Blog Archives

NRMP’s Charting Outcomes 2026 is Out. You Should Read It.

The NRMP just published their Charting Outcomes™: Characteristics of Applicants who Match to Their Preferred Specialty for 2026, data I keep bookmarked because I refer to it so frequently. There are separate reports for US MDs, DOs, and IMGs, and results are further broken down into specialties. Charting Outcomes includes extremely helpful information, including what the median board scores, number of contiguous ranks, and number of research experiences were for those in each specialty who successfully matched – and those who did not.

It’s important to make sure you are in the range for your intended field. (Median Step 2 CK score for successful versus unsuccessful family medicine matchees: 244 versus 230; for dermatology: 258 versus 252.)  Also, make sure to compare the competitiveness of different specialties if you’re seeking to apply in two fields.

Of note, until recently, Charting Outcomes was published every two years, but the NRMP has recently committed to publishing it annually.

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How are Residency Programs Managing the $100,000 Fee for New H-1B Visa Applications?

The Association of American Medical Colleges (AAMC) recently published a piece on the effect H-1B visa fees will have on the Match, hospitals, and access to medical care going forward unless there is an exception made for the healthcare field. The article also explains the distinctions between the H-1B and J-1 visas for physicians.

Andrea Price-Carter, MPA, director of health equity advocacy and government relations for the AAMC points out that J-1 and H-1B visa holders do not displace U.S. medical graduates, and instead, fill gaps where there is a shortage of needed professionals.

Here’s the AAMC piece.

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AAMC Report on Residents 2025

Yearly, the Association of American Medical Colleges publishes a report with residency statistics. The 2025 edition has some interesting data:

  1. In 2024, women accounted for 50.2% of residents and fellows, representing a persistent increase that has been noted over the past years.
  2. Only approximately 29.4% of medical students list the same specialty preference on their graduation questionnaire as they did on their matriculating student questionnaire.
  3. US osteopathic (DO) seniors saw a 92.6% PGY-1 Match rate, the highest ever.

You can find more information here.

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Reciprocal Liking

When I was at Harvard, we interviewed a residency applicant about whom I was enthusiastic, but when we sat down to talk about the candidate’s credentials, one of my colleagues put the kibosh on the applicant’s prospects. As it turned out, the candidate had made it clear (at least in my colleague’s eyes) that he did not want to leave California. “If he’s not interested in us, why should we be interested in him?” my colleague asked.

Although you hope institutions will like you, keep in mind that institutions want to see that you are serious about them as well. 

There is a psychological principle called Reciprocal Liking: People tend to have positive feelings for those whom they perceive have positive feelings for them. Apply Reciprocal Liking to institutions when you interview. Be so familiar with the school/program that you implicitly convey you are excited and sincere about spending the next several years there. Know details about the institutional priorities, extra clinical opportunities, location, and associated hospitals. Make sure to have specific questions for your interviewer, ones that demonstrate your intimate knowledge of the institution and your belief that you could be a contributor and leader.

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Residency Applicants Have a Looming Date Ahead

Here’s a quick reminder for residency candidates: Programs can start reviewing ERAS applications and MSPEs at 9 am EST on September 24.

There is an advantage to submitting your ERAS so that it’s in the first batch program directors (PD) see. As one of my PD friends wrote to me, since the residency application is arguably one of the biggest steps in one’s medical career, getting the application in as early as possible should be a given.

On the other hand, if your application is not in its optimal form, waiting a few days is preferable to submitting an inferior ERAS that will be tossed into the “do not invite” pile. 

Contact me ASAP for help with your residency application.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital. She was appointed to the Assistant Residency Director position for the Harvard Affiliated Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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