Apply Smart: Data to Consider When Applying to Residency

Your likelihood of securing residency training depends on many factors — including the number of residency programs you apply to.

Does submitting one more application always help? 

Our researchers suspected that — unlike buying raffle tickets, where the more tickets you buy, the better your chances of winning — additional applications to residency do not necessarily increase chances of getting accepted to a program. We set out to determine if there was a point where the relationship between the number of applications submitted and the likelihood of entry into a residency changes. Or, simply put, a point of diminishing returns. For more information on how we conducted these analyses and important context when interpreting these results, please refer to the research methodology and our overall research conclusions

As you consider the number of residency programs you apply to, consider the strength of your entire application as well as your personal circumstances. But also note: though it varies by specialty, Step 1 scores, and applicant type, there is a point at which submitting one more application results in a lower rate of return on likelihood of entering a residency program.

The diminishing returns data — along with other resources — can help determine the best plan for your residency applications

Special note to DO applicants 

Special note to IMG applicants 

Select your applicant type from the drop-down menu to reveal the specialty choices. Choose your specialty to reveal the relevant data. In some cases, entrance rates or a point of diminishing returns cannot be reported due to small sample size.

For more information on how we conducted these analyses and important context and caveats when interpreting these results, please refer to the research methodology and our overall research conclusions.





Anesthesiology (U.S. DO)

The study included data from 843 U.S.-DO applicants who applied to the Anesthesiology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Anesthesiology
applicants
(total number = 843)

Entered training in Anesthesiology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 211

281

94

33%

73

26%

114

41%

Score 212-229

287

189

66%

41

14%

57

20%

Score ≥ 230

275

209

76%

37

13%

29

11%

Failed Step 1 on first attempt**

69

14

20%

22

32%

33

48%

*Outside of Anesthesiology training programs, the most common specialties where Anesthesiology applicants entered training were Internal Medicine, Family Medicine, and Diagnostic Radiology or General Surgery (tied). The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Anesthesiology and the percentage of applicants who entered in Anesthesiology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Anesthesiology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Graph: Point of Diminishing Returns for Entering an Anesthesiology Residency Program for DO Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Anesthesiology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Anesthesiology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores. 

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 230 (yellow line) submitted 32 applications before reaching the point of diminishing returns (confidence band of 26 to 39). The likelihood of entering a residency program at this point is 81%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 212 to 229 (green line) submitted 36 applications before reaching the point of diminishing returns (confidence band of 27 to 45). The likelihood of entering a residency program at this point is 70%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

The point of diminishing returns for applicants with USMLE Step 1 scores ≤ 211 could not be estimated because of the small sample size and a low base rate of entry into Anesthesiology residency programs for applicants with USMLE Step 1 scores in this range.

Dermatology (U.S. DO)

The study included data from 113 U.S.-DO applicants who applied to the Dermatology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Dermatology applicants (total number = 113)

Entered training in Dermatology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 213

38

--

--

11

29%

25

66%

Score 214-237

38

--

--

18

47%

12

32%

Score ≥ 238

37

18

49%

11

30%

--

--

Failed Step 1 on first attempt**

--

--

--

--

--

--

--

*The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Diagnostic Radiology (U.S. DO)

The study included data from 489 U.S.-DO applicants who applied to the Diagnostic Radiology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Diagnostic Radiology applicants (total number = 489)

Entered training in Diagnostic Radiology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 216

165

49

30%

33

20%

83

50%

Score 217-237

161

105

65%

26

16%

30

19%

Score ≥ 238

163

111

68%

32

20%

20

12%

Failed Step 1 on first attempt**

33

--

--

--

--

19

58%

*Outside of Diagnostic Radiology training programs, the most common specialties where Diagnostic Radiology applicants entered training were Anesthesiology, Family Medicine, and Internal Medicine. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Diagnostic Radiology and the percentage of applicants who entered in Diagnostic Radiology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Diagnostic Radiology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

 

Graph: Point of Diminishing Returns for Entering a Diagnostic Radiology Residency Program for DO Applicants

 

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Diagnostic Radiology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Diagnostic Radiology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision.

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 238 (yellow line) submitted 40 applications before reaching the point of diminishing returns (confidence band of 30 to 49). The likelihood of entering a residency program at this point is 77%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ranging from 217 to 237 (green line) submitted 41 applications before reaching the point of diminishing returns (confidence band of 30 to 52). The likelihood of entering a residency program at this point is 84%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

The point of diminishing returns for applicants with USMLE Step 1 scores ≤ 216 could not be estimated because of the small sample size and a low base rate of entry into Diagnostic Radiology residency programs for applicants with USMLE Step 1 scores in this range. 

Emergency Medicine (U.S. DO)

The study included data from 1,574 U.S.-DO applicants who applied to the Emergency Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Emergency Medicine applicants (total number = 1,574) 

Entered training in Emergency Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 213

530

235

44%

109

21%

186

35%

Score 214-229

532

313

59%

91

17%

128

24%

Score ≥ 230

512

372

73%

77

15%

63

12%

Failed Step 1 on first attempt**

80

15

19%

24

30%

41

51%

*Outside of Emergency Medicine training programs, the most common specialties where Emergency Medicine applicants entered training were Internal Medicine, Family Medicine, and Anesthesiology. The most common specialties are only reported where 10 or more applicants entered training. 

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Emergency Medicine and the percentage of applicants who entered in Emergency Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Emergency Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

 

 

Graph: Point of Diminishing Returns for Entering an Emergency Medicine Residency Program for DO Applicants

 

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Emergency Medicine residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Emergency Medicine residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision.

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 230 (yellow line) submitted 36 applications before reaching the point of diminishing returns (confidence band of 30 to 43). The likelihood of entering a residency program at this point is 78%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 214 to 229 (green line) submitted 35 applications before reaching the point of diminishing returns (confidence band of 29 to 41). The likelihood of entering a residency program at this point is 68%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 213 (dark orange line) submitted 38 applications before reaching the point of diminishing returns (confidence band of 26 to 49). The likelihood of entering a residency program at this point is 54%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Family Medicine (U.S. DO)

The study included data from 1,879 U.S.-DO applicants who applied to the Family Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Family Medicine applicants (total number = 1,879)  

Entered training in Family Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 202

637

311

49%

108

17%

217

34%

Score 203-217

617

340

55%

130

21%

147

24%

Score ≥ 218

625

339

54%

158

25%

128

20%

Failed Step 1 on first attempt**

273

110

40%

50

18%

113

41%

*Outside of Family Medicine training programs, the most common specialties where Family Medicine applicants entered training were Internal Medicine, Emergency Medicine, and Pediatrics. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

Understanding the table

The table shows the total number of applicants who applied and entered training in Family Medicine and the percentage of applicants who entered in Family Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Family Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Graph: Point of Diminishing Returns for Entering a Family Medicine Residency Program for DO Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Family Medicine residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Family Medicine residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision.

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 218 (yellow line) submitted fewer applications before reaching the point of diminishing returns (15 applications; confidence band of 11 to 20) than applicants with USMLE Step 1 scores < 218. The likelihood of entering a residency program at this point is 51%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 203 to 217 (green line) submitted fewer applications before reaching the point of diminishing returns (24 applications; confidence band of 12 to 35) than applicants with USMLE Step 1 scores ≤ 202. The likelihood of entering a residency program at this point is 65%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 202 (dark orange line) submitted the highest number of applications before reaching the point of diminishing returns (26 applications; confidence band of 17 to 36). The likelihood of entering a residency program at this point is 62%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

General Surgery (U.S. DO)

The study included data from 1,341 U.S.-DO applicants who applied to the General Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. These data include applicants who applied to, and entered, training in preliminary and categorical positions. 

Specialty Entrance Rates 

Step 1 Exam score result

General Surgery applicants (total number = 1,341)  

Entered training in General Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 214

456

97

21%

147

32%

212

46%

Score 215-231

452

154

34%

144

32%

154

34%

Score ≥ 232

433

173

40%

161

37%

99

23%

Failed Step 1 on first attempt**

75

10

13%

29

39%

36

48%

*Outside of General Surgery training programs, the most common specialties where General Surgery applicants entered training were Internal Medicine, Anesthesiology, and Diagnostic Radiology. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

Understanding the table

The table shows the total number of applicants who applied and entered training in General Surgery and the percentage of applicants who entered in General Surgery by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered General Surgery training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Internal Medicine (U.S. DO)

The study included data from 3,331 U.S.-DO applicants who applied to the Internal Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. These data include applicants who applied to, and entered, training in preliminary and categorical positions.

Specialty Entrance Rates

Step 1 Exam score result

Internal Medicine applicants (total number = 3,331) 

Entered training in Internal Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 210

1,123

479

43%

207

18%

437

39%

Score 211-227

1,159

680

59%

211

18%

268

23%

Score ≥ 228

1,049

655

62%

199

19%

195

19%

Failed Step 1 on first attempt**

281

109

39%

51

18%

121

43%

*Outside of Internal Medicine training programs, the most common specialties where Internal Medicine applicants entered training were Family Medicine, Anesthesiology, and Emergency Medicine. The most common specialties are only reported where 10 or more applicants entered training.

*Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above. 

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

Understanding the table

The table shows the total number of applicants who applied and entered training in Internal Medicine and the percentage of applicants who entered in Internal Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Internal Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

 

Graph: Point of Diminishing Returns for Entering an Internal Medicine Residency Program for DO Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Internal Medicine residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Internal Medicine residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision.

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 228 (yellow line) submitted 29 applications before reaching the point of diminishing returns (confidence band of 25 to 33). The likelihood of entering a residency program at this point is 72%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 211 to 227 (green line) submitted 26 applications before reaching the point of diminishing returns (confidence band of 22 to 30). The likelihood of entering a residency program at this point is 68%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 210 (dark orange line) submitted 29 applications before reaching the point of diminishing returns (confidence band of 18 to 39). The likelihood of entering a residency program at this point is 49%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Internal Medicine - Pediatrics (U.S. DO)

The study included data from 169 U.S.-DO applicants who applied to the Internal Medicine - Pediatrics training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates 

Step 1 Exam score result

Internal Medicine - Pediatrics applicants (total number = 169)  

Entered training in Internal Medicine - Pediatrics

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 208

56

--

--

28

50%

22

39%

Score 209-224

57

22

39%

22

39%

13

23%

Score ≥ 225

56

36

64%

15

27%

--

--

Failed Step 1 on first attempt**

17

--

--

--

--

--

--

*Outside of Internal Medicine - Pediatrics training programs, the most common specialties where Internal Medicine - Pediatrics applicants entered training were Pediatrics, Internal Medicine, and Family Medicine. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Internal Medicine - Pediatrics and the percentage of applicants who entered in Internal Medicine - Pediatrics by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Internal Medicine - Pediatrics training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Neurology (U.S. DO)

The study included data from 233 U.S.-DO applicants who applied to the Neurology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Neurology applicants (total number = 233) 

Entered training in Neurology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 206

80

33

41%

15

19%

32

40%

Score 207-225

79

40

51%

15

19%

24

30%

Score ≥ 226

74

52

70%

14

19%

--

--

Failed Step 1 on first attempt**

20

--

--

--

--

12

60%

*Outside of Neurology training programs, the most common specialty where Neurology applicants entered training was Internal Medicine. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

Understanding the table

The table shows the total number of applicants who applied and entered training in Neurology and the percentage of applicants who entered in Neurology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Neurology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Obstetrics and Gynecology (U.S. DO)

The study included data from 650 U.S.-DO applicants who applied to the Obstetrics and Gynecology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Obstetrics and Gynecology applicants (total number = 650) 

Entered training in Obstetrics and Gynecology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 209

221

88

40%

67

30%

66

30%

Score 210-224

215

117

54%

52

24%

46

21%

Score ≥ 225

214

127

59%

46

21%

41

19%

Failed Step 1 on first attempt**

55

16

29%

15

27%

24

44%

*Outside of Obstetrics and Gynecology training programs, the most common specialties where Obstetrics and Gynecology applicants entered training were Family Medicine, Internal Medicine, and Anesthesiology or General Surgery or Pediatrics (tied). The most common specialties are only reported where 10 or more applicants entered training. 

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above. 

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Obstetrics and Gynecology and the percentage of applicants who entered in Obstetrics and Gynecology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Obstetrics and Gynecology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Graph: Point of Diminishing Returns for Entering an Obstetrics and Gynecology Residency Program for DO Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Obstetrics and Gynecology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Obstetrics and Gynecology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 225 (yellow line) submitted 32 applications before reaching the point of diminishing returns (confidence band of 25 to 39). The likelihood of entering a residency program at this point is 67%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 210 to 224 (green line) submitted 26 applications before reaching the point of diminishing returns (confidence band of 15 to 37). The likelihood of entering a residency program at this point is 56%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 209 (dark orange line) submitted the highest number of applications before reaching the point of diminishing returns (48 applications; confidence band of 24 to 71). The likelihood of entering a residency program at this point is 52%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Orthopedic Surgery (U.S. DO)

The study included data from 227 U.S.-DO applicants who applied to the Orthopedic Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Orthopedic Surgery applicants (total number = 227) 

Entered training in Orthopedic Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 228

81

--

--

33

41%

41

51%

Score 229-243

74

26

35%

17

23%

31

42%

Score ≥ 244

72

25

35%

11

15%

36

50%

Failed Step 1 on first attempt**

--

--

--

--

--

--

--

*Outside of Orthopedic Surgery training programs, the most common specialties where Orthopedic Surgery applicants entered training were Internal Medicine and General Surgery. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

Understanding the table

The table shows the total number of applicants who applied and entered training in Orthopedic Surgery and the percentage of applicants who entered in Orthopedic Surgery by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Orthopedic Surgery training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Otolaryngology (U.S. DO)

The study included data from 104 U.S.-DO applicants who applied to the Otolaryngology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Otolaryngology
applicants
(total number = 104) 

Entered training in
Otolaryngology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 222

35

--

--

17

49%

17

49%

Score 223-241

35

--

--

16

46%

12

34%

Score ≥ 242

34

10

29%

--

--

15

44%

Failed Step 1 on first attempt**

--

--

--

--

--

--

--

*Outside of Otolaryngology training programs, the most common specialty where Otolaryngology applicants entered training was General Surgery. The most common specialties are only reported where 10 or more applicants entered training. 

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles. 

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

Pathology (U.S. DO)

The study included data from 244 U.S.-DO applicants who applied to the Pathology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Pathology applicants (total number = 244)  

Entered training in Pathology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 207

81

34

42%

14

17%

33

41%

Score 208-227

81

53

65%

--

--

21

26%

Score ≥ 228

82

52

63%

14

17%

16

20%

Failed Step 1 on first attempt**

20

--

--

--

--

10

50%

*The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Pathology and the percentage of applicants who entered in Pathology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Pathology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Pediatrics (U.S. DO)

The study included data from 1,074 U.S.-DO applicants who applied to the Pediatrics training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Pediatrics applicants (total number = 1,074) 

Entered training in Pediatrics

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 207

378

205

54%

59

16%

114

30%

Score 208-223

349

230

66%

43

12%

76

22%

Score ≥ 224

347

221

64%

54

16%

72

21%

Failed Step 1 on first attempt**

106

44

42%

18

17%

44

42%

*Outside of Pediatrics training programs, the most common specialties where Pediatrics applicants entered training were Family Medicine, Internal Medicine, and Internal Medicine – Pediatrics. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

Understanding the table

The table shows the total number of applicants who applied and entered training in Pediatrics and the percentage of applicants who entered in Pediatrics by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Pediatrics training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

 

Graph: Point of Diminishing Returns for Entering a Pediatrics Residency Program for DO Applicants

 

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Pediatrics residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Pediatrics residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores. 

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision.  

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 224 (yellow line) submitted 21 applications before reaching the point of diminishing returns (confidence band of 16 to 26). The likelihood of entering a residency program at this point is 62%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 208 to 223 (green line) submitted 16 applications before reaching the point of diminishing returns (confidence band of 11 to 21). The likelihood of entering a residency program at this point is 58%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from ≤ 207 (dark orange line) submitted 21 applications before reaching the point of diminishing returns (confidence band of 17 to 24). The likelihood of entering a residency program at this point is 68%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Plastic Surgery - Integrated (U.S. DO)

The study included data from 51 U.S.-DO applicants who applied to the Integrated Plastic Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Integrated Plastic Surgery applicants (total number = 51) 

Entered training in Integrated Plastic Surgery 

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 212

17

--

--

10

59%

--

--

Score 213-237

18

--

--

14

78%

--

--

Score ≥ 238

16

--

--

12

75%

--

--

Failed Step 1 on first attempt**

--

--

--

--

--

--

--

*Outside of Integrated Plastic Surgery training programs, the most common specialty where Integrated Plastic Surgery applicants entered training was General Surgery. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above. 

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles. 

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

Psychiatry (U.S. DO)

The study included data from 571 U.S.-DO applicants who applied to the Psychiatry training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Psychiatry applicants (total number = 571) 

Entered training in Psychiatry

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 202

198

92

46%

30

15%

76

38%

Score 203-219

184

108

59%

28

15%

48

26%

Score ≥ 220

189

115

61%

31

16%

43

23%

Failed Step 1 on first attempt**

86

36

42%

11

13%

39

45%

*Outside of Psychiatry training programs, the most common specialties where Psychiatry applicants entered training were Internal Medicine and Family Medicine. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Psychiatry and the percentage of applicants who entered in Psychiatry by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Psychiatry training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Graph: Point of Diminishing Returns for Entering a Psychiatry Residency Program for DO Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Psychiatry residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Psychiatry residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores. 

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 220 (yellow line) submitted 26 applications before reaching the point of diminishing returns (confidence band of 18 to 34). The likelihood of entering a residency program at this point is 75%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 203 to 219 (green line) submitted 23 applications before reaching the point of diminishing returns (confidence band of 16 to 30). The likelihood of entering a residency program at this point is 63%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ≤ 202 (dark orange line) submitted 27 applications before reaching the point of diminishing returns (confidence band of 16 to 39). The likelihood of entering a residency program at this point is 60%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Radiation Oncology (U.S. DO)

The study included data from 52 U.S.-DO applicants who applied to the Radiation Oncology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Radiation Oncology applicants (total number = 52) 

Entered training in Radiation Oncology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 207

17

--

--

--

--

--

--

Score 208-230

17

--

--

--

--

--

--

Score ≥ 231

18

--

--

--

--

--

--

Failed Step 1 on first attempt**

--

--

--

--

--

--

--

*The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Urology (U.S. DO)

The study included data from 81 U.S.-DO applicants who applied to the Urology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Urology applicants (total number = 81)  

Entered training in Urology 

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 228

29

--

--

11

38%

10

34%

Score 229-239

25

--

--

10

40%

--

--

Score ≥ 240

27

17

63%

--

--

--

--

Failed Step 1 on first attempt**

--

--

--

--

--

--

--

*The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

Integrated Vascular Surgery (U.S. DO)

The study included data from 56 U.S.-DO applicants who applied to the Integrated Vascular Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Integrated Vascular Surgery applicants (total number = 56)  

Entered training in Integrated Vascular Surgery 

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 215

19

--

--

--

--

--

--

Score 216-231

20

--

--

12

60%

--

--

Score ≥ 232

17

--

--

--

--

--

--

Failed Step 1 on first attempt**

--

--

--

--

--

--

--

*The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles. 

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

Anesthesiology (Non-U.S. IMG)

The study included data from 1,145 non-U.S. IMG applicants who applied to the Anesthesiology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Anesthesiology
applicants
(total number = 1,145)

Entered training in Anesthesiology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 215

401

52

13%

56

14%

293

73%

Score 216-233

368

108

29%

69

19%

191

52%

Score ≥ 234

376

162

43%

105

28%

109

29%

Failed Step 1 on first attempt**

109

14

13%

--

--

89

82%

*Outside of Anesthesiology training programs, the most common specialties where Anesthesiology applicants entered training were Internal Medicine, General Surgery, and Family Medicine. The most common specialties are only reported where 10 or more applicants entered training.
  
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
  
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.  

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Anesthesiology and the percentage of applicants who entered in Anesthesiology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Anesthesiology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Dermatology (Non-U.S. IMG)

The study included data from 211 non-U.S. IMG applicants who applied to the Dermatology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Dermatology applicants
(total number = 211) 

Entered training in Dermatology 

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 214

71

--

--

12

17%

57

80%

Score 215-237 

72

14

19%

24

33%

34

47%

Score ≥ 238 

68

10

15%

40

59%

18

26%

Failed Step 1 on first attempt**

24

--

--

--

--

20

83%

*Outside of Dermatology training programs, the most common specialties where Dermatology applicants entered training were Internal Medicine and General Surgery. The most common specialties are only reported where 10 or more applicants entered training.
  
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
  
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Dermatology and the percentage of applicants who entered in Dermatology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered training in another specialty increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

.

Diagnostic Radiology (Non-U.S. IMG)

The study included data from 1,028 non-U.S. IMG applicants who applied to the Diagnostic Radiology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Diagnostic Radiology applicants (total number = 1,028) 

Entered training in Diagnostic Radiology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 218

343

31

9%

75

22%

237

69%

Score 219-238

352

87

25%

96

27%

169

48%

Score ≥ 239

333

134

40%

98

29%

101

30%

Failed Step 1 on first attempt**

75

--

--

--

--

60

80%

*Outside of Diagnostic Radiology training programs, the most common specialties where Diagnostic Radiology applicants entered training were Internal Medicine, General Surgery, and Neurology. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Diagnostic Radiology and the percentage of applicants who entered in Diagnostic Radiology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Diagnostic Radiology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Emergency Medicine (Non-U.S. IMG)

The study included data from 915 non-U.S. IMG applicants who applied to the Emergency Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Emergency Medicine applicants (total number = 915) 

Entered training in Emergency Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 211

312

23

7%

32

10%

257

82%

Score 212-231

309

33

11%

85

28%

191

62%

Score ≥ 232

294

55

19%

131

45%

108

37%

Failed Step 1 on first attempt**

77 

--

--

--

--

73

95%

*Outside of Emergency Medicine training programs, the most common specialties where Emergency Medicine applicants entered training were Internal Medicine, Family Medicine, and General Surgery. The most common specialties are only reported where 10 or more applicants entered training.
  
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
  
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Emergency Medicine and the percentage of applicants who entered in Emergency Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Emergency Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Family Medicine (Non-U.S. IMG)

The study included data from 9,184 non-U.S. IMG applicants who applied to the Family Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Family Medicine applicants (total number = 9,184

Entered training in Family Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 209

3,209

297 

9%

452

14%

2,460

77%

Score 210-225

2,968

409

14%

736

25%

1,823

61%

Score ≥ 226

3,007

469

16%

1,156

38%

1,382

46%

Failed Step 1 on first attempt**

994

59

6%

92

9%

843

85%

*Outside of Family Medicine training programs, the most common specialties where Family Medicine applicants entered training were Internal Medicine, Pediatrics, and Psychiatry. The most common specialties are only reported where 10 or more applicants entered training.
  
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
  
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.  

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Family Medicine and the percentage of applicants who entered in Family Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Family Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

General Surgery (Non-U.S. IMG)

The study included data from 4,161 non-U.S. IMG applicants who applied to the General Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. These data include applicants who applied to, and entered, training in preliminary and categorical positions.

Specialty Entrance Rates

Step 1 Exam score result

General Surgery applicants (total number = 4,161) 

Entered training in General Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 215

1,392

104

7%

167

12%

1,121

81%

Score 216-234

1,398

216

15%

309

22%

873

62%

Score ≥ 235

1,371

438

32%

432

32%

501

37%

Failed Step 1 on first attempt**

321

14

4%

27

8%

280

87%

*Outside of General Surgery training programs, the most common specialties where General Surgery applicants entered training were Internal Medicine, Anesthesiology, and Diagnostic Radiology. The most common specialties are only reported where 10 or more applicants entered training.
  
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
  
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in General Surgery and the percentage of applicants who entered in General Surgery by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered General Surgery training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Internal Medicine (Non-U.S. IMG)

The study included data from 17,656 non-U.S. IMG applicants who applied to the Internal Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. These data include applicants who applied to, and entered, training in preliminary and categorical positions.

Specialty Entrance Rates

Step 1 Exam score result

Internal Medicine applicants (total number = 17,656)

Entered training in Internal Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 219

6,131

1,215

20%

775

13%

4,141

68%

Score 220-236

5,659

2,526

45%

772

14%

2,363

42%

Score ≥ 237

5,866

4,005

68%

604

10%

1,258

21%

Failed Step 1 on first attempt**

1,012

86

8%

95

9%

831

82%

*Outside of Internal Medicine training programs, the most common specialties where Internal Medicine applicants entered training were Family Medicine, Pediatrics, and Neurology. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Internal Medicine and the percentage of applicants who entered in Internal Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Internal Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Internal Medicine - Pediatrics (Non-U.S. IMG)

The study included data from 1,407 non-U.S. IMG applicants who applied to the Internal Medicine - Pediatrics training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.  

Specialty Entrance Rates

Step 1 Exam score result

Internal Medicine - Pediatrics applicants (total number = 1,407)

Entered training in Internal Medicine - Pediatrics

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 215

473

--

--

87

18%

379

80%

Score 216-230

487

--

--

165

34%

314

64%

Score ≥ 231

447

16

4%

234

52%

197

44%

Failed Step 1 on first attempt**

90

--

--

10

11%

79

88%

*Outside of Internal Medicine - Pediatrics training programs, the most common specialties where Internal Medicine - Pediatrics applicants entered training were Internal Medicine, Pediatrics, and Family Medicine. The most common specialties are only reported where 10 or more applicants entered training.
  
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
  
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles. 

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Neurology (Non-U.S. IMG)

The study included data from 2,071 non-U.S. IMG applicants who applied to the Neurology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.  

Specialty Entrance Rates

Step 1 Exam score result

Neurology applicants (total number = 2,071)

Entered training in Neurology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 218

727

131

18%

126

17%

470

65%

Score 219-234

657

160

24%

191

29%

306

47%

Score ≥ 235

687

296

43%

201

29%

191

28%

Failed Step 1 on first attempt**

110

14

13%

13

12%

83

75%

*Outside of Neurology training programs, the most common specialties where Neurology applicants entered training were Internal Medicine, Psychiatry, and Pediatrics. The most common specialties are only reported where 10 or more applicants entered training.
  
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
  
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Neurology and the percentage of applicants who entered in Neurology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Neurology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Obstetrics and Gynecology (Non-U.S. IMG)

The study included data from 1,062 non-U.S. IMG applicants who applied to the Obstetrics and Gynecology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam
score result

Obstetrics and Gynecology
applicants (total number = 1,062)

Entered training in 
Obstetrics and Gynecology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 211

369

37

10%

58

16%

274

74%

Score 212-228

350

68

19%

80

23%

202

58%

Score ≥ 229

343

110

32%

115

34%

118

34%

Failed Step 1 on first attempt**

104

--

--

11

11%

90

87%

*Outside of Obstetrics and Gynecology training programs, the most common specialties where Obstetrics and Gynecology applicants entered training were Internal Medicine, Family Medicine, and General Surgery or Pediatrics (tied). The most common specialties are only reported where 10 or more applicants entered training. 
  
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
  
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Obstetrics and Gynecology and the percentage of applicants who entered in Obstetrics and Gynecology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Obstetrics and Gynecology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Orthopedic Surgery (Non-U.S. IMG)

The study included data from 258 non-U.S. IMG applicants who applied to the Orthopedic Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam
score result

Orthopedic Surgery
applicants (total number = 258)

Entered training in Orthopedic Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 218

86

--

--

10

12%

74

86%

Score 219-235

87

--

--

13

15%

70

80%

Score ≥ 236

85

--

--

36

42%

40

47%

Failed Step 1 on first attempt**

19

--

--

--

--

19

100%

*Outside of Orthopedic Surgery training programs, the most common specialty where Orthopedic Surgery applicants entered training was General Surgery. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.  

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Otolaryngology (Non-U.S. IMG)

The study included data from 142 non-U.S. IMG applicants who applied to the Otolaryngology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Otolaryngology  applicants (total number = 142)

Entered training in 
Otolaryngology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 220

48

--

--

--

--

38

79%

Score 221-235

50

--

--

--

--

37

74%

Score ≥ 236

44

--

--

22

50%

18

41%

Failed Step 1 on first attempt**

--

--

--

--

--

--

--

*Outside of Otolaryngology training programs, the most common specialty where Otolaryngology applicants entered training was General Surgery. The most common specialties are only reported where 10 or more applicants entered training.
  
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
  
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Pathology (Non-U.S. IMG)

The study included data from 1,733 non-U.S. IMG applicants who applied to the Pathology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam
score result

Pathology applicants (total number = 1,733)

Entered training in
Pathology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 212

587

93

16%

46

8%

454

77%

Score 213-230

593

159

27%

59

10%

384

65%

Score ≥ 231

553

230

42%

91

16%

218

39%

Failed Step 1 on first attempt**

152

14

9%

11

7%

129

85%

*Outside of Pathology training programs, the most common specialties where Pathology applicants entered training were Internal Medicine, Pediatrics, and Family Medicine. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Pathology and the percentage of applicants who entered in Pathology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Pathology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Pediatrics (Non-U.S. IMG)

The study included data from 5,105 non-U.S. IMG applicants who applied to the Pediatrics training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Pediatrics applicants
(total number = 5,105)

Entered training
in Pediatrics

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 212

1,726

266

15%

259

15%

1,201

70%

Score 213-229

1,757

461

26%

377

21%

919

52%

Score ≥ 230

1,622

669

41%

463

29%

490

30%

Failed Step 1 on first attempt**

392

27

7%

48

12%

317

81%

*Outside of Pediatrics training programs, the most common specialties where Pediatrics applicants entered training were Internal Medicine, Family Medicine, and Psychiatry. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Pediatrics and the percentage of applicants who entered in Pediatrics by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Pediatrics training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Plastic Surgery - Integrated (Non-U.S. IMG)

The study included data from 141 non-U.S. IMG applicants who applied to the Integrated Plastic Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Plastic Surgery applicants (total number = 141)

Entered training in Plastic Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 219

48

--

--

14

29%

28

58%

Score 220-237

47

--

--

11

23%

31

66%

Score ≥ 238

46

--

--

27

59%

16

35%

Failed Step 1 on first attempt**

10

--

--

--

--

--

--

*Outside of Integrated Plastic Surgery training programs, the most common specialty where Integrated Plastic Surgery applicants entered training was General Surgery. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Psychiatry (Non-U.S. IMG)

The study included data from 2,688 non-U.S. IMG applicants who applied to the Psychiatry training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Psychiatry applicants
(total number = 2,688)

Entered training in
Psychiatry

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 205

929

121

13%

101

11%

707

76%

Score 206-221

868

181

21%

132

15%

555

64%

Score ≥ 222

891

233

26%

194

22%

464

52%

Failed Step 1 on first attempt**

395

32

8%

29

7%

334

85%

*Outside of Psychiatry training programs, the most common specialties where Psychiatry applicants entered training were Internal Medicine, Family Medicine, and Neurology or Pediatrics (tied). The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Psychiatry and the percentage of applicants who entered in Psychiatry by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Psychiatry training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Radiation Oncology (Non-U.S. IMG)

The study included data from 99 non-U.S. IMG applicants who applied to the Radiation Oncology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Radiation Oncology applicants (total number = 99)

Entered training in Radiation Oncology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 212

35

--

--

--

--

30

86%

Score 213-230

32

--

--

--

--

26

81%

Score ≥ 231

32

--

--

14

44%

14

44%

Failed Step 1 on first attempt**

--

--

--

--

--

--

--

*Outside of Radiation Oncology training programs, the most common specialty where Radiation Oncology applicants entered training was Internal Medicine. The most common specialties are only reported where 10 or more applicants entered training. 

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Urology (Non-U.S. IMG)

The study included data from 107 non-U.S. IMG applicants who applied to the Urology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Urology applicants (total number = 107) 

Entered training in Urology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 217

36

--

--

--

--

28

78%

Score 218-236

35

--

--

10

29%

25

71%

Score ≥ 237

36

--

--

15

42%

12

33%

Failed Step 1 on first attempt**

--

--

--

--

--

--

--

*Outside of Urology training programs, the most common specialty where Urology applicants entered training was Internal Medicine. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above. 

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percent of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Vascular Surgery - Integrated (Non-U.S. IMG)

The study included data from 195 non-U.S. IMG applicants who applied to the Integrated Vascular Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Integrated Vascular Surgery (total number = 195)

Entered training in Integrated Vascular Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 216

66

--

--

15

23%

51

77%

Score 217-235

67

--

--

21

31%

41

61%

Score ≥ 236

62

--

--

31

50%

25

40%

Failed Step 1 on first attempt**

11

--

--

--

--

10

91%

*Outside of Integrated Vascular Surgery training programs, the most common specialty where Integrated Vascular Surgery applicants entered training was General Surgery. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percent of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Anesthesiology (U.S. IMG)

The study included data from 2,339 U.S.-IMG applicants who applied to the Anesthesiology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Anesthesiology applicants (total number = 2,339)

Entered training in Anesthesiology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 207

804

45

6%

164

20%

595

74%

Score 208-228

757

168

22%

267

35%

322

43%

Score ≥ 229

778

418

54%

218

28%

142

18%

Failed Step 1 on first attempt**

401

--

--

63

16%

329

82%

*Outside of Anesthesiology training programs, the most common specialties where Anesthesiology applicants entered training were Internal Medicine, Family Medicine, and General Surgery. The most common specialties are only reported where 10 or more applicants entered training. 

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Anesthesiology and the percentage of applicants who entered in Anesthesiology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Anesthesiology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Dermatology (U.S. IMG)

The study included data from 350 U.S.-IMG applicants who applied to the Dermatology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Dermatology applicants (total number = 350)

Entered training in Dermatology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 205

119

--

--

24

20%

88

74%

Score 206-228

117

--

--

53

45%

55

47%

Score ≥ 229

114

22

19%

57

50%

35

31%

Failed Step 1 on first attempt**

63

--

--

17

27%

43

68%

*Outside of Dermatology training programs, the most common specialties where Dermatology applicants entered training were Internal Medicine, General Surgery, and Diagnostic Radiology. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Diagnostic Radiology (U.S. IMG)

The study included data from 1,550 U.S.-IMG applicants who applied to the Diagnostic Radiology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Diagnostic Radiology applicants (total number = 1,550) 

Entered training in Diagnostic Radiology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 211

535

43

8%

133

25%

359

67%

Score 212-233

516

121

23%

196

38%

199

39%

Score ≥ 234

499

269

54%

149

30%

81

16%

Failed Step 1 on first attempt**

235

--

--

46

20%

181

77%

*Outside of Diagnostic Radiology training programs, the most common specialties where Diagnostic Radiology applicants entered training were Internal Medicine, General Surgery, and Family Medicine. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Diagnostic Radiology and the percentage of applicants who entered in Diagnostic Radiology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Diagnostic Radiology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Emergency Medicine (U.S. IMG)

The study included data from 2,333 U.S.-IMG applicants who applied to the Emergency Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Emergency Medicine applicants (total number = 2,333)

Entered training in Emergency Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 207

802

46

6%

217

27%

539

67%

Score 208-227

775

121

16%

376

49%

278

36%

Score ≥ 228

756

285

38%

362

48%

109

14%

Failed Step 1 on first attempt**

382

11

3%

71

19%

300

79%

*Outside of Emergency Medicine training programs, the most common specialties where Emergency Medicine applicants entered training were Internal Medicine, Family Medicine, and General Surgery. The most common specialties are only reported where 10 or more applicants entered training

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Emergency Medicine and the percentage of applicants who entered in Emergency Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Emergency Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Family Medicine (U.S. IMG)

The study included data from 18,614 U.S.-IMG applicants who applied to the Family Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Family Medicine applicants (total number = 18,614) 

Entered training in Family Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 199

6,360

940

15%

772

12%

4,648

73%

Score 200-214

6,323

1,651

26%

1,461

23%

3,211

51%

Score ≥ 215

5,931

1,363

23%

2,484

42%

2,084

35%

Failed Step 1 on first attempt**

4,719

525

11%

466

10%

3,728

79%

*Outside of Family Medicine training programs, the most common specialties where Family Medicine applicants entered training were Internal Medicine, Psychiatry, and Pediatrics. The most common specialties are only reported where 10 or more applicants entered training

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Family Medicine and the percentage of applicants who entered in Family Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Family Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

General Surgery (U.S. IMG)

The study included data from 6,444 U.S.-IMG applicants who applied to the General Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. These data include applicants who applied to, and entered, training in preliminary and categorical positions.

Specialty Entrance Rates

Step 1 Exam score result

General Surgery applicants (total number = 6,444)

Entered training in General Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 203

2,188

84

4%

266

12%

1,838

84%

Score 204-224

2,187

283

13%

596

27%

1,308

60%

Score ≥ 225

2,069

637

31%

847

41%

585

28%

Failed Step 1 on first attempt**

1,400

46

3%

135

10%

1,219

87%

*Outside of General Surgery training programs, the most common specialties where General Surgery applicants entered training were Internal Medicine, Family Medicine, and Anesthesiology. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in General Surgery and the percentage of applicants who entered in General Surgery by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered General Surgery training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Internal Medicine (U.S. IMG)

The study included data from 22,279 U.S.-IMG applicants who applied to the Internal Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. These data include applicants who applied to, and entered, training in preliminary and categorical positions.

Specialty Entrance Rates

Step 1 Exam score result

Internal Medicine applicants (total number = 22,279)

Entered training in Internal Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 204

7,422

927

12%

1,260

17%

5,235

71%

Score 205-223

7,454

2,539

34%

1,644

22%

3,271

44%

Score ≥ 224

7,403

4,571

62%

1,341

18%

1,491

20%

Failed Step 1 on first attempt**

4,167

372

9%

520

12%

3,275

79%

*Outside of Internal Medicine training programs, the most common specialties where Internal Medicine applicants entered training were Family Medicine, Psychiatry, and Anesthesiology. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Internal Medicine and the percentage of applicants who entered in Internal Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Internal Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Internal Medicine - Pediatrics (U.S. IMG)

The study included data from 1,381 U.S.-IMG applicants who applied to the Internal Medicine - Pediatrics training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Internal Medicine - Pediatrics applicants (total number = 1,381)

Entered training in Internal Medicine - Pediatrics

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 203

489

--

--

109

22%

377

77%

Score 204-218

435

32

7%

170

39%

233

54%

Score ≥ 219

457

80

18%

222

49%

155

34%

Failed Step 1 on first attempt**

296

--

--

56

19%

237

80%

*Outside of Internal Medicine - Pediatrics training programs, the most common specialties where Internal Medicine - Pediatrics applicants entered training were Internal Medicine, Pediatrics, and Family Medicine. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Internal Medicine - Pediatrics and the percentage of applicants who entered in Internal Medicine - Pediatrics by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Internal Medicine - Pediatrics training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Neurology (U.S. IMG)

The study included data from 1,992 U.S.-IMG applicants who applied to the Neurology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Neurology applicants (total number = 1,992)

Entered training in Neurology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 202

684

63

9%

117

17%

504

74%

Score 203-221

649

124

19%

217

33%

308

47%

Score ≥ 222

659

232

35%

226

34%

201

31%

Failed Step 1 on first attempt**

443

35

8%

65

15%

343

77%

*Outside of Neurology training programs, the most common specialties where Neurology applicants entered training were Internal Medicine, Family Medicine, and Psychiatry. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Neurology and the percentage of applicants who entered in Neurology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Neurology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Obstetrics and Gynecology (U.S. IMG)

The study included data from 2,251 U.S.-IMG applicants who applied to the Obstetrics and Gynecology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Obstetrics and Gynecology applicants (total number = 2,251)

Entered training in Obstetrics and Gynecology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 202

761

35

5%

155

20%

571

75%

Score 203-220

774

134

17%

272

35%

368

48%

Score ≥ 221

716

299

42%

271

38%

146

20%

Failed Step 1 on first attempt**

507

14

3%

73

14%

420

83%

*Outside of Obstetrics and Gynecology training programs, the most common specialties where Obstetrics and Gynecology applicants entered training were Family Medicine, Internal Medicine, and General Surgery. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Obstetrics and Gynecology and the percentage of applicants who entered in Obstetrics and Gynecology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Obstetrics and Gynecology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Orthopedic Surgery (U.S. IMG)

The study included data from 436 U.S.-IMG applicants who applied to the Orthopedic Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Orthopedic Surgery applicants (total number = 436) 

Entered training in Orthopedic Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 215

151

--

--

52

34%

93

62%

Score 216-237

143

19

13%

73

51%

51

36%

Score ≥ 238

142

25

18%

82

58%

35

25%

Failed Step 1 on first attempt**

45

--

--

10

22%

35

78%

*Outside of Orthopedic Surgery training programs, the most common specialties where Orthopedic Surgery applicants entered training were General Surgery or Internal Medicine (tied), followed by Anesthesiology. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Orthopedic Surgery and the percentage of applicants who entered in Orthopedic Surgery by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Orthopedic Surgery training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Otolaryngology (Non-U.S. IMG)

The study included data from 205 U.S.-IMG applicants who applied to the Otolaryngology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Otolaryngology  applicants (total number = 205) 

Entered training in Otolaryngology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 211

68

--

--

14

21%

53

78%

Score 221-228

69

--

--

32

46%

35

51%

Score ≥ 229

68

--

--

34

50%

28

41%

Failed Step 1 on first attempt**

27

--

--

--

--

22

81%

*Outside of Otolaryngology training programs, the most common specialties where Otolaryngology applicants entered training were General Surgery and Internal Medicine. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Pathology (U.S. IMG)

The study included data from 2,899 U.S.-IMG applicants who applied to the Pathology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Pathology applicants (total number = 2,899)

Entered training in Pathology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 201

1,005

70

7%

74

7%

867

86%

Score 202-220

959

176

18%

134

14%

663

69%

Score ≥ 221

935

374

40%

193

21%

347

37%

Failed Step 1 on first attempt**

711

29

4%

48

7%

634

89%

*Outside of Pathology training programs, the most common specialties where Pathology applicants entered training were Internal Medicine, Family Medicine, and Psychiatry. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Pathology and the percentage of applicants who entered in Pathology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Pathology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Pediatrics (U.S. IMG)

The study included data from 6,528 U.S.-IMG applicants who applied to the Pediatrics training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Pediatrics applicants (total number = 6,528) 

Entered training in Pediatrics

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 201

2,267

192

8%

431

19%

1,644

73%

Score 202-217

2,148

470

22%

565

26%

1,113

52%

Score ≥ 218

2,113

870

41%

649

31%

594

28%

Failed Step 1 on first attempt**

1,575

75

5%

255

16%

1,245

79%

*Outside of Pediatrics training programs, the most common specialties where Pediatrics applicants entered training were Internal Medicine, Family Medicine, and Psychiatry. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Pediatrics and the percentage of applicants who entered in Pediatrics by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Pediatrics training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Plastic Surgery - Integrated (U.S. IMG)

The study included data from 177 U.S.-IMG applicants who applied to the Integrated Plastic Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Integrated Plastic Surgery applicants (total number = 177)

Entered training in Integrated Plastic Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 214

61

--

--

26

43%

33

54%

Score 215-234

61

--

--

36

59%

22

36%

Score ≥ 235

55

--

--

27

49%

23

42%

Failed Step 1 on first attempt**

15

--

--

--

--

11

73%

*Outside of Integrated Plastic Surgery training programs, the most common specialty where Integrated Plastic Surgery applicants entered training was was General Surgery. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Psychiatry (U.S. IMG)

The study included data from 6,362 U.S.-IMG applicants who applied to the Psychiatry training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Psychiatry applicants (total number = 6,362)

Entered training in Psychiatry

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 196

2,230

304

14%

212

10%

1,714

77%

Score 197-210

2,103

398

19%

354

17%

1,351

64%

Score ≥ 211

2,029

573

28%

500

25%

956

47%

Failed Step 1 on first attempt**

2,176

250

11%

186

9%

1,740

80%

*Outside of Psychiatry training programs, the most common specialties where Psychiatry applicants entered training were Family Medicine, Internal Medicine, and Pediatrics. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Psychiatry and the percentage of applicants who entered in Psychiatry by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Psychiatry training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Radiation Oncology (U.S. IMG)

The study included data from 159 U.S.-IMG applicants who applied to the Radiation Oncology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Radiation Oncology applicants (total number = 159)

Entered training in Radiation Oncology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 207

56

--

--

17

30%

37

66%

Score 208-229

50

--

--

21

42%

28

56%

Score ≥ 230

53

--

--

33

62%

13

25%

Failed Step 1 on first attempt**

23

--

--

--

--

15

65%

*Outside of Radiation Oncology training programs, the most common specialties where Radiation Oncology applicants entered training were Internal Medicine and Diagnostic Radiology. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Urology (U.S. IMG)

The study included data from 115 U.S.-IMG applicants who applied to the Urology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Urology applicants (total number = 115)

Entered training in Urology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 212

38

--

--

--

--

26

68%

Score 213-233

39

--

--

19

49%

13

33%

Score ≥ 234

38

--

--

21

55%

--

--

Failed Step 1 on first attempt**

18

--

--

--

--

16

89%

*Outside of Urology training programs, the most common specialty where Urology applicants entered training was Internal Medicine. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Vascular Surgery - Integrated (U.S. IMG)

The study included data from 238 U.S.-IMG applicants who applied to the Integrated Vascular Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Integrated Vascular Surgery applicants (total number = 238)

Entered training in Integrated Vascular Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 211

80

--

--

15

19%

65

81%

Score 212-227

78

--

--

42

54%

32

41%

Score ≥ 228

80

--

--

48

60%

27

34%

Failed Step 1 on first attempt**

35

--

--

--

--

30

86%

*Outside of Integrated Vascular Surgery training programs, the most common specialties where Integrated Vascular Surgery applicants entered training were General Surgery and Internal Medicine. The most common specialties are only reported where 10 or more applicants entered training.

**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles.

Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

Anesthesiology (U.S. MD)

The study included data from 7,817 U.S.-MD applicants who applied to the Anesthesiology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Anesthesiology applicants (total number = 7,817)

Entered training in Anesthesiology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 221

2,726

1,684

62%

612

22%

430

16%

Score 222-237

2,578

2,135

83%

321

12%

122

5%

Score ≥ 238

2,513

2,019

80%

381

15%

113

4%

Failed Step 1 on first attempt**

273

76

28%

94

34%

103

38%

*Outside of Anesthesiology training programs, the most common specialties where Anesthesiology applicants entered training were Internal Medicine, General Surgery, and Diagnostic Radiology. The most common specialties are only reported where 10 or more applicants entered training. 
  
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
  
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Anesthesiology and the percentage of applicants who entered in Anesthesiology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Anesthesiology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Graph: Point of Diminishing Returns for Entering an Anesthesiology Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Anesthesiology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Anesthesiology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 238 (yellow line) submitted fewer applications before reaching the point of diminishing returns (19 applications; confidence band of 17 to 20) than applicants with USMLE Step 1 scores < 238. The likelihood of entering a residency program at this point is 87%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 222 to 237 (gray line) submitted fewer applications before reaching the point of diminishing returns (22 applications; confidence band of 20 to 23) than applicants with USMLE Step 1 scores ≤ 221. The likelihood of entering a residency program at this point is 86%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 221 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (30 applications; confidence band of 28 to 32). The likelihood of entering a residency program at this point is 76%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Dermatology (U.S. MD)

The study included data from 2,970 U.S.-MD applicants who applied to the Dermatology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Dermatology applicants (total number = 2,970)

Entered training in Dermatology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 238

1,029

486

47%

366

36%

177

17%

Score 239-251

1,029

740

72%

241

23%

48

5%

Score ≥ 252

912

742

81%

144

16%

26

3%

Failed Step 1 on first attempt**

51

--

--

19

37%

27

53%

*Outside of Dermatology training programs, the most common specialties where Dermatology applicants entered training were Internal Medicine, Diagnostic Radiology, and Anesthesiology. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Dermatology and the percentage of applicants who entered in Dermatology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Dermatology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Graph: Point of Diminishing Returns for Entering a Dermatology Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Dermatology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Dermatology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores. 

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 252 (yellow line) submitted fewer applications before reaching the point of diminishing returns (37 applications; confidence band of 32 to 42) than applicants with USMLE Step 1 scores < 252. The likelihood of entering a residency program at this point is 82%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ranging from 239 to 251 (gray line) submitted more applications before reaching the point of diminishing returns (42 applications; confidence band of 35 to 48) than applicants with USMLE Step 1 scores ≥ 252. The likelihood of entering a residency program at this point is 75%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 238 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (62 applications; confidence band of 52 to 72). The likelihood of entering a residency program at this point is 69%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Diagnostic Radiology (U.S. MD)

The study included data from 5,621 U.S.-MD applicants who applied to the Diagnostic Radiology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Diagnostic Radiology applicants (total number = 5,621)

Entered training in Diagnostic Radiology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 229

1,920

1,044

54%

504

26%

372

19%

Score 230-245

1,951

1,494

77%

364

19%

93

5%

Score ≥ 246

1,750

1,425

81%

271

15%

54

3%

Failed Step 1 on first attempt**

148

26

18%

59

40%

63

43%

*Outside of Diagnostic Radiology training programs, the most common specialties where Diagnostic Radiology applicants entered training were Internal Medicine, General Surgery, and Anesthesiology. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Diagnostic Radiology and the percentage of applicants who entered in Diagnostic Radiology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Diagnostic Radiology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Graph: Point of Diminishing Returns for Entering a Diagnostic Radiology Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Diagnostic Radiology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Diagnostic Radiology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores. 

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 246 (yellow line) submitted fewer applications before reaching the point of diminishing returns (21 applications; confidence band of 19 to 24) than applicants with USMLE Step 1 scores ≤ 229. The likelihood of entering a residency program at this point is 84%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ranging from 230 to 245 (gray line) submitted fewer applications before reaching the point of diminishing returns (24 applications; confidence band of 19 to 29) than applicants with USMLE Step 1 scores ≤ 229. The likelihood of entering a residency program at this point is 72%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ≤ 229 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (37 applications; confidence band of 34 to 41). The likelihood of entering a residency program at this point is 71%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Emergency Medicine (U.S. MD)

The study included data from 11,410 U.S.-MD applicants who applied to the Emergency Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Emergency Medicine applicants (total number = 11,410)

Entered training in Emergency Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 222

4,021

2,787

69%

792

20%

442

11%

Score 223-237

3,607

3,148

87%

336

9%

123

3%

Score ≥ 238

3,782

3,337

88%

352

9%

93

2%

Failed Step 1 on first attempt**

328

93

28%

127

39%

108

33%

*Outside of Emergency Medicine training programs, the most common specialties where Emergency Medicine applicants entered training were Internal Medicine, Family Medicine, and General Surgery. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Emergency Medicine and the percentage of applicants who entered in Emergency Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Emergency Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Graph: Point of Diminishing Returns for Entering an Emergency Medicine Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Emergency Medicine residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Emergency Medicine residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores. 

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

The point of diminishing returns for applicants with USMLE Step 1 scores ≥ 238 could not be estimated because of the instability of the data for applicants with USMLE Step 1 scores in this range. 

Applicants with USMLE Step 1 scores ranging from 223 to 237 (gray line) submitted fewer applications before reaching the point of diminishing returns (24 applications; confidence band of 22 to 25) than applicants with USMLE Step 1 scores ≤ 222. The likelihood of entering a residency program at this point is 85%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ≤ 222 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (33 applications; confidence band of 30 to 35). The likelihood of entering a residency program at this point is 73%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Family Medicine (U.S. MD)

The study included data from 13,867 U.S.-MD applicants who applied to the Family Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Family Medicine applicants (total number = 13,867)

Entered training in Family Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 206

4,860

2,876

59%

843

17%

1,141

23%

Score 207-223

4,562

3,258

71%

810

18%

494

11%

Score ≥ 224

4,445

3,419

77%

702

16%

324

7%

Failed Step 1 on first attempt**

1,923

996

52%

323

17%

604

31%

*Outside of Family Medicine training programs, the most common specialties where Family Medicine applicants entered training were Internal Medicine, Emergency Medicine, and Pediatrics. The most common specialties are only reported where 10 or more applicants entered training. 
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Family Medicine and the percentage of applicants who entered in Family Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Family Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Graph: Point of Diminishing Returns for Entering a Family Medicine Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Family Medicine residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Family Medicine residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores. 

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 224 (yellow line) submitted fewer applications before reaching the point of diminishing returns (16 applications; confidence band of 15 to 16) than applicants with USMLE Step 1 scores < 224. The likelihood of entering a residency program at this point is 85%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ranging from 207 to 223 (gray line) submitted more applications before reaching the point of diminishing returns (18 applications; confidence band of 17 to 19) than applicants with USMLE Step 1 scores ≥ 224. The likelihood of entering a residency program at this point is 80%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ≤ 206 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (21 applications; confidence band of 20 to 23). The likelihood of entering a residency program at this point is 65%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

General Surgery (U.S. MD)

The study included data from 15,318 U.S.-MD applicants who applied to the General Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. These data include applicants who applied to, and entered, training in preliminary and categorical positions.

Specialty Entrance Rates

Step 1 Exam score result

General Surgery applicants (total number = 15,318)

Entered training in General Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 222

5,236

2,631

50%

1,605

31%

1,000

19%

Score 223-239

5,051

3,222

64%

1,472

29%

357

7%

Score ≥ 240

5,031

3,002

60%

1,737

35%

292

6%

Failed Step 1 on first attempt**

560

145

26%

173

31%

242

43%

*Outside of General Surgery training programs, the most common specialties where General Surgery applicants entered training were Anesthesiology, Internal Medicine, and Diagnostic Radiology. The most common specialties are only reported where 10 or more applicants entered training. 
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in General Surgery and the percentage of applicants who entered in General Surgery by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered General Surgery training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

 

Graph: Point of Diminishing Returns for Entering an General Surgery Residency Program for U.S. MD Applicants

 

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a General Surgery residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a General Surgery residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores. 

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 240 (yellow line) submitted fewer applications before reaching the point of diminishing returns (38 applications; confidence band of 35 to 40) than applicants with USMLE Step 1 scores < 240. The likelihood of entering a residency program at this point is 82%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ranging from 223 to 239 (gray line) submitted more applications before reaching the point of diminishing returns (39 applications; confidence band of 37 to 42) than applicants with USMLE Step 1 scores ≥ 240. The likelihood of entering a residency program at this point is 79%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ≤ 222 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (51 applications; confidence band of 48 to 54). The likelihood of entering a residency program at this point is 69%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Internal Medicine (U.S. MD)

The study included data from 28,144 U.S.-MD applicants who applied to the Internal Medicine training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. These data include applicants who applied to, and entered, training in preliminary and categorical positions.

Specialty Entrance Rates

Step 1 Exam score result

Internal Medicine applicants (total number = 28,144)

Entered training in Internal Medicine

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 220

9,661

6,475

67%

1,701

18%

1,485

15%

Score 221-239

9,407

7,726

82%

1,128

12%

553

6%

Score ≥ 240

9,076

7,515

83%

887

10%

674

7%

Failed Step 1 on first attempt**

1,443

642

44%

310

21%

491

34%

*Outside of Internal Medicine training programs, the most common specialties where Internal Medicine applicants entered training were Family Medicine, Anesthesiology, and Emergency Medicine or General Surgery (tied). The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Internal Medicine and the percentage of applicants who entered in Internal Medicine by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Internal Medicine training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

 

Graph: Point of Diminishing Returns for Entering an Internal Medicine Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Internal Medicine residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Internal Medicine residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores. 

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 240 (yellow line) submitted fewer applications before reaching the point of diminishing returns (15 applications; confidence band of 14 to 16) than applicants with USMLE Step 1 scores < 240. The likelihood of entering a residency program at this point is 79%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 221 to 239 (gray line) submitted more applications before reaching the point of diminishing returns (22 applications; confidence band of 21 to 23) than applicants with USMLE Step 1 scores ≥ 240. The likelihood of entering a residency program at this point is 83%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 220 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (31 applications; confidence band of 30 to 33). The likelihood of entering a residency program at this point is 81%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Internal Medicine - Pediatrics (U.S. MD)

The study included data from 2,631 U.S.-MD applicants who applied to the Internal Medicine - Pediatrics training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Internal Medicine - Pediatrics applicants (total number = 2,631)

Entered training in Internal Medicine - Pediatrics

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 221

898

457

51%

276

31%

165

18%

Score 228-238

856

669

78%

170

20%

17

2%

Score ≥ 239

877

722

82%

132

15%

23

3%

Failed Step 1 on first attempt**

148

22

15%

53

36%

73

49%

*Outside of Internal Medicine - Pediatrics training programs, the most common specialties where Internal Medicine - Pediatrics applicants entered training were Internal Medicine, Pediatrics, and Family Medicine. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Internal Medicine - Pediatrics and the percentage of applicants who entered in Internal Medicine - Pediatrics by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Internal Medicine - Pediatrics training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

raph: Point of Diminishing Returns for Entering an Internal Medicine - Pediatrics Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Internal Medicine - Pediatrics residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Internal Medicine - Pediatrics residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 239 (yellow line) submitted fewer applications before reaching the point of diminishing returns (15 applications; confidence band of 13 to 17) than applicants with USMLE Step 1 scores < 239. The likelihood of entering a residency program at this point is 82%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 222 to 238 (gray line) submitted more applications before reaching the point of diminishing returns (18 applications; confidence band of 14 to 22) than applicants with USMLE Step 1 scores ≥ 239. The likelihood of entering a residency program at this point is 75%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

The point of diminishing returns for applicants with USMLE Step 1 scores ≤ 221 could not be estimated because of the instability of the data for applicants with USMLE Step 1 scores in this range. 

Neurology (U.S. MD)

The study included data from 2,701 U.S.-MD applicants who applied to the Neurology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Neurology applicants (total number = 2,701)

Entered training in Neurology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 218

930

589

63%

183

20%

158

17%

Score 219-236

877

726

83%

105

12%

46

5%

Score ≥ 237

894

746

83%

120

13%

28

3%

Failed Step 1 on first attempt**

137

41

30%

39

28%

57

42%

*Outside of Neurology training programs, the most common specialties where Neurology applicants entered training were Internal Medicine, Family Medicine, and Psychiatry. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Neurology and the percentage of applicants who entered in Neurology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Neurology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Graph: Point of Diminishing Returns for Entering a Neurology Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Neurology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Neurology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 237 (yellow line) submitted fewer applications before reaching the point of diminishing returns (11 applications; confidence band of 9 to 12) than applicants with USMLE Step 1 scores < 237. The likelihood of entering a residency program at this point is 82%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ranging from 219 to 236 (gray line) submitted more applications before reaching the point of diminishing returns (15 applications; confidence band of 13 to 17) than applicants with USMLE Step 1 scores ≥ 237. The likelihood of entering a residency program at this point is 81%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program. 

Applicants with USMLE Step 1 scores ≤ 218 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (18 applications; confidence band of 16 to 20). The likelihood of entering a residency program at this point is 81%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Obstetrics and Gynecology (U.S. MD)

The study included data from 7,316 U.S.-MD applicants who applied to the Obstetrics and Gynecology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Obstetrics and Gynecology applicants (total number = 7,316)

Entered training in Obstetrics and Gynecology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 216

2,483

1,753

71%

462

19%

268

11%

Score 217-233

2,444

2,151

88%

204

8%

89

4%

Score ≥ 234

2,389

2,178

91%

148

6%

63

3%

Failed Step 1 on first attempt**

298

113

38%

99

33%

86

29%

*Outside of Obstetrics and Gynecology training programs, the most common specialties where Obstetrics and Gynecology applicants entered training were Family Medicine, General Surgery, and Internal Medicine. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Obstetrics and Gynecology and the percentage of applicants who entered in Obstetrics and Gynecology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Obstetrics and Gynecology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

 

 

Graph: Point of Diminishing Returns for Entering an Obstetrics and Gynecology Residency Program for U.S. MD Applicants

 

 

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Obstetrics and Gynecology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Obstetrics and Gynecology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 234 (yellow line) submitted fewer applications before reaching the point of diminishing returns (18 applications; confidence band of 16 to 20) than applicants with USMLE Step 1 scores ≤ 216. The likelihood of entering a residency program at this point is 82%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 217 to 233 (gray line) submitted fewer applications before reaching the point of diminishing returns (18 applications; confidence band of 15 to 22) than applicants with USMLE Step 1 scores ≤ 216. The likelihood of entering a residency program at this point is 78%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 216 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (33 applications; confidence band of 27 to 39). The likelihood of entering a residency program at this point is 80%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Orthopedic Surgery (U.S. MD)

The study included data from 5,580 U.S.-MD applicants who applied to the Orthopedic Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Orthopedic Surgery (total number = 5,580)

Entered training in Orthopedic Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 237

1,910

1,045

55%

609

32%

256

13%

Score 238-249

1,851

1,453

78%

291

16%

107

6%

Score ≥ 250

1,819

1,605

88%

141

8%

73

4%

Failed Step 1 on first attempt**

43

--

--

18

42%

20

47%

*Outside of Orthopedic Surgery training programs, the most common specialties where Orthopedic Surgery applicants entered training were General Surgery, Anesthesiology, and Diagnostic Radiology. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Orthopedic Surgery and the percentage of applicants who entered in Orthopedic Surgery by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Orthopedic Surgery training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Graph: Point of Diminishing Returns for Entering an Orthopedic Surgery Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Orthopedic Surgery residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Orthopedic Surgery residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores. 

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 250 (yellow line) submitted fewer applications before reaching the point of diminishing returns (39 applications; confidence band of 32 to 45) than applicants with USMLE Step 1 scores ≤ 237. The likelihood of entering a residency program at this point is 81%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 238 to 249 (gray line) submitted the fewest number of applications before reaching the point of diminishing returns (38 applications; confidence band of 31 to 44). The likelihood of entering a residency program at this point is 84%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 237 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (65 applications; confidence band of 53 to 77). The likelihood of entering a residency program at this point is 66%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Otolaryngology (U.S. MD)

The study included data from 2,548 U.S.-MD applicants who applied to the Otolaryngology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Otolaryngology applicants (total number = 2,548)

Entered training in Otolaryngology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 240

893

416

47%

350

39%

127

14%

Score 241-251

866

635

73%

160

18%

71

8%

Score ≥ 252

789

661

84%

84

11%

44

6%

Failed Step 1 on first attempt**

16

--

--

--

--

11

69%

*Outside of Otolaryngology training programs, the most common specialties where Otolaryngology applicants entered training were General Surgery, Anesthesiology, and Internal Medicine. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Otolaryngology and the percentage of applicants who entered in Otolaryngology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate.

In general, the proportion of applicants who entered Otolaryngology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Graph: Point of Diminishing Returns for Entering an Otolaryngology Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Otolaryngology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Otolaryngology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 252 (yellow line) submitted fewer applications before reaching the point of diminishing returns (28 applications; confidence band of 23 to 34) than applicants with USMLE Step 1 scores < 252. The likelihood of entering a residency program at this point is 80%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 241 to 251 (gray line) submitted fewer applications before reaching the point of diminishing returns (45 applications; confidence band of 38 to 52) than applicants with USMLE Step 1 scores ≤ 240. The likelihood of entering a residency program at this point is 79%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 240 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (48 applications; confidence band of 40 to 55). The likelihood of entering a residency program at this point is 63%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Pathology (U.S. MD)

The study included data from 2,412 U.S.-MD applicants who applied to the Pathology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam.

Specialty Entrance Rates

Step 1 Exam score result

Pathology applicants (total number = 2,412)

Entered training in Pathology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 215

803

388

48%

129

16%

286

36%

Score 216-237

825

621

75%

103

12%

101

12%

Score ≥ 238

784

636

81%

80

10%

68

9%

Failed Step 1 on first attempt**

186

60

32%

28

15%

98

53%

*Outside of Pathology training programs, the most common specialties where Pathology applicants entered training were Internal Medicine, General Surgery, and Family Medicine. The most common specialties are only reported where 10 or more applicants entered training. 
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Pathology and the percentage of applicants who entered in Pathology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Pathology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

 

Graph: Point of Diminishing Returns for Entering a Pathology Residency Program for U.S. MD Applicants

 

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Pathology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Pathology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines (points of diminishing returns). The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision.

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 238 (yellow line) submitted fewer applications before reaching the point of diminishing returns (16 applications; confidence band of 14 to 18) than applicants with USMLE Step 1 scores < 238. The likelihood of entering a residency program at this point is 90%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 216 to 237 (gray line) submitted more applications before reaching the point of diminishing returns (17 applications; confidence band of 16 to 19) than applicants with USMLE Step 1 scores ≥ 238. The likelihood of entering a residency program at this point is 81%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 215 (purple line) submitted the highest number of applicantions before reaching the point of diminishing returns (22 applications; confidence band of 20 to 25). The likelihood of entering a residency program at this point is 76%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Pediatrics (U.S. MD)

The study included data from 14,334 U.S.-MD applicants who applied to the Pediatrics training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Pediatrics applicants (total number = 14,334)

Entered training in Pediatrics

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 216

4,845

3,693

76%

606

13%

546

11%

Score 217-234

4,743

4,058

86%

489

10%

196

4%

Score ≥ 235

4,746

4,035

85%

572

12%

139

3%

Failed Step 1 on first attempt**

781

429

55%

142

18%

210

27%

*Outside of Pediatrics training programs, the most common specialties where Pediatrics applicants entered training were Internal Medicine - Pediatrics, Internal Medicine, and Family Medicine. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Pediatrics and the percentage of applicants who entered in Pediatrics by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Pediatrics training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Graph: Point of Diminishing Returns for Entering a Pediatrics Residency Program for U.S. MD Applicants

Understanding the figure

The table shows the total number of applicants who applied and entered training in Pediatrics and the percentage of applicants who entered in Pediatrics by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Pediatrics training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 235 (yellow line) submitted fewer applications before reaching the point of diminishing returns (14 applications; confidence band of 13 to 14) than applicants with USMLE Step 1 scores < 235. The likelihood of entering a residency program at this point is 88%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 217 to 234 (gray line) submitted more applications before reaching the point of diminishing returns (16 applications; confidence band of 15 to 16) than applicants with USMLE Step 1 scores ≥ 235. The likelihood of entering a residency program at this point is 87%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 216 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (22 applications; confidence band of 22 to 23). The likelihood of entering a residency program at this point is 81%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Plastic Surgery - Integrated (U.S. MD)

The study included data from 1,582 U.S.-MD applicants who applied to the Integrated Plastic Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Integrated Plastic Surgery applicants (total number = 1,582)

Entered training in Integrated Plastic Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 235

527

133

25%

282

54%

112

21%

Score 236-250

561

313

56%

190

34%

58

10%

Score ≥ 251

494

353

71%

105

21%

36

7%

Failed Step 1 on first attempt**

20

--

--

10

50%

--

--

*Outside of Integrated Plastic Surgery training programs, the most common specialties where Integrated Plastic Surgery applicants entered training were General Surgery, Anesthesiology, and Diagnostic Radiology. The most common specialties are only reported where 10 or more applicants entered training. 
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Integrated Plastic Surgery and the percentage of applicants who entered in Integrated Plastic Surgery by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Integrated Plastic Surgery training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Point of diminishing return estimates cannot be reported because of the instability of the data for applicants in this specialty.  

 

Psychiatry (U.S. MD)

The study included data from 6,830 U.S.-MD applicants who applied to the Psychiatry training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Psychiatry applicants (total number = 6,830)

Entered training in Psychiatry

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 209

2,357

1,522

65%

246

10%

589

25%

Score 210-228

2,268

1,753

77%

264

12%

251

11%

Score ≥ 229

2,205

1,752

79%

261

12%

192

9%

Failed Step 1 on first attempt**

711

349

49%

93

13%

269

38%

*Outside of Psychiatry training programs, the most common specialties where Psychiatry applicants entered training were Internal Medicine, Family Medicine, and the combined specialty of Pediatrics/Psychiatry/Child and Adolescent Psychiatry. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Psychiatry and the percentage of applicants who entered in Psychiatry by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Psychiatry training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. 

Graph: Point of Diminishing Returns for Entering a Psychiatry Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Psychiatry residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Psychiatry residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines. The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision.

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 229 (yellow line) submitted fewer applications before reaching the point of diminishing returns (14 applications; confidence band of 13 to 15) than applicants with USMLE Step 1 scores < 229. The likelihood of entering a residency program at this point is 84%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 210 to 228 (gray line) submitted more applications before reaching the point of diminishing returns (15 applications; confidence band of 13 to 17) than applicants with USMLE Step 1 scores ≥ 229. The likelihood of entering a residency program at this point is 77%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 209 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (23 applications; confidence band of 21 to 25). The likelihood of entering a residency program at this point is 71%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Radiation Oncology (U.S. MD)

The study included data from 1,295 U.S.-MD applicants who applied to the Radiation Oncology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Radiation Oncology applicants (total number = 1,295)

Entered training in Radiation Oncology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 235

443

217

49%

140

32%

86

19%

Score 236-248

432

318

74%

99

23%

15

3%

Score ≥ 249

420

339

81%

76

18%

--

--

Failed Step 1 on first attempt**

20

--

--

--

--

--

--

*Outside of Radiation Oncology training programs, the most common specialties where Radiation Oncology applicants entered training were Internal Medicine, Diagnostic Radiology, and General Surgery. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding. 

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Radiation Oncology and the percentage of applicants who entered in Radiation Oncology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Radiation Oncology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

 

Graph: Point of Diminishing Returns for Entering a Radiation Oncology Residency Program for U.S. MD Applicants

 

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Radiation Oncology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Radiation Oncology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines. The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision.

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 249 (yellow line) submitted fewer applications before reaching the point of diminishing returns (23 applications; confidence band of 19 to 27) than applicants with USMLE Step 1 scores < 249. The likelihood of entering a residency program at this point is 77%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ranging from 236 to 248 (gray line) submitted more applications before reaching the point of diminishing returns (35 applications; confidence band of 30 to 40) than applicants with USMLE Step 1 scores ≥ 249. The likelihood of entering a residency program at this point is 78%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Applicants with USMLE Step 1 scores ≤ 235 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (36 applications; confidence band of 28 to 44). The likelihood of entering a residency program at this point is 75%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Urology (U.S. MD)

The study included data from 1,765 U.S.-MD applicants who applied to the Urology training programs in ERAS® between 2013 and 2017 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Urology applicants (total number = 1,765)

Entered training in Urology

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 237

628

373

59%

205

33%

50

8%

Score 238-248

584

454

78%

110

19%

20

3%

Score ≥ 249

553

458

83%

83

15%

12

2%

Failed Step 1 on first attempt**

--

--

--

--

--

--

--

*Outside of Urology training programs, the most common specialties where Urology applicants entered training were General Surgery, Internal Medicine, and Anesthesiology. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  
 
Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on heir first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Urology and the percentage of applicants who entered in Urology by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Urology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

Graph: Point of Diminishing Returns for Entering a Urology Oncology Residency Program for U.S. MD Applicants

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering a Urology residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering a Urology residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores. 

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines. The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 249 (yellow line) submitted fewer applications before reaching the point of diminishing returns (19 applications; confidence band of 10 to 27) than applicants with USMLE Step 1 scores < 249. The likelihood of entering a residency program at this point is 77%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

The point of diminishing returns for with USMLE Step 1 scores ranging from 238 to 248 could not be estimated because of the instability of the data for applicants with USMLE Step 1 scores in this range.

Applicants with USMLE Step 1 scores ≤ 237 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (46 applications; confidence band of 33 to 59). The likelihood of entering a residency program at this point is 60%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

Vascular Surgery - Integrated (U.S. MD)

The study included data from 735 U.S.-MD applicants who applied to the Integrated Vascular Surgery training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. 

Specialty Entrance Rates

Step 1 Exam score result

Integrated Vascular Surgery  applicants (total number = 735)

Entered training in  Integrated Vascular Surgery

Entered training in another specialty*

No record of entering training

N N % N % N %

Score ≤ 221

245

42

17%

132

54%

71

29%

Score 222-239

264

120

45%

121

46%

23

9%

Score ≥ 240

226

113

50%

89

39%

24

11%

Failed Step 1 on first attempt**

26

--

--

11

42%

13

50%

*Outside of Integrated Vascular Surgery training programs, the most common specialties where Integrated Vascular Surgery applicants entered training were General Surgery, Diagnostic Radiology, and Anesthesiology. The most common specialties are only reported where 10 or more applicants entered training.
 
**Applicants who received a passing score on a subsequent attempt are reflected — with that subsequent score — in the terciles above.  

Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt]. Percentages may not add up to 100% due to rounding.

 

Understanding the table

The table shows the total number of applicants who applied and entered training in Integrated Vascular Surgery and the percentage of applicants who entered in Integrated Vascular Surgery by Step 1 score ranges. The table also shows the number and percentage of applicants who entered training in another specialty, as well as the number and percentage of applicants with no record of entering training. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Please note that specialty entrance rate refers to the number of applicants who ultimately entered training in this specialty, not the match or acceptance rate. 

In general, the proportion of applicants who entered Integrated Vascular Surgery training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt.

 

Graph: Point of Diminishing Returns for Entering a Vascular Surgery - Integrated Residency Program for U.S. MD Applicants

 

Understanding the figure

This figure shows the relationship between the number of applications submitted and the predicted probability of entering an Integrated Vascular Surgery residency program by USMLE Step 1 score. The x-axis shows the number of applications submitted. The y-axis shows the predicted probability of entering an Integrated Vascular Surgery residency program. Each line represents a group of applicants with a given range of USMLE Step 1 scores.

The point of diminishing returns is an estimate and is not precise. It is best interpreted in the context of a confidence band, which is shown by the shading around the vertical lines. The width of the confidence band (shading) describes the precision of the estimate, with wider bands indicating less precision. 

What the findings tell us

Applicants with USMLE Step 1 scores ≥ 240 (yellow line) submitted fewer applications before reaching the point of diminishing returns (21 applications; confidence band of 12 to 30) than applicants with USMLE Step 1 scores ≤ 221. The likelihood of entering a residency program at this point is 78%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.

The point of diminishing returns for with USMLE Step 1 scores ranging from 222 to 239 could not be estimated because of the instability of the data for applicants with USMLE Step 1 scores in this range. 

Applicants with USMLE Step 1 scores ≤ 221 (purple line) submitted the highest number of applications before reaching the point of diminishing returns (22 applications; confidence band of 8 to 36). The likelihood of entering a residency program at this point is 50%. The addition of one application beyond this point results in a lower rate of return on an applicant’s likelihood of entering a residency program.





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