June 12, 2026
June 12, 2026
7 min read

Residency Match Rates by Specialty 2026

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NRMP Match Rates by Residency Specialty for MDs

The table below shows 2026 NRMP Match rates by residency specialty for U.S. MD applicants, comparing the number of applicants with the number who successfully matched in each specialty:

Specialty Match Rate MD Applicants MD Matches
Anesthesiology73.06%1,8001,315
Child Neurology88.31%154136
Dermatology9.50%24223
Emergency Medicine91.71%1,5441,416
Family Medicine85.21%1,7511,492
Internal Medicine (Categorical)84.25%4,7494,001
Medicine–Pediatrics81.05%401325
Medicine–Preliminary28.26%3,9491,116
Medicine–Primary30.50%800244
Interventional Radiology19.44%25249
Neurological Surgery69.63%349243
Neurology71.10%820583
Obstetrics & Gynecology85.56%1,3081,119
Orthopaedic Surgery67.76%1,129765
Otolaryngology75.53%470355
Pathology87.13%303264
Pediatrics (Categorical)87.39%1,6101,407
Physical Medicine & Rehab34.90%384134
Plastic Surgery (Integrated)64.60%322208
Psychiatry88.21%1,6031,414
Radiation Oncology8.16%988
Diagnostic Radiology11.96%69483
Surgery (Categorical)70.27%1,5811,111
Surgery–Preliminary26.98%1,071289
Thoracic Surgery59.09%8852
Transitional Year34.64%3,3031,144
Vascular Surgery80.70%11492

The table above is based on data from the National Resident Matching Program (NRMP) 2026 Main Residency Match Report, which summarizes match outcomes for U.S. MD seniors. 

The figures reflect the number of residency applicants, the number of applicants matched to a residency program within the specialty, and the corresponding percentage of positions filled (the match rate).

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NRMP Match Rates by Residency Specialty for DOs

The table below shows the number of U.S. Doctor of Osteopathic Medicine (DO) senior applicants, matches, and match rates by specialty in the 2026 Main Residency Match:

Specialty Match Rate DO Applicants DO Matches
Anesthesiology62.16%547340
Child Neurology75.00%3627
Dermatology16.22%376
Emergency Medicine89.95%1,2441,119
Family Medicine79.49%1,7651,403
Internal Medicine (Categorical)78.73%2,4311,914
Medicine-Pediatrics56.99%9353
Medicine-Preliminary (PGY-1 Only)14.49%835121
Medicine-Primary10.56%34136
Interventional Radiology (Integrated)24.39%4110
Neurological Surgery47.37%199
Neurology62.63%289181
Obstetrics-Gynecology67.76%487330
Orthopaedic Surgery42.76%283121
Otolaryngology41.82%5523
Pathology72.96%159116
Pediatrics (Categorical)89.39%688615
Physical Medicine & Rehab31.99%322103
Plastic Surgery (Integrated)30.77%134
Psychiatry83.36%679566
Radiation Oncology15.38%132
Radiology-Diagnostic16.18%20433
Surgery (Categorical)60.32%494298
Surgery-Preliminary (PGY-1 Only)21.62%29664
Thoracic Surgery25.00%41
Transitional (PGY-1 Only)34.54%1,103381
Vascular Surgery47.06%178

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Match Rates for US and Non-US International Medical Graduates

The table below shows the 2026 specialty-specific match outcomes for U.S. International Medical Graduates (U.S. IMGs) and Non-U.S. International Medical Graduates (Non-U.S. IMGs), based on the 2026 Main Residency Match day report. 

Take a look at the table below to find the best IMG-friendly residency programs.

Specialty U.S. IMG Match Rate Non-U.S. IMG Match Rate
Anesthesiology32.75% (56/171)33.74% (82/243)
Child Neurology47.37% (9/19)25.89% (29/112)
Dermatology50.00% (1/2)25.00% (1/4)
Emergency Medicine75.24% (319/424)44.93% (93/207)
Family Medicine48.51% (585/1,206)34.31% (962/2,804)
Internal Medicine (Categorical)56.81% (1,060/1,866)44.41% (3,448/7,764)
Medicine-Pediatrics29.63% (8/27)12.73% (14/110)
Medicine-Preliminary19.28% (48/249)13.58% (129/950)
Medicine-Primary10.62% (24/226)11.09% (105/947)
Neurology12.55% (31/247)26.28% (175/666)
Obstetrics-Gynecology34.93% (51/146)29.61% (45/152)
Orthopaedic Surgery13.89% (5/36)22.73% (5/22)
Pathology46.73% (50/107)42.40% (170/401)
Pediatrics (Categorical)64.74% (213/329)46.15% (684/1,482)
Physical Med & Rehab14.29% (3/21)17.86% (5/28)
Plastic Surgery (Integrated)20.00% (1/5)15.63% (5/32)
Psychiatry54.80% (177/323)51.87% (222/428)
Radiology-Diagnostic22.22% (8/36)16.10% (19/118)
Surgery (Categorical)25.00% (85/340)23.10% (128/554)
Surgery-Preliminary28.02% (72/257)37.65% (218/579)
Transitional Year29.68% (92/310)16.57% (110/664)
Vascular Surgery25.00% (3/12)10.81% (4/37)

Specialties with Higher Match Rates for International Students (Non-US IMGs)

Based on 2026 NRMP data, non-U.S. international medical graduates had higher match rates in:

  • Psychiatry: 51.87% (222/428 matched)
  • Pediatrics (Categorical): 46.15% (684/1,482 matched)
  • Emergency Medicine: 44.93% (93/207 matched)
  • Internal Medicine (Categorical): 44.41% (3,448/7,764 matched)
  • Pathology: 42.40% (170/401 matched)

These least competitive specialties have more positions available each year and have accepted more international graduates.

Specialties with Lower Match Rates for International Students (Non-US IMGs)

Non-U.S. IMGs had lower match rates in more competitive specialties, such as:

  • Vascular Surgery: 10.81% (4/37 matched)
  • Medicine-Primary: 11.09% (105/947 matched)
  • Medicine-Pediatrics: 12.73% (14/110 matched)
  • Medicine-Preliminary: 13.58% (129/950 matched)
  • Plastic Surgery (Integrated): 15.63% (5/32 matched)

These fields tend to prioritize high board scores, strong research backgrounds, and extensive U.S. clinical experience.

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What Is the Supplemental Offer and Acceptance Program, and Who Benefits from It?

The Supplemental Offer and Acceptance Program, or SOAP, is a process run by the NRMP that allows unmatched applicants to compete for unfilled residency positions after Match Week results are released. SOAP gives all unmatched applicants (DO, MD, IMG) a second opportunity to secure a position before the cycle ends.

SOAP typically includes unfilled positions in specialties that historically have lower fill rates, such as family medicine, internal medicine, and preliminary or transitional year programs. Applicants with lower overall match rates, including many international medical graduates, often benefit the most from SOAP. 

While matching through SOAP can limit specialty options compared to the main Match, it still provides a viable pathway into residency training and keeps applicants on track toward becoming licensed physicians.

If you want to improve your chances of matching into your preferred specialty the first time, work with an Inspira Advantage expert to strengthen your application strategy, refine your personal statement, prepare for interviews, and position yourself as a top candidate.

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FAQs

What Is a Good Match Rate for Residency?

A good residency match rate is typically above 90%. According to the NRMP, the 2026 PGY‑1 match rate was 93.50% for U.S. MD seniors and 93.20% for U.S. DO seniors. Any match rate close to or above these numbers is good.

Is It Common to Not Match to a Residency?

No, it’s not common for U.S. medical graduates to go unmatched, although it does happen. According to the NRMP, 6.5% of U.S. MD seniors and 6.8% of U.S. DO seniors did not match to PGY-1 positions in the 2026 Main Residency Match. This means that more than 9 out of 10 U.S. MD and DO seniors match into PGY-1 residency positions each year.

What Are the Odds of Matching Into a Top 3 Residency?

According to the NRMP’s 2026 Main Residency Match data, 73.5% of U.S. MD seniors and 76.4% of U.S. DO seniors matched into one of their top three-ranked residency programs. This means that most U.S. MD and DO seniors who match secure a position at one of their highest-ranked programs.

Your chances of matching a top choice depend on factors such as specialty competitiveness, application strength, interview performance, and the number of programs you apply to and rank. Applicants who apply broadly and rank programs strategically generally have the best chance of matching high on their list.

Do MD and DO Applicants Have Different Residency Match Rates?

Yes, MD and DO applicants have slightly different residency match rates, but both groups match at high rates. The 2026 PGY-1 match rate was 93.50% for U.S. MD seniors and 93.20% for U.S. DO seniors, as reported by NRMP. 

While overall match rates are similar, outcomes can vary depending on specialty competitiveness and application strategy. MD applicants historically have slightly higher match rates in certain highly competitive specialties, but DO graduates match successfully across a wide range of fields each year.

Do Couples Match at Lower Rates Than Individual Applicants?

No, couples participating in the Match typically have similar or stronger match outcomes than individual applicants. According to the NRMP, 1,258 couples participated in the 2026 Match. And 93.0% achieved a match when counting couples in which at least one partner matched. This means most couples successfully secured at least one residency position through the Match.

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Dr. Jonathan Preminger

Dr. Jonathan Preminger

Anesthesiology Resident

Hofstra-Northwell School of Medicine

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