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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Which Specialties Have the Biggest Gender Gaps During Residency? You Will and Won’t be Surprised.

The AMA recently published a short piece based on 2022-23 data culled from their National Graduate Medical Education Census: They evaluated which medical specialties were most popular among male and female candidates who were entering residency. They then extrapolated as to which specialties are going to be increasingly female- versus male-dominated.

Female-dominated specialties included obstetrics and gynecology, pediatrics/psychiatry/child and adolescent psychiatry (combined), pediatrics, allergy and immunology, public health and general preventive medicine, and dermatology.

I wasn’t surprised that pediatrics or obstetrics and gynecology were female-dominated, but I found it interesting that dermatology – which is so well remunerated – has more women residents than male residents. Historically, women were relegated to lower paying fields.

Male-dominated specialties included orthopedic surgery, interventional radiology, neurological surgery, diagnostic radiology, and urology.

The AMA reports that specialties that offered a near equal balance of men and women in residency included neurology, general surgery, and psychiatry. Again, as someone who trained in the late 1990s, it’s a joy to hear that general surgery is now a well-balanced field in terms of gender. On the whole, when the AMA included specialties, subspecialties, and combined specialties, they report that women account for 48.2% of trainees.

For more details, you can check out the AMA piece here.

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How to Excel During Your (Emergency Medicine) Rotation

Many medical students just starting their fourth years are coping with specialty-specific electives and sub-internship rotations. What are the tricks to making a good impression during these clerkships? Here’s a piece I wrote on how to succeed in your emergency medicine rotation; many of the tips translate to other specialty rotations as well. 

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I’m Worried about Emergency Medicine

While my career has been a good one until now, I’m increasingly worried about the field of emergency medicine. See my October 21 blog on the current dearth of emergency medicine jobs. The American College of Emergency Physicians (ACEP) recently published a report on the future of the field’s workforce, concluding that there will be nearly 10,000 too many emergency physicians by 2030.

Dr. Thomas Cook published a piece recently called A Few Feasible Solutions to EM’s Workforce Crisis. He demonstrates a healthy skepticism for the possible solutions that ACEP proposed. See his piece here.

In the meantime, corporate emergency medicine is depleting some physicians. A group has even considered unionizing.

In addition, burnout has been a big problem for the field – even before the pandemic. 

Medical students, as great as the specialty of emergency medicine is in many ways, I would be remiss if I didn’t tell you to consider these issues seriously when making a decision about your future field.

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Tips for Applying to Residency in a Competitive Field

While our minds are currently focused on our changed world, first-, second-, and third-year medical students are still plodding along through classes and rotations (albeit virtually in most cases), preparing for an eventual Match Day.

For those planning to apply in competitive specialties like plastic surgery, otolaryngology, neurosurgery, interventional radiology, dermatology or orthopedics, among others, the calculus of what needs to be accomplished for a successful residency candidacy is very different and must be planned well in advance of the ERAS open date (maybe even before entering medical school).

Please check out my piece, “Luck Is When Preparation Meets Opportunity: Strategies for Competitive Specialties” for clear guidance on the needed steps. 

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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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