Summary:
- Internal Medicine/pediatrics Overall Competitiveness: Moderate
- Research Importance: Low
- USMLE Importance: Moderate
- Importance of Attending Top 40 Med School: Low
- Importance of Class Rank / Obtaining AOA (Med School Honors): Moderate
Table of Contents
Is Internal Medicine/Pediatrics Competitive in 2022?
One way to assess the competitiveness of a specialty is to look at the match rate – the % of people who apply who end up matching into their preferred specialty. Among US Seniors, the unmatched percentage for internal medicine/pediatrics was 9.6%, making it a less competitive US residency. The match rate for internal medicine/pediatrics is considerably better than the most competitive specialties like plastic surgery, orthopedic surgery, or otolaryngology. However, internal medicine/pediatrics is more competitive than psychiatry, emergency medicine, child neurology, or even radiation oncology in the 2022 match. For more on the most competitive US specialties, see this article.
Internal Medicine/Pediatrics Match Rate
What is the internal medicine/pediatrics match rate for US seniors, DO seniors, and IMGs? The “match rate” is the % of people who applied to a particular specialty as their preferred specialty who successfully matched into the specialty.- US Senior Internal Medicine/Pediatrics Match Rate (2022 Match): 90.4%
- DO Senior Internal Medicine/Pediatrics Match Rate (2022 Match): 74%
- US IMG Internal Medicine/Pediatrics Match Rate (2022 Match): 50%
- Non-US IMG Internal Medicine/Pediatrics Match Rate (2022 Match): 43%
Internal Medicine/Pediatrics Match Statistics 2022
In 2022, there were 392 internal medicine/pediatrics positions available in the NRMP match. A total of 458 applicants listed it as their preferred specialty. In the 2022 Match, internal medicine/pediatrics ranked #16 for the most total positions offered with 392 positions, the top six were:- Internal medicine: 9,809 positions
- Family medicine: 4,916 positions
- Pediatrics: 3,016 positions
- Emergency medicine: 2,921 positions
- Psychiatry: 2,047 positions
- Anesthesiology 1,969 positions
How Many Applicants Receive Interviews in Internal Medicine/Pediatrics?
According to the 2021 Program Director survey, each internal medicine/pediatrics program received 256 applications on average. Other data include:- Applications received (Internal Medicine/Pediatrics): 256
- Applications rejected based on standardized screen (Internal Medicine/Pediatrics): 66
- Applications receiving holistic review (Internal Medicine/Pediatrics): 194
- Interview invitations sent (Internal Medicine/Pediatrics): 84
- Applicants interviewed (Internal Medicine/Pediatrics): 75
- Applicants ranked (Internal Medicine/Pediatrics): 73
- 26% of internal medicine/pediatrics applications were rejected via standardized screen,
- Only 76% of internal medicine/pediatrics applications received a holistic review,
- 33% of internal medicine/pediatrics applications received an interview invitation, and
- 29% of all internal medicine/pediatrics applicants were ranked to match
Internal Medicine/Pediatrics is Reliant on Screens
Internal medicine/pediatrics relies on standardized screens to weed out applicants. In the 2021 Program Director Survey, internal medicine/pediatrics PDs respondents reported that 26% of applications were rejected via a standardized screen. This ranked near the lower end of residencies.USMLE Scores for Internal Medicine/Pediatrics
Step 1 scores for internal medicine/pediatrics for matched US seniors reflect its moderate competitiveness. Internal Medicine/Pediatrics Step 1 Scores (Matched Applicants in 2022 Match):- 25%ile: 226
- Median: 237
- 75%ile: 248

Step 1 Internal Medicine/Pediatrics Scores Are Middle of the Road (2022 Match)
- 25%ile: 241
- Median: 250
- 75%ile: 259

Step 2 CK Internal Medicine/Pediatrics Scores Are Middle of the Road (2022 Match)
Matching into Internal Medicine/Pediatrics as a DO
Matching into internal medicine/pediatrics as a DO is moderately competitive, with a 74% match rate and only 9% of spots filled by DO Seniors in the 2022 Match. In 2022, 50 DO seniors applied for internal medicine/pediatrics; 37 matched.
Internal Medicine/Pediatrics is Moderately DO-Friendly (2022 Match)
Is Internal Medicine/Pediatrics IMG Friendly?
Internal Medicine/Pediatrics is not an IMG-friendly specialty, with an overall 46% match rate and only 5% of spots filled by IMGs in the 2022 Match. In 2022, 18 US IMGs and 21 non-US IMGs applied to Internal Medicine/Pediatrics; 9 US IMGs and 9 non-US IMGs matched.
Internal Medicine/Pediatrics is Moderately IMG-Friendly (2022 Match)

For Internal Medicine/Pediatrics, US IMGs had a slightly higher match rate (50%) than non-US IMGs (43%) in the 2022 Match
Internal Medicine/Pediatrics-Friendly IMG Residency Programs
For a list of the most IMG-friendly internal medicine/pediatrics programs, see this article.How Important is AOA for Internal Medicine/Pediatrics?
AOA – Alpha Omega Alpha – is the med school honors society. Each school may elect up to 20% of the graduating class of students. Having an AOA membership confers a greater advantage to matching into some specialties more than others. Often this AOA advantage is greatest for the most competitive specialties.
AOA membership correlated with a 10% match rate advantage for Internal Medicine/Pediatrics in the 2022 Match
How Many Publications for Internal Medicine/Pediatrics Residency in 2022
Research is an important characteristics for matching into many specialties, particularly the most competitive. So, how many publications do you need to match into an internal medicine/pediatrics residency? In 2022, the mean number of abstracts, presentations, and publications for US seniors who matched into internal medicine/pediatrics was 6.5. The mean number of research experiences was 3.5.Do I Need an MD-PhD to Match Into Internal Medicine/Pediatrics?
You may wonder how much an MD-PhD helps with matching to internal medicine/pediatrics. It appears that having a PhD correlates with a modest advantage of 8% when applying to internal medicine/pediatrics. Specifically, the match rate for those with a PhD is 8% higher than for those without one when applying into internal medicine/pediatrics.
Having a PhD correlated with an 8% match rate advantage for Internal Medicine/Pediatrics in the 2022 Match
Should You Attend a Top Medical School to Match Into Internal Medicine/Pediatrics?
Does attending a top medical school help with matching into Internal Medicine/Pediatrics? According to the program director survey results above, 50% of Internal Medicine/Pediatrics PDs consider medical school reputation when considering whom to interview. The mean importance score was 3.9. Similarly, we can look at the advantage of attending a school in the top 40 by NIH funding. In 2022, there was a 1% advantage in match rate for those attending a school in the top 40 for NIH funding vs. those who did not.
Graduating from a medical school ranked in the top 40 by NIH funding correlated with a 1% match rate advantage for Internal Medicine/Pediatrics in the 2022 Match
Does an MPH or MBA Help Match Into Internal Medicine/Pediatrics?
Medical training is long. Despite this, many consider – or complete – other degrees, like MPHs or MBAs. But how much of an advantage – or disadvantage – does an MPH (Master of Public Health) or MBA (Master of Business Administration) confer when applying to internal medicine/pediatrics? Not much, it turns out. In fact, the match rate for US seniors with other degrees was 3% lower than the rate for those with other degrees. These statistics imply that having a second degree that isn’t a PhD doesn’t appear to help your chances of matching into internal medicine/pediatrics, and may even hurt them (slightly).
Having another degree like an MBA or MPH correlated with a -3% match rate disadvantage for Internal Medicine/Pediatrics in the 2022 Match
What Are the Best Internal Medicine/Pediatrics Programs?
While Internal medicine/pediatrics may be moderately competitive, the most desirable programs will always be extremely difficult to enter. So which are the best internal medicine/pediatrics residency programs? Opinions will vary. However, some of the most desirable Internal medicine/pediatrics residency programs would include:- Brigham and Women’s Hospital / Children’s Hospital / Harvard Medical School
- University of Pennsylvania
- Yale-New Haven Medical center(Waterbury)
- Johns Hopkins University School of Medicine
- Massachusetts General Hospital/Harvard Medical School
- UCLA Medical Center






