

4.3

4.4

4.2

3.9

4.0

4.8

3.8

4.7

4.0

4.1

3.9

4.6

4.3

4.1

4.1

3.5

4.3

3.7

4.3

4.3

3.2

3.6

4.0

3.5

2.9

3.5

4.6

3.3

2.7

3.0

3.3

3.6

100% 50% 0%

96%

96%

83%

78%

87%

70%

70%

70%

87%

65%

78%

70%

83%

65%

48%

70%

52%

65%

65%

70%

78%

39%

48%

52%

48%

43%

35%

30%

35%

26%

4%

43%48%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 115

Physical Medicine and RehabilitationPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=23)

Figure PMR-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.94.84.8

4.54.04.03.9

4.24.6

4.34.14.4

3.84.24.4

3.94.14.2

4.84.5

3.94.3

4.23.8

4.43.94.0

3.43.9

3.04.8

3.73.4

3.03.5

4.03.84.0

3.5100% 50% 0%

100%100%96%96%91%

78%87%

70%83%

87%61%61%

74%57%

70%78%

61%74%

57%52%48%

39%61%

70%61%

48%43%

35%30%

35%26%

30%30%26%

9%35%

43%22%

26%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 116

170

180

190

200

210

220

230

240

250

260

Physical Medicine and RehabilitationPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure PMR-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

8%

79%

13%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

13%

74%

13%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

38%

54%

8%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

29%25%

46%

Exam Required?

N=24

N=24

N=24N=23

N=5N=12 N=11 N=5

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 117

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

38%

50%

13%

COMLEX-USA Level 1*Exam Required?

N=24

0%

20%

40%

60%

80%

100%

Yes No

46%54%

USMLE Step 2 CSExam Required?

Physical Medicine and RehabilitationPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure PMR-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

33%25%

42%

COMLEX-USA Level 2-CE*Exam Required?

N=22

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

14%5%

82%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

14%5%

82%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

42%

13%

46%

COMLEX-USA Level 2-PE*Exam Required?

N=24N=22

N=24 N=24

N=24 N=22

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 118

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%100%

63%

100%

33%

17%

42%

21%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure PMR-5Physical Medicine and RehabilitationProgram's Interview Activities

0

50

100

150

200

250

300

350

400

450

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

4

416

7764

50

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

41%

57%

Average Percentage of Applicants Rejected and Reviewed

N=27N=27N=28* N=28*N=28N=28

N=24

8% of Physical Medicine and Rehabilitation programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=27

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

70%

29%

13%

50%

4%

71%

26%

67%

75%

46%

96%

29%

100%

4% 4%13%

4%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

4%

74%

33%

17%

50%

4%

75%

22%

63%

71%

46%

96%

21%

100%

4% 4%13%

4%

Often Seldom Never

Ranking

n=24n=24

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 119

Figure PMR-6Physical Medicine and RehabilitationProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=23

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

14%

47%

30%

8%0%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1%8%

38% 37%

15%

Percentage of Program's InterviewsConducted During Each Time Period

N=22 N=22

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

4.9

5.0

4.8

4.9

4.7

4.5

4.5

3.7

3.7

3.4

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 120

Plastic Surgery(N=22)

NRMP Program Director Survey Results, 2018 121

Figure PS-1Plastic SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=21)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.3

4.8

3.1

4.0

3.3

4.1

4.7

3.8

4.1

4.6

4.2

4.8

4.7

4.0

4.1

3.7

3.7

5.0

3.7

3.8

3.0

3.5

3.9

3.3

4.0

4.1

5.0

4.8

4.2

3.8

3.0

3.5

100% 50% 0%

86%

95%

48%

57%

62%

71%

48%

57%

71%

81%

71%

67%

62%

52%

76%

33%

57%

10%

48%

43%

24%

52%

48%

14%

33%

90%

14%

19%

43%

43%

5%

10%0%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 122

Plastic SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=21)

Figure PS-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.84.84.94.8

3.94.6

3.23.7

4.64.5

4.04.3

3.75.0

4.73.4

4.74.0

5.04.4

3.74.14.0

3.84.0

4.34.04.2

4.54.2

4.55.0

3.8

4.0

3.5100% 50% 0%

95%90%86%86%

52%90%

24%48%

14%67%

52%38%33%

57%71%

24%29%

5%10%

24%33%

43%5%

24%5%

29%10%

29%10%

67%10%

14%0%

43%0%

19%

0%0%

10%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 123

170

180

190

200

210

220

230

240

250

260

Plastic SurgeryPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure PS-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

80%

20%

0%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

81%

19%

0%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

15%

85%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

10%

35%

55%

Exam Required?

N=20

N=20

N=20N=16

N=7N=17 N=16 N=6

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 124

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

20% 20%

60%

COMLEX-USA Level 1*Exam Required?

N=20

0%

20%

40%

60%

80%

100%

Yes No

40%

60%

USMLE Step 2 CSExam Required?

Plastic SurgeryPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure PS-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

20% 20%

60%

COMLEX-USA Level 2-CE*Exam Required?

N=19

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

11%

0%

89%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

20%

0%

80%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

20% 20%

60%

COMLEX-USA Level 2-PE*Exam Required?

N=20N=19

N=10 N=10

N=10 N=10

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 125

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%100%

68%

26%32%

16%

42%

26%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure PS-5Plastic SurgeryProgram's Interview Activities

0

40

80

120

160

200

240

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

2

211

4232 28

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

33%

70%

Average Percentage of Applicants Rejected and Reviewed

N=19N=19N=22* N=21*N=21N=19

N=19

11% of Plastic Surgery programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=21

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

5%

37%

74%

32%21%

53%

10%

80%

58%

26%

63%74%

42%

90%

15%5% 5% 5% 5%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

5%

42%

74%

32% 26%

56%

10%

70%

53%

26%

63% 68%

39%

90%

25%

5% 5% 5% 6%

Often Seldom Never

Ranking

n=20n=20

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 126

Figure PS-6Plastic SurgeryProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=21

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0%

40% 40%

18%

2%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0% 0%

13%

30%

57%

Percentage of Program's InterviewsConducted During Each Time Period

N=20 N=20

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

5.0

5.0

5.0

4.7

4.9

4.2

4.4

3.9

4.0

4.0

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 127

Psychiatry(N=61)

NRMP Program Director Survey Results, 2018 128

Figure PSY-1PsychiatryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=58)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

3.6

4.0

4.3

3.7

4.2

4.0

4.4

4.0

4.4

4.3

4.2

4.2

4.5

4.2

3.7

4.4

3.9

4.1

3.9

4.2

4.2

3.7

3.6

3.9

3.8

3.5

4.4

4.9

3.6

3.7

4.3

2.7

3.4

100% 50% 0%

91%

84%

91%

84%

90%

69%

74%

62%

84%

76%

67%

71%

66%

40%

43%

60%

60%

64%

52%

43%

74%

40%

50%

52%

45%

34%

47%

53%16%

28%

31%

17%26%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 129

PsychiatryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=58)

Figure PSY-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.94.94.94.8

3.83.93.9

4.34.6

4.44.14.1

3.84.34.4

3.84.04.24.24.1

3.84.04.0

3.83.93.93.9

3.63.9

3.74.7

4.43.7

4.14.1

3.03.2

3.52.4

100% 50% 0%

100%96%93%

96%75%

67%81%

67%72%

88%77%

58%58%

63%60%

74%47%

70%65%

46%56%

42%44%42%

72%44%40%

32%30%

35%40%

26%28%

21%33%

16%26%

19%12%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 130

170

180

190

200

210

220

230

240

250

260

PsychiatryPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure PSY-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

3%

62%

34%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

14%

55%

31%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

62%

36%

2%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

26%21%

53%

Exam Required?

N=58

N=58

N=57N=58

N=9N=18 N=16 N=8

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 131

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

48%

33%

19%

COMLEX-USA Level 1*Exam Required?

N=55

0%

20%

40%

60%

80%

100%

Yes No

40%

60%

USMLE Step 2 CSExam Required?

PsychiatryPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure PSY-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

24%18%

59%

COMLEX-USA Level 2-CE*Exam Required?

N=48

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

6%2%

92%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

5%0%

95%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

27%

8%

65%

COMLEX-USA Level 2-PE*Exam Required?

N=55N=48

N=54 N=51

N=51 N=44

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 132

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 97%

64%

88%

44%

20%

71%

49%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure PSY-5PsychiatryProgram's Interview Activities

0

200

400

600

800

1,000

1,200

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

8

1,091

119 94 80

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

48%

36%

Average Percentage of Applicants Rejected and Reviewed

N=59N=56N=61* N=61*N=60N=61

N=59

14% of Psychiatry programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=60

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

2% 5% 7%

61%

33%

4%

26%

3%

60%

16%

35%

42%

46%

42%95%

35%

77%

4%

25%

51%

32%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

2% 5% 7%

66%

36%

4%

27%

5%

62%

16%

29%

45%

46%

48%93%

33%

77%

5%20%

50%

25%

Often Seldom Never

Ranking

n=57n=58

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 133

Figure PSY-6PsychiatryProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=56

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

19%

54%

18%

6%2%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1%

18%

31% 30%

20%

Percentage of Program's InterviewsConducted During Each Time Period

N=58 N=58

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

4.9

4.9

4.9

4.8

4.4

4.4

4.0

4.1

3.4

3.1

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 134

Radiation Oncology(N=27)

NRMP Program Director Survey Results, 2018 135

Figure RO-1Radiation OncologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=26)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

3.9

4.5

4.0

3.5

4.0

4.5

4.6

4.0

4.7

4.4

4.7

4.6

4.7

4.3

3.6

4.3

3.9

3.8

3.7

4.2

3.8

4.0

3.5

3.8

4.4

4.4

4.3

4.6

3.4

4.4

3.4

3.5

4.0

100% 50% 0%

100%

100%

81%

62%

92%

77%

50%

81%

92%

65%

58%

69%

73%

58%

62%

77%

65%

23%

58%

77%

19%

54%

62%

35%

42%

96%

35%

35%

50%

54%

31%

31%8%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 136

Radiation OncologyPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=26)

Figure RO-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.94.9

4.84.6

3.84.4

3.84.0

4.74.54.4

4.14.0

4.54.3

3.74.1

4.74.34.3

4.03.6

4.23.84.0

3.84.0

3.54.24.34.4

4.25.0

4.24.04.1

5.05.0

3.2100% 50% 0%

100%96%92%92%

69%77%

31%62%

54%65%

73%46%

50%58%58%58%

50%12%12%

42%31%31%

42%23%12%

23%15%

23%23%

69%19%19%4%

46%8%

31%4%

4%19%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 137

170

180

190

200

210

220

230

240

250

260

Radiation OncologyPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure RO-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

52%

40%

8%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

52%

43%

5%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

42%

58%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

19%23%

58%

Exam Required?

N=26

N=25

N=26N=21

N=15 N=11

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 1 USMLE Step 1

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

USMLE Step 2 CK not reported

because of low response rate

USMLE Step 2 CK not reported

because of low response rate

NRMP Program Director Survey Results, 2018 138

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

19%

0%

81%

COMLEX-USA Level 1*Exam Required?

N=26

0%

20%

40%

60%

80%

100%

Yes No

42%

58%

USMLE Step 2 CSExam Required?

Radiation OncologyPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure RO-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

6%0%

94%

COMLEX-USA Level 2-CE*Exam Required?

N=22

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

5%0%

95%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0% 0%

100%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

6%0%

94%

COMLEX-USA Level 2-PE*Exam Required?

N=26N=22

N=16 N=16

N=16 N=15

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 139

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 96%

56%

37%

19%

7%

33%

22%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure RO-5Radiation OncologyProgram's Interview Activities

0

20

40

60

80

100

120

140

160

180

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

2

174

3829 27

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

19%

78%

Average Percentage of Applicants Rejected and Reviewed

N=27N=27N=27* N=26*N=26N=27

N=27

7% of Radiation Oncology programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=26

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

4% 8%

27%

84%

60%50% 50%

73%

62%

16%

32%

35%42%

96%

19%12% 8%

15%8%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

4%13%

38%

88%

64%54% 58%

63%

50%

12%

28%

31%35%

96%

25%13% 8%

15%8%

Often Seldom Never

Ranking

n=26n=26

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 140

Figure RO-6Radiation OncologyProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=26

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1%

31%

49%

14%5%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1% 0%9%

39%

51%

Percentage of Program's InterviewsConducted During Each Time Period

N=27 N=27

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

5.0

4.8

5.0

4.7

4.7

4.8

4.2

4.6

3.5

3.3

4.1

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 141

Radiology(N=48)

NRMP Program Director Survey Results, 2018 142

Figure RD-1Radiology-DiagnosticPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=43)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.4

3.9

4.3

4.1

3.6

4.3

4.5

4.2

4.1

4.0

4.4

3.8

4.4

4.1

3.9

4.0

3.8

4.2

3.5

4.1

3.7

3.8

3.8

3.9

3.8

3.5

4.3

4.8

2.8

3.2

3.8

3.3

4.0

100% 50% 0%

95%

88%

91%

67%

84%

84%

70%

70%

70%

58%

58%

70%

65%

72%

72%

70%

60%

40%

49%

79%

51%

56%

42%

44%

53%

44%

44%

37%

19%

21%

12%

37%14%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 143

Radiology-DiagnosticPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=43)

Figure RD-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.94.84.94.9

4.23.9

4.24.34.5

4.24.5

4.04.1

4.04.0

3.64.24.4

4.94.2

3.74.1

4.33.6

3.93.7

4.13.5

3.83.7

4.84.5

3.93.1

4.22.0

3.73.63.7

100% 50% 0%

93%93%93%

82%93%

70%61%64%

73%64%

73%59%

66%45%45%

52%66%

27%43%

36%43%

48%55%

27%39%

32%34%30%27%23%

30%25%

36%16%11%

7%14%11%16%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 144

170

180

190

200

210

220

230

240

250

260

Radiology-DiagnosticPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure RD-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

43%

52%

5%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

36%

56%

8%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

30%

67%

2%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

17%

36%

48%

Exam Required?

N=43

N=42

N=42N=39

N=13N=27 N=25 N=13

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 145

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

15%

52%

33%

COMLEX-USA Level 1*Exam Required?

N=41

0%

20%

40%

60%

80%

100%

Yes No

46%54%

USMLE Step 2 CSExam Required?

Radiology-DiagnosticPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure RD-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

16%

28%

56%

COMLEX-USA Level 2-CE*Exam Required?

N=37

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

3% 0%

97%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0% 0%

100%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

29%

10%

61%

COMLEX-USA Level 2-PE*Exam Required?

N=41N=37

N=33 N=32

N=31 N=28

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 146

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%100%

74%67%

37%

12%

60%

37%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure RD-5Radiology-DiagnosticProgram's Interview Activities

0

100

200

300

400

500

600

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

6

534

11694 82

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

38%

56%

Average Percentage of Applicants Rejected and Reviewed

N=46N=44N=48* N=46*N=46N=46

N=43

12% of Radiology-Diagnostic programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=46

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

2% 7%

72%

28%

7%

35%

5%

58%35%

28%

51%

65%

49%95%

40%

58%

21%28%

16%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

2% 7%

71%

30%

7%

35%

2%

51% 40%

26%

53%

70%

53%

98%

47%53%

2%16%

23%12%

Often Seldom Never

Ranking

n=43n=43

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 147

Figure RD-6Radiology-DiagnosticProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=44

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

21%

52%

19%

6% 3%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1%

17%

33% 33%

16%

Percentage of Program's InterviewsConducted During Each Time Period

N=42 N=42

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.8

4.9

4.8

4.8

4.7

4.8

4.3

4.2

3.6

3.2

3.3

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 148

Surgery(N=107)

NRMP Program Director Survey Results, 2018 149

Figure GS-1SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=99)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.4

4.2

4.0

4.2

3.5

4.1

4.8

3.9

4.3

4.3

4.2

3.9

4.6

4.3

4.0

4.2

3.9

4.0

3.8

3.9

3.9

3.8

3.6

3.8

3.9

3.9

4.1

4.7

3.4

4.1

3.9

3.7

3.5

100% 50% 0%

94%

88%

74%

81%

74%

74%

68%

76%

54%

64%

76%

48%

55%

61%

63%

57%

52%

38%

44%

41%

49%

56%

51%

52%

49%

54%

44%

34%

13%

30%

18%

19%

4%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 150

SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=99)

Figure GS-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.84.84.84.7

4.44.04.2

3.84.6

4.34.1

4.43.9

4.34.1

3.44.04.2

4.84.14.04.2

3.93.93.9

3.74.04.04.1

3.84.8

4.23.94.1

3.93.9

3.53.63.7

100% 50% 0%

95%95%93%

78%81%79%78%

53%59%54%

65%59%

66%56%

36%48%50%

38%35%

57%43%43%

33%32%

40%39%

33%39%39%36%

21%20%

30%22%16%8%4%

9%15%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 151

170

180

190

200

210

220

230

240

250

260

SurgeryPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure GS-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

46%53%

1%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

52%46%

2%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

14%

85%

1%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

12%

58%

30%

Exam Required?

N=101

N=97

N=99N=94

N=45N=81 N=62 N=35

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 152

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

6%

31%

63%

COMLEX-USA Level 1*Exam Required?

N=98

0%

20%

40%

60%

80%

100%

Yes No

55%

45%

USMLE Step 2 CSExam Required?

SurgeryPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure GS-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

5%

23%

72%

COMLEX-USA Level 2-CE*Exam Required?

N=80

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

3% 4%

94%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

2% 5%

93%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

15%9%

75%

COMLEX-USA Level 2-PE*Exam Required?

N=98N=80

N=67 N=64

N=65 N=61

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 153

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 99%

62%58%

37%

17%

65%

52%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure GS-5SurgeryProgram's Interview Activities

0

100

200

300

400

500

600

700

800

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

5

742

85 66 52

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

58%

36%

Average Percentage of Applicants Rejected and Reviewed

N=100N=98N=107* N=105*N=105N=100

N=100

12% of Surgery programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=101

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

1%7%

21%

61%

31%

7%21%

4%

52%

41%

34%

56%

60%

52%95%

41% 37%

4%13%

33%27%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

1%9%

23%

63%

33%

9%24%

5%

55%37%

33%

53%

58%

53%94%

36% 39%

4%14%

33%23%

Often Seldom Never

Ranking

n=98n=99

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 154

Figure GS-6SurgeryProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=93

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

9%

47%

28%

10%6%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0%5%

33% 34%28%

Percentage of Program's InterviewsConducted During Each Time Period

N=95 N=95

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

4.9

4.9

4.9

4.7

4.8

4.3

4.2

4.0

3.9

3.6

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 155

Thoracic Surgery(N=11)

NRMP Program Director Survey Results, 2018 156

Figure TS-1Thoracic SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=9)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.1

4.4

4.1

4.5

3.9

4.3

4.0

3.8

4.3

4.2

4.5

3.8

4.5

4.2

4.1

4.3

3.7

4.5

4.0

4.8

3.8

4.0

4.7

3.3

4.3

4.2

3.3

4.0

3.7

4.3

3.0

4.5

3.0

100% 50% 0%

89%

100%

89%

56%

100%

78%

56%

67%

100%

78%

78%

67%

78%

89%

89%

44%

78%

56%

56%

67%

67%

67%

78%

56%

78%

67%

44%

22%

67%

56%

22%

33%22%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 157

Thoracic SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=9)

Figure TS-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.84.64.84.74.8

4.34.8

4.34.6

4.44.54.6

4.24.8

4.43.8

4.35.0

4.34.2

3.74.6

4.44.3

4.04.3

4.04.2

3.84.2

4.02.7

3.54.2

3.82.5

4.04.0

100% 50% 0%

89%89%89%

78%56%

89%44%

56%78%

89%44%

78%67%

44%78%

67%67%

22%33%

56%33%

56%56%

44%44%44%44%

67%56%

67%22%

33%22%

67%0%

56%22%11%

33%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 158

Thoracic SurgeryPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure TS-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

25%

75%

0%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

25%

75%

0%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

30%

70%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

20%

50%

30%

Exam Required?

N=10

N=8

N=10N=8

N=5

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 1

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

USMLE Step 2 CK not reported

because of low response rate

USMLE Step 1 not reported because of low response

rate

USMLE Step 2 CK not reported

because of low response rate

NRMP Program Director Survey Results, 2018 159

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0%

17%

83%

COMLEX-USA Level 1*Exam Required?

N=9

0%

20%

40%

60%

80%

100%

Yes No

67%

33%

USMLE Step 2 CSExam Required?

Thoracic SurgeryPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure TS-4

N=8

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

13% 13%

75%

USMLE Step 3Exam Required?

N=9N=8

N=6

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

Not reported because of low response rate

Not reported because of low response rate

Not reported because of low response rate

NRMP Program Director Survey Results, 2018 160

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%100%

89%

78%

67%

33%

67%

56%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure TS-5Thoracic SurgeryProgram's Interview Activities

0

20

40

60

80

100

120

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

1

117

3125

22

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

42%

54%

Average Percentage of Applicants Rejected and Reviewed

N=10N=10N=11* N=11*N=10N=10

N=9

22% of Thoracic Surgery programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=11

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

11%

63%

44%

22%33%

11%

56%

67%

38%

33%

56%

56%89%

44%

22% 22% 22%11%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

11%22%

75%

33%22%

33%

56%

56%

25%

44%56%

56%89%

44%

22% 22% 22%11%

Often Seldom Never

Ranking

n=9n=9

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 161

Figure TS-6Thoracic SurgeryProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=9

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

7%

48%

32%

13%

0%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0%5%

28% 28%

40%

Percentage of Program's InterviewsConducted During Each Time Period

N=10 N=10

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

5.0

5.0

5.0

5.0

4.7

4.7

4.6

4.4

4.5

4.1

3.9

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 162

Transitional Year(N=30)

NRMP Program Director Survey Results, 2018 163

Figure TY-1Transitional YearPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=27)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.4

4.1

4.4

4.3

4.1

4.4

4.8

4.3

4.4

4.1

4.0

3.9

4.7

4.3

3.7

4.4

4.2

4.5

4.1

4.2

4.4

4.0

3.9

3.9

4.0

3.7

4.4

4.9

4.0

3.8

3.8

3.0

3.3

100% 50% 0%

93%

56%

70%

81%

74%

67%

67%

59%

48%

67%

30%

48%

67%

56%

67%

63%

48%

67%

56%

67%

52%

48%

52%

56%

19%

37%

52%

37%

7%

15%

22%

19%

11%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 164

Transitional YearPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=27)

Figure TY-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.75.0

4.64.64.6

4.24.34.3

4.84.7

4.54.24.5

4.03.84.0

4.44.3

4.94.4

4.24.34.2

4.04.5

4.34.4

4.14.7

4.34.9

4.44.7

4.04.34.5

3.34.0

4.5100% 50% 0%

100%100%96%

85%74%

52%70%67%63%

44%78%

63%41%

67%48%

63%59%

63%44%

19%33%

48%67%

44%48%

41%41%

33%11%22%

37%41%

22%11%

11%7%

11%7%

7%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 165

170

180

190

200

210

220

230

240

250

260

Transitional YearPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure TY-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

44%52%

4%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

42%

54%

4%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

26%

70%

4%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

13%

46%42%

Exam Required?

N=27

N=27

N=24N=26

N=10N=17 N=13 N=8

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 166

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

21%

50%

29%

COMLEX-USA Level 1*Exam Required?

N=24

0%

20%

40%

60%

80%

100%

Yes No

58%

42%

USMLE Step 2 CSExam Required?

Transitional YearPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure TY-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

9%

41%50%

COMLEX-USA Level 2-CE*Exam Required?

N=19

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

5% 5%

89%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0%6%

94%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

29%24%

48%

COMLEX-USA Level 2-PE*Exam Required?

N=24N=19

N=24 N=22

N=21 N=18

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 167

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% 93%

36%

71%

32%

14%

36%

18%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure TY-5Transitional YearProgram's Interview Activities

0

100

200

300

400

500

600

700

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

9

629

10485 68

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

53%

35%

Average Percentage of Applicants Rejected and Reviewed

N=27N=27N=30* N=29*N=29N=27

N=28

11% of Transitional Year programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=27

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

4%16%

4%

78%

48%40%

54%

64%

33%

22%

43%44%

38%

96%

20%

63%

9%16%

8%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

4%13%

4%

83%

45% 42%

57%

71%

38%

17%

45%42%

38%

96%

17%

58%

9%17%

5%

Often Seldom Never

Ranking

n=25n=25

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 168

Figure TY-6Transitional YearProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=17

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

11%

48%

25%

10% 7%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

1%

15%

29% 28% 27%

Percentage of Program's InterviewsConducted During Each Time Period

N=27 N=27

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

4.9

5.0

4.9

4.9

4.9

4.1

4.4

4.6

4.0

3.9

3.4

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 169

Vascular Surgery(N=16)

NRMP Program Director Survey Results, 2018 170

Figure VS-1Vascular SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Selecting Applicants to Interview(N=14)

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.4

4.8

3.9

4.1

3.4

4.3

4.3

4.4

4.8

4.1

4.6

4.4

4.6

3.6

3.8

4.4

3.9

4.0

4.0

4.0

4.0

4.0

4.2

3.8

3.6

3.9

3.8

5.0

3.7

4.2

3.3

3.0

4.0

100% 50% 0%

100%

93%

64%

93%

93%

64%

50%

57%

64%

64%

57%

57%

57%

86%

79%

36%

57%

71%

43%

43%

36%

64%

71%

29%

57%

57%

43%14%

21%

36%

21%

14%21%

USMLE Step 1/COMLEX Level 1 score

Letters of recommendation in the specialty

Medical Student Performance Evaluation (MSPE/Dean's Letter) 

USMLE Step 2 CK/COMLEX Level 2 CE score

Personal Statement 

Grades in required clerkships 

Any failed attempt in USMLE/COMLEX

Class ranking/quartile 

Perceived commitment to specialty 

Personal prior knowledge of the applicant

Grades in clerkship in desired specialty 

Audition elective/rotation within your department

Evidence of professionalism and ethics

Leadership qualities

Alpha Omega Alpha (AOA) membership

Perceived interest in program 

Other life experience 

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Volunteer/extracurricular experiences

Consistency of grades 

Lack of gaps in medical education

Awards or special honors in clinical clerkships

Graduate of highly‐regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Visa status*

Applicant was flagged with Match violation by the NRMP 

Away rotation in your specialty at another institution 

Interest in academic career 

Fluency in language spoken by your patient population 

Awards or special honors in basic sciences

USMLE/COMLEX Step 3 score

NRMP Program Director Survey Results, 2018 171

Vascular SurgeryPercentage of Programs Citing Each Factor And Mean Importance Rating¹ for Each Factor in Ranking Applicants(N=14)

Figure VS-2

Average RatingPercent Citing Factor

¹ Ratings on a scale from 1 (not at all important) to 5 (very important).* International Medical Graduates only

1 2 3 4 5

4.94.84.8

4.74.3

4.54.24.24.4

4.84.34.34.4

4.84.3

3.64.8

4.25.0

4.54.0

3.94.7

4.04.0

4.63.5

4.34.04.1

5.04.2

4.43.3

3.84.0

0

100% 50% 0%

100%100%

93%79%

86%86%

64%36%36%

64%64%

50%50%

57%71%

64%29%

43%21%

29%36%

50%21%21%14%

36%14%

29%14%

50%7%

36%0%

36%21%

29%21%

7%

0%

Interactions with faculty during interview and visit

Interpersonal skills

Interactions with housestaff during interview and visit

Feedback from current residents

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

USMLE/COMLEX Step 2 score

Evidence of professionalism and ethics

Medical Student Performance Evaluation (MSPE/Dean's Letter)

Perceived commitment to specialty

Perceived interest in program

Leadership qualities

Class ranking/quartile

Personal prior knowledge of the applicant

Audition elective/rotation within your department

Personal Statement

Grades in required clerkships

Passing USMLE Step 2 CS/COMLEX Level 2 PE

Any failed attempt in USMLE/COMLEX

Grades in clerkship in desired specialty

Other life experience

Alpha Omega Alpha (AOA) membership

Consistency of grades

Volunteer/extracurricular experiences

Lack of gaps in medical education

Graduate of highly regarded U.S. medical school

Gold Humanism Honor Society (GHHS) membership

Awards or special honors in clinical clerkships

Awards or special honors in clerkship in desired specialty

Demonstrated involvement and interest in research

Applicant was flagged with Match violation by the NRMP

Visa status*

Other post‐interview contact

Interest in academic career

Fluency in language spoken by your patient population

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score

Second interview/visit

Awards or special honors in basic sciences

NRMP Program Director Survey Results, 2018 172

170

180

190

200

210

220

230

240

250

260

Vascular SurgeryPrograms That Use USMLE Step 1 and Step 2 Clinical Knowledge (CK) Scores When Considering Which Applicants to Interview

Figure VS-3

Percentage of Programs That Use USMLE Step 2 (CK) Scores

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom Often

23%

77%

0%

Would your program consider applicants who fail theexam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Never Seldom often

31%

69%

0%

Would your program consider applicants who failthe exam on the first attempt?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

14%

86%

0%

Exam Required?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes, pass only Yes, target score No

7%

71%

21%

Exam Required?

N=14

N=13

N=14N=13

N=9N=10 N=11 N=9

Average USMLE Step 1 and Step 2 CK Scores Programs Consider When Granting Interviews

Percentage of Programs That Use USMLE Step 1 Scores

170

180

190

200

210

220

230

240

250

260

USMLE Step 2 CKUSMLE Step 1 USMLE Step 1 USMLE Step 2 CK

The boxes in the boxplots above represent the interquartile range (or IQR, which is the range between the 25th and 75th percentiles) and the line in the box is the median. The x-shaped symbol is the mean.

Scores Above Which Programs Almost Always Grant Interviews

Scores Below Which Programs Generally Do Not Grant Interviews

NRMP Program Director Survey Results, 2018 173

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0% 0%

100%

COMLEX-USA Level 1*Exam Required?

N=14

0%

20%

40%

60%

80%

100%

Yes No

79%

21%

USMLE Step 2 CSExam Required?

Vascular SurgeryPrograms That Use USMLE Step 2 Clinical Skill (CS), Step 3, and COMLEX-USA Scores* When Considering Which Applicants to Interview

Figure VS-4

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0% 0%

100%

COMLEX-USA Level 2-CE*Exam Required?

N=13

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

15%8%

77%

USMLE Step 3Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0% 0%

100%

COMLEX-USA Level 3*Exam Required?

0%

20%

40%

60%

80%

100%

Yes, pass only Yes, target score No

0% 0%

100%

COMLEX-USA Level 2-PE*Exam Required?

N=14N=13

N=5 N=5

N=5 N=5

* Osteopathic applicants only

Percentage of Programs That Use USMLE Step 2 CS and Step 3 Scores

Percentage of Programs That Use COMLEX-USA Level 1 and Level 2-CE Scores

Percentage of Programs That Use COMLEX-USA Level 2-PE and Level 3 Scores

NRMP Program Director Survey Results, 2018 174

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%100% 100%

54%46%

15%

69%

54%

U.S. Senior U.S. Graduate OsteopathicPhysician

Canadian Fifth Pathway U.S. IMG Non-U.S. IMG

Percentage of Programs that Typically Interview and Rank Each Applicant Type

Figure VS-5Vascular SurgeryProgram's Interview Activities

0

10

20

30

40

50

60

70

80

Number ofpositions in the

Match

Number ofapplications

received

Number ofinterview

invitations sent

Number ofapplicantsinterviewed

Number ofapplicants

ranked

1

75

34

2622

Average Number of Positions, Applications Received, InterviewInvitations Sent, and Applicants Interviewed and Ranked

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percentage of applicationsrejected based on a

standardized screening process

Percentage of applicantsreceiving an in-depth review

29%

74%

Average Percentage of Applicants Rejected and Reviewed

N=14N=14N=16* N=15*N=15N=15

N=13

15% of Vascular Surgery programs consider all applicant groups

* Data from the NRMP database. All Responding programs included

N=15

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

7% 7% 7%

79%

36%

7% 7%

36%

64%

21%

50%

71%86%

93%

57%

29%14%

21%7%

Often Seldom Never

Interview

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Senior Prev.Grad

Osteo Pathway Canadian US IMG Non-USIMG

7%14%

31%

77%

50%

7%21%

29%

46%

23%

36%

64%

79%93%

57%

23%14%

29%

Often Seldom Never

Ranking

n=14n=14

Frequency of Programs Interviewing and Ranking Candidates

NRMP Program Director Survey Results, 2018 175

Figure VS-6Vascular SurgeryProgram's Interview Activities (Continued) and Program Assessment of Residents' Success

n=14

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0%

61%

18%14%

7%

Percentage of Program's Interviews ExtendedDuring Each Time Period

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prior toOct. 12017

October2017

November2017

December2017

January2018 or

later

0%5%

27%

41%

28%

Percentage of Program's InterviewsConducted During Each Time Period

N=13 N=13

0 1 2 3 4 5

Clinical competency

Professionalism

Quality of patient care

Ethics

Communication skills

Passing board certification examination

Personality

Academic performance during residency

Ability to teach medical students

Performance on in-training examination

Research and publications

5.0

4.8

4.9

4.7

4.6

4.9

4.0

4.2

3.4

4.0

3.6

Importance of Factors in Assessing Residents' SuccessAverage rating on a scale of 5 (5=very important)

NRMP Program Director Survey Results, 2018 176