NRMP releases 2025 Match Data

Highlights:

  1. There was an 5.3% INCREASE in the number of Match applicants that certified a rank list

  2. MD seniors continued to represent the largest group in the Match and 93.5% of them Matched. NO CHANGE

  3. The number of Osteopathic seniors in the Match INCREASED 4.5% over last year. DO seniors had a Match rate of 92.6%–an all time high

  4. The number of US IMG applicants DECREASED this year, down 3.5%. The Match rate for USIMGs was 67.8%, an increase of 0.8 % over last year.

  5. Non-USIMGs in the Match INCREASED 14.4% over last year. The large increase in applicants help drive down the non-USIMG Match rate to 58%

  6. Primary care residency positions INCREASED by 877 positions over last year.

  7. Internal Medicine has a fill rate of 96.8%, an INCREASE of 7.6% over last year

  8. Pediatrics added 54 new positions and INCREASED its fill rate to 96.8% (up from 91.8% last year)

  9. Family Medicine’s fill rate DECREASED to 85.0% (down from 87.8% last year)

  10. Emergency Medicine continued to rebound. Despite adding 42 new positions, EM’s fill rate INCREASED to 95.5%. (Up from a disastrous 81% in 2023.)

  11. OB/GYN has INCREASED in competitiveness and now has fill rate of 99.9% with only a single categorical position that did not fill.

  12. The number of SOAP positions (those that did not fill in the regular MATCH) DECREASED by 2.3%

More granular data is available at NRMP’s site

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@WayOutWestMom, for all of us non-experts, can you share your thoughts on trends or anything else specifically interesting here?

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Only 2 long term trends are apparent:

  1. the number of primary care residencies continues to increase and continue to fill (which is great news)

  2. OB/Gyn continues to become increasing competitive. The number of Ob/Gyn applicants started increasing in the mid 2010s, but the numbers post-Dobbs really jumped. Ob/Gyn is now more competitive than radiology, anesthesiology and on par with general surgery.

Despite the increased interest in Ob/Gyn, the number of residency positions has not increased significantly. This is partly due to the low reimbursement rate for women’s healthcare which has led to the continued shuttering of L&D wards in smaller and rural hospitals. More 1/3rd of all counties in the US are maternity care deserts where there are no OB/GYNs (or OB-fellowship trained FM physicians) , birthing centers or L&D facilities. 2.3 million women of reproductive age have no access to obstetrical care.

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