Every year on July 1, thousands of newly minted doctors across the United States begin their medical residencies, which is a critical next step in their training that allows them to put their academic knowledge to practical use. For many, this transition follows years of intense preparation, such as undergraduate education, medical school, board examinations, and a challenging application process. According to the National Resident Matching Program (NRMP), the 2024 Match saw more than 50,000 applicants vying for approximately 41,000 positions, which shows the competitive nature of medical residency placements in the United States.
Residency candidates are assessed on a range of criteria, including their United States Medical Licensing Examination (USMLE) Step scores, letters of recommendation, and personal statements. International medical graduates (IMGs) face additional challenges, such as navigating ECFMG certification and competing for a limited pool of positions designated for non-US graduates. Despite these hurdles, IMGs make up a crucial segment of the American healthcare system, comprising more than 25 percent of the physician workforce, according to the American Medical Association.
