Over the last few years, IMGs who were either U.S. citizens or
who had permanent residence in the United States had a 50% better
chance of getting a US residency than did applicants who were
non-resident IMGs. These data could indicate that:
- Program directors favor applicants who will not have any
visa problems.
- Applicants who are readily available for interviews have an
advantage.
- English proficiency plays a key role in selection of
residents, as it is often assumed that U.S. citizens and
permanent residents have better English skills.
These trends can change rapidly, so it is important to check
the match results data each year. For the most recent statistics
from the Match, go to the NRMP Web site and look for links to
match statistics for previous years. Sort through the match
statistical data with an eye toward your particular interest, but
do not make your specialty selection based purely on your
perception of what is less competitive. Rather, you should focus
on attaining a position in a specialty that you will like and in
which you can excel. Choosing the right specialty means starting
with an honest assessment of your own interests, capabilities,
and talents. A physician with a particular aptitude and love for
pediatrics might do poorly in a program oriented to geriatric
medicine. If you are not enthused by a particular specialty, you
will not do well in a residency interview or be able to generate
and maintain the energy and commitment level to be a capable
resident. Don't be afraid to plan for and pursue the specialty
you most want. In the longer term, you want to be happy with your
choice and not look back on it with regret.
