Charting Outcomes in the Match

Transcription

Charting Outcomes in the Match
International Medical Graduates
Characteristics of Applicants Who Matched to Their Preferred
Specialty in the 2013 Main Residency Match
1st Edition
Prepared by:
National Resident Matching Program
and Educational Commission for Foreign Medical Graduates
January 2014
www.nrmp.org
www.ecfmg.org
Questions about the contents of this publication may be directed to Mei Liang, Director of Research,
National Resident Matching Program, (202) 400-2233 or mliang@nrmp.org.
Questions about the NRMP should be directed to Mona M. Signer, Executive Director, National
Resident Matching Program, (202) 400-2233 or support@nrmp.org.
Questions about the ECFMG data collections may be directed to John R. Boulet, Ph.D., Vice
President, Research and Evaluation, Educational Commission for Foreign Medical Graduates,
(215) 823-2227 or jboulet@ecfmg.org.
Copyright ©2014 National Resident Matching Program and
Educational Commission for Foreign Medical Graduates. Revised January 9, 2014. All materials
subject to this copyright may be photocopied for the purpose of nonprofit, scientific, or educational
advancement.
Suggested Citation
National Resident Matching Program and Educational Commission for Foreign Medical Graduates.
Charting Outcomes in the Match for International Medical Graduates, 2014. National Resident
Matching Program and Educational Commission for Foreign Medical Graduates. 2014
Table of Contents
Introduction ..................................................................................................................................................... ii
Tables and Charts for All Specialties
Chart 1. Active Applicants in the 2013 Main Residency Match .................................................................1
Table 1. Number of IMG Applicants and Positions in the 2013 Main Residency Match ...........................2
Chart 2. Ratio - IMG Applicants Ranking Specialty First / Available Positions ......................................3
Chart 3. Match Rates ...................................................................................................................................4
Table 2. Summary Statistics ........................................................................................................................5
Chart 4. Median Number of Contiguous Ranks ..........................................................................................6
Graph 1. Probability of Matching to Preferred Specialty by Number of Contiguous Ranks ......................7
Chart 5. Mean Number of Different Specialties Ranked.............................................................................8
Chart 6. USMLE Step 1 Scores of Matched Applicants .............................................................................9
Graph 2. Probability of Matching to Preferred Specialty by USMLE Step 1 Score .................................10
Chart 7. Mean Number of USMLE Step 1 Attempts ................................................................................11
Graph 3. Probability of Matching to Preferred Specialty by USMLE Step 1 Attempts ............................12
Chart 8. USMLE Step 2 CK (Clinical Knowledge) Scores of Matched Applicants .................................13
Graph 4. Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge)
Score ......................................................................................................................................14
Chart 9. Mean Number of USMLE Step 2 CK (Clinical Knowledge) Attempts ......................................15
Graph 5. Probability of Matching to Preferred Specialty by USMLE Step 2 CK
(Clinical Knowledge) Attempts .............................................................................................16
Chart 10. Mean Number of Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA
(Clinical Skills Assessment) ..................................................................................................17
Chart 11. Mean Number of Months after ECFMG Certification .............................................................18
Chart 12. Mean Number of Years After Graduation ................................................................................19
Chart 13. Percentage of IMG Applicants whose Native Language is English .........................................20
Chart 14. IMG Applicants’ Citizenship at Birth ......................................................................................21
Chart 15. Country of Medical School.......................................................................................................22
Tables and Charts for Individual Specialties
Anesthesiology ..........................................................................................................................................2
Emergency Medicine .................................................................................................................................
Family Medicine........................................................................................................................................5
Internal Medicine.......................................................................................................................................7
Neurology ..................................................................................................................................................8
Obstetrics and Gynecology......................................................................................................................10
Pathology .................................................................................................................................................1
Pediatrics .................................................................................................................................................13
Physical Medicine and Rehabilitation .....................................................................................................15
Psychiatry ................................................................................................................................................16
Radiology ................................................................................................................................................18
Surgery ....................................................................................................................................................
Copyright ©2014 NRMP and ECFMG. Copies may be
made for educational or noncommercial uses only.
i
Charting Outcomes in the Match for IMGs, 2014
Introduction
Overview
Charting Outcomes in the Match for IMGs is a collaborative publication of the National Resident Matching Program®
(NRMP®) and the Educational Commission for Foreign Medical Graduates (ECFMG®). The report focuses on characteristics
specific to students and graduates of international medical schools (IMGs) and is derived from the original Charting Outcomes
in the Match, a biennial report published by the NRMP and the Association of American Medical Colleges that describes the
characteristics of U.S. allopathic senior students and independent applicants* who matched to their preferred specialties in the
Main Residency Match®.
ECFMG and its organizational members define an international medical graduate (IMG) as a physician who received his/her
basic medical degree or qualification from a medical school located outside the United States and Canada. The location of the
medical school, not the citizenship of the physician, determines whether the graduate is an IMG. Thus, U.S. citizens who
graduate from medical schools outside the United States and Canada are considered IMGs. Non-U.S. citizens who graduate
from medical schools in the United States and Canada are not considered IMGs.
ECFMG Certification
International medical graduates must be certified by ECFMG prior to entering accredited residency programs in the United
States. Since 2004, to obtain an ECFMG certificate a candidate must (1) document the completion of all requirements for, and
receipt of, the final medical diploma, and (2) pass the United States Medical Licensing Examination (USMLE) Step 1 (Basic
Science), Step 2 CK (Clinical Knowledge), and Step 2 CS (Clinical Skills). Historically, to achieve ECFMG certification,
other examination requirements were in effect.¹ Detailed information on ECFMG certification requirements can be found at:
http://www.ecfmg.org.
USMLE Step 1 (Basic Science) assesses whether the candidate can understand and can apply important concepts of the
sciences basic to the practice of medicine, with special emphasis on principles and mechanisms underlying health, disease, and
modes of therapy. USMLE Step 2 CK (Clinical Knowledge) assesses whether the candidate can apply medical knowledge,
skills, and understanding of clinical science essential for the provision of patient care under supervision and includes emphasis
on health promotion and disease prevention. USMLE Step 2 CS (Clinical Skills) uses standardized patients to test medical
students and graduates on their ability to gather information from patients, perform physical examinations, and communicate
their findings to patients and colleagues. Detailed information on the USMLE can be found at: http://www.usmle.org.
ECFMG Clinical Skills Assessment (CSA)
In July of 1998, ECFMG introduced the Clinical Skills Assessment (CSA®), a performance test designed to evaluate the
clinical skills (e.g., history taking, physical examination, interpersonal skills) of IMGs. The specific purpose of the CSA was
to ensure that international medical graduates (IMGs) could demonstrate clinical skills at a level comparable to that of
graduating fourth-year U.S. medical students. In 2004, the USMLE introduced Step 2 CS (clinical skills), a similar
performance-based examination for U.S. medical students and graduates. At this point, the CSA was discontinued and all
IMGs were required to take and pass Step 2 CS to achieve certification.
Charting Outcomes for IMGs
Charting Outcomes in the Match for IMGs utilizes a different set of measures from the original Charting Outcomes in the
Match. Although some applicant characteristics such as number of contiguous ranks, number of specialties ranked, and
USMLE scores are included in both reports, other characteristics relevant only to IMGs are added to this report: certification
examination attempts, number of months since ECFMG certification, English spoken as a native language, citizenship at
birth, country of medical school, and number of years since graduation from medical school.
_____________________________________________________________________________
*Independent applicants include previous graduates of U.S. medical schools, students and graduates of U.S. osteopathic medical schools, U.S. citizen IMGs, non-U.S.
citizen IMGs, students and graduates of Canadian medical schools, and graduates of Fifth Pathway programs
¹ The Educational Commission for Foreign Medical Graduates (2000). A History: 1956-2000. Educational Commission for Foreign Medical Graduates, Philadelphia, PA
ii
Charting Outcomes in the Match, IMG, 2014
Introduction (Continued)
Methods
Data from the 2013 Main Residency Match, including applicant type, specialties ranked, number of contiguous ranks, and
Match results, were obtained from the NRMP Data Warehouse. ECFMG provided characteristics of the 2013 IMG
applicants, namely scores and attempts at USMLE or equivalent historical examinations (i.e., Step 1 or equivalent, Step 2
CK or equivalent, and Step 2 CS/ or ECFMG CSA), date of ECFMG certification, year of graduation, English spoken as a
native language, and country of medical school. Data from the two sources were matched using unique identifiers.
Ten measures are incorporated in the report for specialty-specific analysis. Each measure is explained separately in the “All
Specialties” section. Twelve specialties with 100 or more IMG applicants in the 2013 Main Residency Match are studied
individually: Anesthesiology, Emergency Medicine, Family Medicine, Internal Medicine, Neurology, Obstetrics and
Gynecology, Pathology, Pediatrics, Physical Medicine and Rehabilitation, Psychiatry, Radiology, and General Surgery.
For purposes of this report, match success is defined as a match to the specialty of the applicant’s first-ranked program
because that is assumed to be the specialty of choice. Because preliminary programs provide only one or two years of
prerequisite training for entry into advanced specialty training, applicants who ranked a preliminary program first are
considered not to have a preferred specialty. Lack of match success includes matching to another specialty as well as failure
to match at all. No distinction was made based on whether applicants matched to their first, second, third, or lower program
choice. Applicants who obtained positions in the Match Week Supplemental Offer and Acceptance Program® (SOAP®) were
not included in the analyses.
Probability analysis is performed on the number of contiguous ranks, Step 1 scores and Step 1 (or equivalent examination)
attempts, Step 2 CK scores and Step 2 CK (or equivalent examination) attempts, and combined Step 2 CS/ECFMG CSA
attempts. For each of those measures, probability of matching to a preferred specialty is calculated separately using logistic
regression.
Summary
Some general observations apply to all of the specialties in this report. IMG applicants who are successful in matching to
their preferred specialty are more likely to:
· rank more programs within their preferred specialty
· have higher USMLE scores
· have fewer attempts at ECFMG certification examinations
· be U.S. citizens
· speak English as a native language
· have obtained ECFMG certification closer to the Match year (2013)
· have graduated from medical school closer to the Match year (2013)
Although some other measures appear to be related to match success, the relationships were not consistent enough to draw
broad conclusions across specialties. In addition, the data sources used for this report do not include other important
applicant factors such as course evaluations, reference letters, and the Medical Student Performance Evaluation. Despite the
fairly strong relationship between USMLE Step scores and match success, the distributions of scores show that program
directors consider other qualifications, and high USMLE scores are not a guarantee of success. Even in the most competitive
specialties, a few individuals with higher scores are not successful. Neither is a lower score a bar to success. Program
directors and applicants will find the tables and charts for the specialties of their particular interest later in this report.
For questions, comments or more information, please contact:
Mei Liang, Director of Research
John R. Boulet, Vice President, Research and Evaluation
National Resident Matching Program
Educational Commission for Foreign Medical Graduates
Tel: (202) 400-2233
Tel: (215) 823-2227
Email: mliang@nrmp.org
Email: jboulet@ecfmg.org
iii
Charting Outcomes in the Match, IMG, 2014
Tables and Charts for All Specialties
Chart
1
Active Applicants in the 2014 Main Residency Match
by Applicant Type
Non-U.S. IMG
7,568
U.S. senior
50.9%
Non-U.S. IMG 22.0%
U.S. IMG
14.8%
Osteopathic
7.8%
U.S. graduate
4.3%
Canadian
0.1%
Fifth Pathway
0.1%
Total:
100.0%
U.S. senior
17,487
U.S. IMG
5,095
Osteopathic
2,677
Fifth Pathway
20
Canadian
21
U.S. graduate
1,487
Source: NRMP Data Warehouse
In 2013, 34,355 medical students and graduates participated in the Main Residency Match and submitted certified rank order
lists. Half of the applicants (50.9%) were senior students from U.S. allopathic schools. Together, IMGs accounted for more
than one third (36.8%) of the applicant pool, including 7,568 non-U.S. citizen IMGs and 5,095 U.S. citizen IMGs.
1
Table
1
Number of IMG Applicants and Positions in the 2014 Main Residency Match
by Preferred Specialty*
Preferred Specialty
Total
Positions
Offered
Total
Number of
Number of Applicants
Applicants Per Position
U.S. IMG
Matched
Not
Matched
Non-U.S. IMG
Not
Matched
Matched
Anesthesiology
1,653
1,846
1.1
95
65
78
85
Emergency Medicine
1,744
2,219
1.3
53
137
31
53
Family Medicine
3,037
4,096
1.3
531
702
293
616
Internal Medicine
6,612
9,193
1.4
841
753
1,690
1,856
Neurology
Obstetrics and Gynecology
692
844
1.2
59
44
148
149
1,237
1,613
1.3
78
99
62
120
Pathology
583
797
1.4
46
69
151
136
Pediatrics
2,699
3,258
1.2
196
151
278
382
Physical Medicine and Rehabilitation
Psychiatry
397
548
1.4
40
43
21
26
1,362
1,921
1.4
203
256
163
277
Radiology-Diagnostic
1,143
1,254
1.1
55
47
66
63
Surgery-General
1,185
1,872
1.6
119
123
158
150
*Preferred specialty is the specialty ranked first on an applicant's rank order list, excluding preliminary programs in specialties except Transitional Year.
Note: For those specialties where both exist, PGY-1 and PGY-2 positions have been combined.
Only specialties with 100 or more IMG applicants are included
Source: NRMP Data Warehouse.
Table 1 provides a summary of applicants and positions for selected specialties. In calculating Total Number of Applicants
and Number of Applicants Per Position, all applicant types are considered. For example, 1,846 applicants preferred
Anesthesiology (or ranked an Anesthesiology position first), including 160 U.S. IMGs (95 matched and 65 not matched to
Anesthesiology) and 163 non-U.S. IMGs (78 matched and 85 not matched to Anesthesiology). For each of the 1,653
Anesthesiology positions there were 1.1 applicants who preferred the specialty. Only those specialties with 100 or more IMG
applicants are included in this table.
2
Chart
2
Ratio - Applicants Ranking Specialty First / Available Positions
by Preferred Specialty
1.6
U.S. IMG
Non-U.S. IMG
All other applicant types
0.2
1.4
1.2
1.0
0.1
0.1
0.2
0.1
0.1
0.4
0.8
0.3
0.6
0.4
0.1
0.5
0.1
0.1
0.5
0.4
1.1
0.6
0.6
0.6
Family
Medicine
Internal
Medicine
Neurology
0.1
0.2
0.7
0.3
0.8
0.3
0.3
0.1
0.1
1.1
1.1
1.0
0.9
0.2
0.2
0.1
0.8
0.9
0.2
0.0
Anesthesiology Emergency
Medicine
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Chart 2 shows the ratios of applicants preferring each specialty to available positions in that specialty for U.S. IMGs, non-U.S. IMGs, and all other applicant
types. The red line marks where the number of preferred applicants equals the number of available positions. For all specialties displayed in the chart, there
were more applicants preferring each specialty than there were positions. Overall, General Surgery has the highest ratio of applicants per position; however, the
highest ratios for U.S. IMGs are found in Family Medicine and Psychiatry, and for non-U.S. IMGs, in Internal Medicine, Pathology, and Neurology.
3
Chart
3
Match Rates
Percent Matched by Preferred Specialty and IMG Applicant Type
100
U.S. IMG
90
Non-U.S. IMG
80
70
60
50
40
30
20
59
48
44
53
48
43
37
28
57
48
53
50
44
40
57
54
48
42
45
44
49 51
37
34
32
51
10
0
All
Specialties
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Chart 3 shows the percentages of U.S. IMG and non-U.S. IMG applicants who matched to their preferred specialty. Overall, 48 percent of U.S. IMGs matched to their
preferred specialty, ranging from 59 percent (Anesthesiology) to 28 percent (Emergency Medicine). For non-U.S. IMGs, the overall match rate was 44 percent,
ranging from 53 percent (Pathology) to 32 percent (Family Medicine). In general, non-U.S. IMG applicants are less successful in matching to their preferred specialty
than are U.S. IMGs.
4
Table
2
Summary Statistics
All Specialties Combined
U.S. IMG
Matched
(n=2,369)
Measure
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
7
1.4
217
1.2
224
1.1
1.1
8
1.7
76
Mean number of contiguous ranks
Mean number of distinct specialties ranked
Mean USMLE Step 1 score
Mean USMLE Step 1 attempts*
Mean USMLE Step 2 CK score
Mean USMLE Step 2 CK attempts**
Mean USMLE Step 2 CS or ECFMG CSA attempts
Mean number of months since ECFMG certification
Mean number of years since graduation
Percentage who speak English as a native language
Non-U.S. IMG
Unmatched
(n=2,604)
3
1.6
204
1.7
209
1.6
1.4
26
5.7
56
Matched
(n=3,219)
6
1.3
227
1.1
233
1.0
1.1
16
4.7
24
Unmatched
(n=4,111)
3
1.5
213
1.2
218
1.2
1.3
26
7.5
18
Sources. NRMP Data Warehouse and ECFMG
*USMLE Step 1 or equivalent examination
**USMLE Step 2 CK or equivalent examination
Table 2 provides summary statistics by IMG applicant type and match outcome on the 10 measures presented in this report.
Data on each of these measures are displayed graphically by preferred specialty on the following pages.
To be eligible for ECFMG certification and participation in the Main Residency Match, IMGs must satisfy the medical
science requirement (USMLE Step 1 and Step 2 CK or equivalent exam) and clinical skills requirement (Step 2 CS or CSA).
As a result, there were almost no missing values for USMLE exam scores and number of attempts.
5
Median Number of Contiguous Ranks
Chart
4
by Preferred Specialty, IMG Applicant Type, and Match Status
U.S. IMG
10
6
Matched
9
8
7
7
5
4
3
2
Not Matched
2
All Specialties Anesthesiology
5
1
0
Emergency
Medicine
Family
Medicine
8
7
4
2
9
1
Internal
Medicine
5
2
1
Neurology
Obstetrics and
Gynecology
4
1
Pathology
2
1
Pediatrics
4
1
Physical
Medicine &
Rehab
Psychiatry
3
1
Radiology
1
SurgeryGeneral
Non-U.S. IMG
10
Matched
Not Matched
8
6
4
2
0
6
5
3
3
3
1
1
Emergency
Medicine
2
1
Family
Medicine
4
2
Internal
Medicine
5
4
1
Neurology
6
5
5
3
1
Obstetrics and
Gynecology
1
Pathology
1
Pediatrics
1
1
Physical
Medicine &
Rehab
Psychiatry
1
Radiology
2
1
SurgeryGeneral
In general, applicants are more likely to be successful if they rank more programs in their desired specialty. The number of contiguous ranks is the number of programs
ranked in the first-choice specialty before a program in another specialty appears on the applicant's rank order list.
Chart 4 provides the median number of contiguous ranks for U.S. IMG and non-U.S. IMG applicants who matched and did not match to their preferred specialty. Both
panels show some variation across the specialties for IMG applicants. For all specialties, U.S. IMGs who matched to their preferred specialty had median contiguous
rank lists that were longer than U.S. IMGs who did not match. A similar pattern can be found for non-U.S. IMG applicants, although their lists are somewhat shorter
than those submitted by U.S. IMGs. Non-U.S. IMGs who matched also had longer contiguous lists compared with those who did not match to their preferred specialty.
The principal message of these graphs is that applicants with longer rank order lists in their preferred specialty are more successful than those with shorter ones. The
NRMP has been recommending longer lists for many years, but some applicants apparently do not heed the advice. Others may have shorter lists because they found
only a few programs willing to entertain their applications or because they could not afford a large number of interview trips.
6
Probability of Matching to Preferred Specialty by Number of Contiguous Ranks
Graph
1
by IMG Applicant Type
1.00
0.80
0.60
0.40
0.20
0.00
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Number of Contiguous Ranks
U.S. IMG
Non-U.S. IMG
A simple logistic regression is used to calculate the probability of matching to a preferred specialty for different lengths of contiguous ranks. Graph 1 displays the
probability curves for U.S. IMG and non-U.S. IMG applicants. This graph confirms the message in Chart 4 that the more programs ranked in the preferred specialty,
the higher the probability of matching. For the same number of contiguous ranks, the probability is only slightly higher for U.S. IMGs than for non-U.S. IMGs.
7
Chart
5
Mean Number of Different Specialties Ranked
U.S. IMG
1.4
1.2
1.7
2.1
1.4
1.4
1.8
1.8
1.5
1.2
1.1
1.3
1.5
Not Matched
2.0
1.7
1.6
1.3
1.5
1.3
2.0
1.7
1.8
1.6
1
1.4
2
2.1
Matched
1.7
3
0
Emergency
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
1.4
1.2
1.8
1.7
1.3
1.2
1.9
1.8
1.5
1.3
1.3
1.2
1.3
Not Matched
1.8
1.7
1.4
1.3
1.5
1.4
1.8
1.5
1.7
1.5
1
1.3
2
1.9
Matched
1.6
3
0
Emergency
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Chart 5 displays the average number of different specialties ranked by IMG applicant type, preferred specialty, and match outcome. With the exception of those who
preferred Radiology and PM&R, U.S. IMGs who matched to their preferred specialty ranked fewer specialties than those who did not match to their preferred
specialty. In all specialties, matched non-U.S. IMG applicants ranked fewer specialties than those who did not match.
8
Chart
6
USMLE Step 1 Scores of Matched Applicants
by Preferred Specialty and IMG Applicant Type
U.S. IMG
260
250
240
230
220
210
200
190
180
All
Specialties
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Sources: NRMP Data Warehouse and ECFMG
Non-U.S. IMG
260
250
240
230
220
210
200
190
180
All
Specialties
Medicine
Family
Medicine
Internal
Medicine
Neurology
Pediatrics
Radiology
SurgeryGeneral
USMLE Step 1 scores are a measure of an applicant’s understanding of important basic science concepts and the ability to apply that knowledge to the practice of
medicine. Although such knowledge is only one facet of applicant qualifications considered by program directors in their selection process, it is one that is comparable
across applicants and available during the interview season and prior to the NRMP’s ranking deadline. Overall, matched U.S. IMG applicants have a mean USMLE
Step 1 score of 217 (s.d. = 18) and matched non-U.S. IMG applicants have a mean score of 227 (s.d. = 19), both well above the minimum passing score of 188 since
2010 (marked by the red line in the charts). Chart 6 displays the Step 1 scores for matched U.S. IMGs and non-U.S. IMGs by specialty. The horizontal bars are the
median values for successful applicants and the vertical lines show the interquartile ranges (between the 25th and 75th percentile). Scores generally are higher for the
9
Graph
2
Probability of Matching to Preferred Specialty by USMLE Step 1 Score
1.00
0.80
0.60
0.40
0.20
0.00
180
200
220
240
260
280
STEP 1 Scores
U.S. IMG
Non-U.S. IMG
The USMLE Step 1 score is one of the most important criteria that residency programs use in evaluating candidates. A simple logistic regression is used to calculate the
probability of matching to a preferred specialty by USMLE Step 1 scores. Graph 2 shows that for the same Step 1 score, U.S. IMGs have a better chance of matching to
a preferred specialty than do non-U.S. IMGs. The red line marks the passing score of 188 since 2010. All applicants with Step 1 scores below 188 took the test before
January 1, 2010.
10
Chart
7
Mean Number of USMLE Step 1 Attempts*
U.S. IMG
1.3
1.0
1.0
1.4
1.3
1.1
1.7
1.1
1.1
1.4
1.0
1.1
1.7
2.1
1.6
1.1
1.4
1.2
1.1
1.7
1.0
1
1.2
1.7
2.1
2
Not Matched
2.2
Matched
1.1
3
0
All
Specialties
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
3
Matched
Not Matched
1.1
1.0
1.2
1.0
1.4
1.2
1.5
1.1
1.2
1.0
1.2
1.0
1.2
1.0
1.2
1.1
1.2
1.0
1.4
1.2
1.3
1.0
1.2
1.1
1.2
1
1.1
2
0
All
Specialties
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
The number of attempts at USMLE Step 1 (or historical equivalent) was tallied for each IMG applicant. Chart 7 compares the mean number of attempts for matched
and unmatched U.S. IMGs and non-U.S. IMGs. Across specialties, matched U.S. IMG and matched non-U.S. IMG applicants made fewer attempts than those who did
not match. For U.S. IMGs, the difference in mean number of attempts between matched and unmatched applicants is generally larger than that of the non-U.S. IMGs.
11
Graph
3
Probability of Matching to Preferred Specialty by Step 1 Attempts*
1.00
0.80
0.60
0.40
0.20
0.00
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
STEP 1 Attempts
U.S. IMG
Non-U.S. IMG
Probabilities of matching to a preferred specialty also are calculated for Step 1 attempts using a simple logistic regression. Graph 3 displays the probability curves for
U.S. IMG and non-U.S. IMG applicants, and shows an inverse association between the number of Step 1 attempts and the probability of matching to a preferred
specialty. Although some applicants did match after taking the exam five or six times, applicants should be aware that medical licensure boards in some states impose
limits on the number of attempts taken.
12
Chart
8
USMLE Step 2 CK (Clinical Knowledge) Scores of Matched Applicants
U.S. IMG
260
250
240
230
220
210
200
190
180
Emergency
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Sources: NRMP Data Warehouse and ECFMG.
Non-U.S. IMG
260
250
240
230
220
210
200
190
180
Emergency
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
USMLE Step 2 scores are a measure of an applicant's ability to apply the medical knowledge, skills, and understanding of clinical science essential for providing patient
care. Overall, U.S. IMG applicants had mean USMLE Step 2 CK scores of 224 (s.d. = 19) and non-U.S. IMG applicants had mean scores of 233 (s.d. = 19), both well
above the 2012 minimum passing score of 196 (marked by the red lines in the chart). Chart 8 shows the Step 2 CK scores for U.S. IMGs and non-U.S. IMG applicants
who matched to their preferred specialty. The horizontal bars are the median values for successful applicants and the vertical lines show the interquartile ranges. As
was the case for Step 1 scores, the more competitive specialties have higher average Step 2 CK scores. The interquartile ranges are generally larger for non-U.S. IMGs,
especially for Emergency Medicine.
13
Graph
4
Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) Score
1.00
0.80
0.60
0.40
0.20
0.00
180
190
200
210
220
230
240
250
260
270
280
STEP 2 CK Scores
U.S. IMG
Non-U.S. IMG
Probabilities of matching to a preferred specialty also are calculated for scores on Step 2 CK. Graph 4 presents the probability curves for U.S. IMG and non-U.S. IMG
applicants. The red line marks the passing score of 196 in 2012. All applicants with Step 2 CK score below 196 took the test before May 17, 2012, when USMLE
announced the plan to raise the passing score from 189 to 196.
14
Chart
9
Mean Number of USMLE Step 2 CK (Clinical Knowledge) Attempts*
U.S. IMG
1.2
1.0
1.4
1.5
1.0
1.0
1.1
1.4
1.5
1.1
1.1
1.3
1.8
1.1
1.4
1.1
1.2
1.3
1.1
1.5
1.0
1
1.1
1.6
1.9
2
Not Matched
1.9
Matched
1.2
3
0
All
Specialties
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
3
Matched
Not Matched
1.1
1.0
1.2
1.0
1.3
1.1
1.4
1.0
1.1
1.0
1.2
1.1
1.2
1.0
1.1
1.0
1.1
1.0
1.3
1.1
1.2
1.1
1.1
1.0
1.2
1
1.0
2
0
All
Specialties
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Chart 9 compares the mean number of attempts at Step 2 CK or equivalent historical exams for matched and unmatched U.S. IMGs and non-U.S. IMGs. Across
specialties, matched U.S. IMG and matched non-U.S. IMG applicants made fewer attempts than those who did not match. In addition, the difference is generally
larger among U.S. IMGs.
*USMLE Step 2 CK or equivalent examination
15
Graph
5
Probability of Matching to Preferred Specialty by USMLE Step 2 CK (Clinical Knowledge) Attempts*
by IMG Applicant Type, and Match Status
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1
2
3
4
5
6
7
8
9
10
11
12
13
14
STEP 2 CK Attempts
U.S. IMG
Non-U.S. IMG
Probabilities of matching to a preferred specialty are calculated for attempts at Step 2 CK or equivalent historical exams using a simple logistic regression. Graph 5
compares the probabilities of matching for different numbers of attempts. Similar to the Step 1 attempts, this graph shows that the more times the exams are attempted,
the lower the probability of obtaining a position in a preferred specialty.
16
Chart
10
Mean Number Attempts at of USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills
Assessment)
U.S. IMG
1.2
1.0
1.1
1.3
1.5
1.2
1.1
1.0
1.3
1.1
Neurology
1.6
Internal
Medicine
Not Matched
1.2
1.4
1.1
Family
Medicine
1.0
1.4
1.1
1.5
1.1
1.1
1.1
1.3
1.1
1
1.1
1.4
Matched
1.2
2
0
All
Specialties
Medicine
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
1.2
1.1
1.3
1.1
1.4
1.2
1.3
1.1
1.3
1.1
1.4
1.6
Not Matched
1.3
Internal
Medicine
1.1
Family
Medicine
1.1
1.3
1.1
1.4
1.1
1.1
1.2
1.3
1.1
1.3
1.1
1
Matched
1.2
2
0
All
Specialties
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Passing USMLE Step 2 CS is a requirement for ECFMG certification. Because USMLE reports only pass/fail status on this exam, only the number of attempts at the
exam is studied. Chart 10 compares the mean number of attempts at Step 2 CS or equivalent exams for matched and unmatched U.S. IMGs and non-U.S. IMGs.
There are limited variations among the specialties. For all specialties except Emergency Medicine, matched U.S. IMG and matched non-U.S. IMG applicants made
fewer attempts than those who did not match.
17
Chart
11
Mean Number of Months after ECFMG Certification
U.S. IMG
60
Matched
Not Matched
50
30
8.0
22.1
8.6
3.7
29.7
28.3
28.1
27.4
25.6
20
10
40.5
39.1
40
12.7
21.4
15.5
8.3
6.8
Family
Medicine
Internal
Medicine
7.4
9.2
3.9
19.3
17.9
13.4
13.0
7.6
6.6
3.3
0
All
Specialties
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Source: NRMP Data Warehouse and ECFMG
Non-U.S. IMG
60
Matched
Not Matched
50
40
30
20
10
25.6
16.0
24.1
31.3
29.8
11.5
29.4
27.3
21.7
13.7
14.7
Family
Medicine
Internal
Medicine
26.4
19.0
29.9
24.2
21.2
40.8
35.9
35.6
22.9
20.4
16.1
12.4
10.1
23.8
22.6
0
All
Specialties
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Chart 11 demonstrates the mean number of months after the applicants obtained ECFMG certification, calculated as the number of months between the date of ECFMG
certification and March 1, 2013. There are some variations among the specialties and between the two types of IMG applicants, but no obvious specialty-specific
pattern exists. Generally, matched applicants of both applicant types obtained ECFMG certification later than those who did not match to their preferred specialty. The
difference is more notable among U.S. IMG applicants, averaging almost 18 month between the matched and unmatched applicants.
18
Chart
12
Mean Number of Years After Graduation
U.S. IMG
15
Matched
Not Matched
11.2
10
8.3
5.7
5
1.7
1.1
0.5
0
6.1
4.8
1.8
All
Specialties
Medicine
5.9
5.8
1.7
1.7
2.0
Family
Medicine
Internal
Medicine
Neurology
4.6
4.1
0.9
3.8
1.4
0.7
Obstetrics
and
Gynecology
6.3
5.8
Pathology
Pediatrics
1.8
Physical
Medicine &
Rehab
15
Matched
Not Matched
12.6
10.7
10
5
4.7
1.1
Radiology
SurgeryGeneral
Non-U.S. IMG
7.5
Psychiatry
2.7
1.4
7.8
7.2
5.2
3.3
3.6
6.6
4.3
8.0
7.7
11.3
9.9
9.4
7.2
7.9
7.3
6.0
5.4
4.4
3.9
3.3
6.3
6.2
0
All
Specialties
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
The number of years after graduation is calculated as the difference between the year of graduation and 2013. Chart 12 shows the mean number of years after
graduation for matched and unmatched U.S. IMG and non-U.S. IMG applicants. In general, matched applicants of both applicant types graduated later than those
who did not match to their preferred specialty. U.S. IMG applicants showed a larger difference of about 6 years for all specialties than the 3-year difference for
non-U.S. IMGs. In addition, the average non-U.S. IMGs graduated earlier than their U.S. IMG counterparts.
19
Percentage of IMG Applicants whose Native Language is English*
Chart
13
U.S. IMG
100
Matched
91
75
76
83
83
72
87
82
78
56
50
Not Matched
71
71
54
62
52
51
83
74
74
73
53
25
81
73
74
53
49
29
0
All
Specialties
Medicine
Family
Medicine
Internal
Medicine
Neurology
Obstetrics
and
Gynecology
Pathology
Pediatrics
Physical
Medicine &
Rehab
Psychiatry
Radiology
SurgeryGeneral
Non-U.S. IMG
100
Matched
Not Matched
75
50
25
0
53
24
18
36
28
58
19
11
All
Specialties
Medicine
39
30
Family
Medicine
17
Internal
Medicine
14
17
10
Neurology
38
Obstetrics
and
Gynecology
25
9
7
Pathology
26
16
Pediatrics
14
12
Physical
Medicine &
Rehab
Psychiatry
21
14
Radiology
20
21
SurgeryGeneral
Chart 13 summarizes the percentage of applicants by applicant type whose native language is English and who were matched or not matched to their preferred
specialties. Not surprisingly, more U.S. IMGs speak English as their native language. In most specialties, a larger percentage of matched applicants speak English as
their native language.
* Native languate as English is self-reported
20
IMG Applicants' Citizenship at Birth
Chart
14
by IMG Applicant Type and Match Status
332
er
36
23
m
th
Al
lO
U
ni
te
d
Vi
et
St
at
na
s
pi
ne
Ph
ilip
Pa
ki
st
es
18
35
209
76
an
67
27
ria
ig
e
N
In
Ira
di
a
n
50
73
298
183
67
t
Eg
yp
ub
C
14
39
a
17
57
24
C
de
s
hi
na
h
21
49
615
1,176
Not Matched
Ba
ng
la
Number of applicants
Matched
1,600
1,400
1,200
1,000
800
600
400
200
0
1,583
U.S. IMG
Not Matched
555
656
er
el
a
Al
lO
53
32
m
Ve
ne
zu
37
34
U
ni
te
d
Ki
ng
do
85
99
Sy
ria
19
32
24
35
52
66
53
81
34
29
254
429
Pe
Ph
ru
ilip
Sa pin
es
ud
iA
ra
bi
a
Sr
iL
an
ka
Su
da
n
ig
e
ri
Pa a
ki
st
an
96
225
45
55
al
N
N
ep
24
47
39
40
a
M
ex
ic
o
M
ya
nm
ar
22
48
n
Li
by
70
45
Le
ba
no
38
43
a
74
56
Ko
re
da
n
72
110
q
Jo
r
Ira
n
101
165
Ira
In
di
a
34
21
74
170
30
32
43
38
ol
in
om
ic
an
bi
a
R
ep
ub
lic
Eg
yp
t
G
er
m
an
y
122
202
D
om
C
C
hi
na
260
152
34
18
Br
az
il
C
an
ad
a
15
43
h
la
Ba
ng
th
1,346
Matched
860
1,600
1,400
1,200
1,000
800
600
400
200
0
de
s
Non-U.S. IMG
Applicants’ citizenship at birth is presented in Chart 14. Only countries with at least 50 U.S. IMG applicants or non-U.S. IMG applicants are included. Not counting
United States, India contributed the highest number of IMGs to the Match, followed by Pakistan. Other countries with more than 100 applicants in a category include
Canada, Nigeria, China, Iran, Iraq, and Egypt. This chart is not presented in specialty-specific analysis.
21
Country of Medical School
Chart
15
by IMG Applicant Type and Match Status
U.S. IMG
1,400
Matched
Not Matched
1,200
252
Al
lO
th
er
120
189
rte
n
70
M
aa
at
iu
s
Eu
st
Si
nt
Si
nt
uc
tL
in
Sa
35
40
ia
12
103
85
N
Sa
in
D
om
tK
i tt
s
An
d
Po
Sa
la
ba
ev
is
33
45
79
46
nd
s
ne
pi
Ph
ilip
Pa
ki
st
42
23
140
36
an
38
14
ia
N
ig
er
84
77
90
29
l
M
ex
ic
o
Ira
Is
ra
e
n
21
139
60
a
In
di
a
ad
G
re
n
54
534
258
70
9
t
yp
58
45
lic
ub
R
ep
in
ic
a
n
Eg
532
45
C
hi
Is
l
an
in
ic
a
ds
an
da
rb
u
Ba
An
tig
ua
An
C
ay
m
d
na
0
D
om
12
139
200
65
180
400
207
600
438
800
546
1,000
1,207
Non-U.S. IMG
Not Matched
754
1,000
Matched
654
789
1,200
50
32
80
79
30
29
51
64
68
73
68
29
23
60
52
85
35
29
79
192
41
53
24
45
42
46
22
46
71
38
77
66
46
20
d
Jo
rd
an
Le
ba
no
n
Li
by
a
M
ex
M ico
ya
nm
ar
N
ep
al
N
ig
er
Pa ia
ki
st
an
Ire
la
n
q
53
104
Ira
82
127
n
Ira
155
103
39
32
75
174
32
41
63
67
43
37
D bia
om
in
ic
an inic
a
R
ep
ub
lic
Eg
yp
G
t
er
m
an
y
G
re
na
da
In
di
a
om
C
hi
na
12
41
sh
ad
e
ng
l
Ba
C
ol
D
om
An
tig
ua
An
d
Ba
rb
u
0
27
31
200
da
400
116
207
600
Pe
Ph
r
ilip u
pi
ne
s
R
us
Sa
si
in
a
tK
i tt
S
s
a
ba
An
d
N
Sa
ev
ud
i
iA s
So r a
bi
ut
a
h
Ko
re
a
Sy
Ve
ri
ne a
zu
el
a
Al
lO
th
er
800
255
403
1,400
Match status by country of medical school for U.S. IMG and non-U.S. IMG applicants is presented in Chart 15. Only countries with at least 50 U.S. IMG applicants or
non-U.S. IMG applicants are reported. Most U.S. IMGs were trained in the Caribbean countries such as Dominica, Grenada, Antigua and Barbuda, and Sint Maarten.
A large number of non-U.S. IMGs were trained in India and Pakistan. Medical schools in Nigeria, China, and Egypt also contributed many physicians to U.S. residency
programs.
22
Tables and Charts for Selected Specialties
AN
Anesthesiology
Table
AN-1
Summary Statistics
Anesthesiology
U.S. IMG
Matched
(n=95)
Measure
Non-U.S. IMG
Unmatched
(n=65)
Matched
(n=78)
Unmatched
(n=85)
9
3
4
3
2. Mean number of distinct specialties ranked
1.8
2.1
1.7
1.9
3. Mean USMLE Step 1 score
234
210
226
219
4. Mean USMLE Step 1 attempts*
1.0
1.7
1.1
1.2
5. Mean USMLE Step 2 CK score
239
212
234
221
6. Mean USMLE Step 2 CK attempts**
1.0
1.5
1.0
1.1
7. Mean USMLE Step 2 CS or ECFMG CSA attempts
1.1
1.3
1.1
1.3
8. Mean number of months since ECFMG certification
4
27
24
30
9. Mean number of years since graduation
0.5
4.8
7.2
10.7
10. Percentage who speak English as a native language
91
72
28
11
1. Mean number of contiguous ranks
25
Number of Contiguous Ranks Within Preferred Specialty
Chart
AN-1
Anesthesiology
U.S. IMG
Matched
50
Not Matched
40
28
30
19
20
10
14
9
10 10
4
7
6
3
2
4
1
0
1
2
3
4
5
3
6
2
3
7
10
7
2
1
8
1
9
4
10
0
3
11
1
1
12
0
2
13
0
3
14
0
15
0
16 or
More
Contiguous Ranks
Non-U.S. IMG
Matched
47
50
Not Matched
40
30
20
20
18
13
10
10
11
5
3
6
2
6
3
3
0
0
1
2
3
4
5
6
7
0
2
0
8
1
9
2
0
10
4
0
11
1
0
12
0
0
13
1
0
14
0
0
15
1
4
16 or
More
Contiguous Ranks
26
Graph
AN-1
Anesthesiology
Probability of Matching
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
11
U.S. IMG
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
27
Chart
AN-2
50
Number of Applicants Ranking Different Specialties
Anesthesiology
U.S. IMG
Matched
Not Matched
42
40
38
30
27
20
20
15
12
10
4
0
0
1
2
3
4 or More
Number of Different Specialties Ranked
50
Non-U.S. IMG
Matched
45
Not Matched
40
40
30
25
19
20
12
10
10
5
4
0
1
2
3
4 or More
28
USMLE Step 1 Scores
Chart
AN-3
Anesthesiology
U.S. IMG
Matched
40
Not Matched
30
27
20
9
10
0
17
15
0
0
<= 180
12
6
9
25
14
7
9
7
1
0
Between 181
and 190
1
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
0
1
Between 251
and 260
0
>260
0
0
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
40
Not Matched
30
20
17
13
11
10
0
6
0
6
4
16
12
11
15
15
13
10
5
5
0
<= 180
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
3
Between 251
and 260
1
0
>260
0
0
Score Unknown
Step 1 Scores
Source: NRMP Data Warehouse and ECFMG.
29
Graph
AN-2
1.00
Anesthesiology
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
180
200
220
240
U.S. IMG
Non-U.S. IMG
260
280
Step 1 Score
30
Chart
AN-4
USMLE Step 1 Attempts*
Anesthesiology
U.S. IMG
100
Matched
94
Not Matched
90
80
70
60
48
50
40
30
20
10
7
1
0
1
4
0
2
1
0
3
3
0
4
5
0
2
6 and moUe
Step 1 Attempts
Non-U.S. IMG
Matched
100
Not Matched
90
80
70
75
70
60
50
40
30
20
8
10
6
0
1
2
4
0
0
3
0
4
0
0
5
0
0
6 and PRre
Step 1 Attempts
31
Probability of Matching to Preferred Specialty by Number of Step 1 Attempts*
Graph
AN-3
Anesthesiology
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1
2
3
4
U.S. IMG
5
6
Non-U.S. IMG
Step 1 Attempts
32
Chart
AN-5
USMLE Step 2 CK (Clinical Knowledge) Scores
Anesthesiology
U.S. IMG
Matched
Matched
50
40
Not
NotMatched
Matched
40
30
26
30
26
20
20
10
10
00
16
16
15
15
00
11
<=
<=180
180
00
22
Between
Between181
181
and
and190
190
7
7
55
11
Between
Between191
191
and
and200
200
Between
Between201
201
and
and210
210
16
16
12
12
11
11
19
55
Between
Between211
211
and
and220
220
Between
Between221
221
and
and230
230
19
16
16
Between
Between231
231
and
and240
240
22
Between
Between 241
241
and
and 250
250
11
Between
Between 251
251
and
and 260
260
55
0
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
Non-U.S. IMG
Matched
Matched
50
40
Not
NotMatched
Matched
40
30
30
20
20
11
11
10
10
00
00
22
<=
<=180
180
11
44
Between
Between181
181
and
and190
190
33
Between
Between191
191
and
and200
200
13
13
6
6
Between
Between201
201
and
and210
210
10
10
10
10
9
9
Between
Between211
211
and
and220
220
17
17
15
15
Between
Between221
221
and
and230
230
17
17
10
10
Between
Between231
231
and
and240
240
11
11
Between
Between 241
241
and
and 250
250
11
11
6
6
Between
Between 251
251
and
and 260
260
44
33
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
33
Graph
AN-4
1.00
Anesthesiology
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 2 CK Score
Copyright © 2014 NRMP and ECFMG. Copies may be
34
Chart
AN-6
USMLE Step 2 CK (Clinical Knowledge) Attempts*
Anesthesiology
U.S. IMG
100
Matched
94
Not Matched
90
80
70
60
48
50
40
30
20
12
10
1
0
1
1
0
2
2
0
3
1
0
4
1
0
5
6 and mRUe
Step 2 CK Attempts
Non-U.S. IMG
Matched
100
90
80
Not Matched
80
76
70
60
50
40
30
20
10
2
0
1
2
2
3
0
0
3
0
4
0
0
5
0
0
6 and mRUe
Step 2 CK Attempts
35
Chart
AN-7
Attempts at USMLE Step 2 CS (Clinical Skills) or ECFMG CSA (Clinical Skills Assessment)
Anesthesiology
U.S. IMG
100
90
Matched
Not Matched
e88
80
70
60
52
50
40
30
20
8
7
10
0
1
4
0
2
0
0
3
0
0
4
5
0
1
6 and more
Step 2 CS or ECFMG CSA Attempts
Non-U.S. IMG
Matched
100
Not Matched
90
80
70
70
69
60
50
40
30
20
10
8
10
4
0
0
1
2
1
0
3
4
0
0
5
0
1
6 and more
36
Chart
AN-8
Number of Months After ECFMG Certification
Anesthesiology
U.S. IMG
60
Matched
53
Not Matched
50
40
30
29
20
11
10
10
6
14
10
9
5
2
0
0
less than 1
2 to 6
7 to 12
13 to 24
11
25 to 48
0
more than 48
0
no data
Months after ECFMG Certification
Non-U.S. IMG
60
Matched
Not Matched
50
40
30
24
17
20
10
4
8
26
16
22
16
9
5
2
12
less than 1
2
0
0
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
no data
37
Chart
AN-9
Number of Years After Medical School Graduation
Anesthesiology
U.S. IMG
70
Matched
67
Not Matched
60
50
40
30
23
20
20
14
12
10
5
0
0
less than 1
1 to 2
4
3 to 5
6 to 10
7
0
6
0
11 to 15
0
16 to 25
0
25 or more
Years after Medical School Graduation
Non-U.S. IMG
Matched
70
Not Matched
60
50
40
28
30
20
19
20
10
27
8
13
11
5
11
10
3
7
0
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
16 to 25
1
25 or more
38
Chart
AN-10
Anesthesiology
U.S. IMG
70
60
50
40
30
20
10
0
Matched
Not Matched
40
37
24
20
All Other
15
13
Dominica
11
Grenada
Sint Maarten
Non-U.S. IMG
70
60
50
40
30
20
10
0
Matched
64
Not Matched
50
10
All Other
China
25
14
India
Note: A country is included if it has 10 or more applicants for each category
39
EM
Emergency Medicine
Table
EM-1
Summary Statistics
Emergency Medicine
U.S. IMG
Matched
(n=53)
Measure
Non-U.S. IMG
Unmatched
(n=137)
Matched
(n=31)
Unmatched
(n=53)
5
3
4
2
1.7
2.0
1.5
1.8
225
215
226
217
1.1
1.2
1.0
1.3
235
223
231
220
1.1
1.3
1.1
1.2
1.1
1.1
1.2
1.1
9
13
12
31
1.1
1.8
3.3
5.2
83
83
36
53
41
Chart
EM-1
Emergency Medicine
U.S. IMG
70
Matched
63
Not Matched
60
50
40
35
30
20
10
14
10
9
4
8
3
6
3
4
3
4
3
4
3
2
0
0
1
2
3
4
5
6
7
8
2
0
9
2
10
0
2
11
0
2
1
12
1
13
0
1
14
0
15
0
1
16 or
More
Contiguous Ranks
Non-U.S. IMG
Matched
70
Not Matched
60
50
40
33
30
20
10
14
6
6
5
2
4
1
0
1
2
3
4
4
0
5
1
0
6
1
1
7
1
0
0
8
0
9
0
0
10
2
0
11
0
0
12
1
1
13
0
0
14
1
0
15
0
0
16 or
More
Contiguous Ranks
42
Graph
EM-1
Emergency Medicine
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
11
U.S. IMG
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
43
Chart
EM-2
70
Emergency Medicine
U.S. IMG
Matched
Not Matched
58
60
48
50
40
30
25
24
22
20
10
5
0
1
2
5
1
3
4 or More
70
Non-U.S. IMG
Matched
Not Matched
60
50
40
30
20
21
25
21
10
6
5
4
0
1
2
3
2
0
4 or More
44
USMLE Step 1 Scores
Chart
EM-3
Emergency Medicine
U.S. IMG
Matched
40
30
Not Matched
28
27
23
18
20
10
0
15
7
0
0
<= 180
11
10
Between 181
and 190
Between 191
and 200
13
11
6
3
2
12
1
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
3
0
Between 251
and 260
0
>260
0
0
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
40
Not Matched
30
20
9
10
4
0
0
0
<= 180
0
Between 181
and 190
9
10
6
5
0
Between 191
and 200
Between 201
and 210
Between 211
and 220
10
8
10
4
2
Between 221
and 230
Between 231
and 240
3
Between 241
and 250
3
1
Between 251
and 260
0
0
>260
0
0
Score Unknown
Step 1 Scores
45
Graph
EM-2
1.00
Emergency Medicine
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
180
190
200
210
220
U.S. IMG
230
240
250
260
Non-U.S. IMG
Step 1 Score
46
Chart
EM-4
Emergency Medicine
U.S. IMG
120
119
Matched
Not Matched
100
80
60
49
40
20
12
2
0
1
5
2
2
1
0
3
0
0
4
5
0
0
6 and moUe
Step 1 Attempts
Non-U.S. IMG
Matched
120
Not Matched
100
80
60
40
45
30
20
5
1
0
1
2
1
0
1
0
3
4
0
0
5
0
1
6 and PRUH
Step 1 Attempts
47
Graph
EM-3
Emergency Medicine
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1
2
3
4
5
U.S. IMG
6
7
8
Non-U.S. IMG
Step 1 Attempts
48
Chart
EM-5
Emergency Medicine
U.S. IMG
Matched
Matched
50
40
40
30
26
20
10
10
11
00
<=
<=180
180
00
22
Between
Between181
181
and
and190
190
Between
Between191
191
and
and200
200
20
20
Between
Between211
211
and
and220
220
9
9
8
8
44
Between
Between201
201
and
and210
210
16
16
20
10
10
44
33
28
20
14
14
20
00
28
26
30
Not
NotMatched
Matched
Between
Between221
221
and
and230
230
Between
Between231
231
and
and240
240
Between
Between 241
241
and
and 250
250
10
10
8
8
Between
Between 251
251
and
and 260
260
44
33
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
Non-U.S. IMG
Matched
Matched
50
40
Not
NotMatched
Matched
40
30
30
20
20
12
12
10
10
00
00
11
<=
<=180
180
00
33
Between
Between181
181
and
and190
190
33
44
Between
Between191
191
and
and200
200
55
Between
Between201
201
and
and210
210
12
12
8
8
6
6
6
6
44
11
Between
Between211
211
and
and220
220
Between
Between221
221
and
and230
230
Between
Between231
231
and
and240
240
44
33
Between
Between 241
241
and
and 250
250
55
33
Between
Between 251
251
and
and 260
260
33
1
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
49
Graph
EM-4
1.00
Emergency Medicine
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 2 CK Score
50
Chart
EM-6
Emergency Medicine
U.S. IMG
120
Matched
110
Not Matched
100
80
60
50
40
23
20
3
0
0
1
2
0
4
0
3
0
4
0
0
5
0
6 and mRUH
Step 2 CK Attempts
Non-U.S. IMG
Matched
120
Not Matched
100
80
60
40
46
29
20
5
2
0
1
2
1
0
0
3
0
4
1
0
5
0
0
6 and mRUe
Step 2 CK Attempts
51
Chart
EM-7
Emergency Medicine
U.S. IMG
140
Matched
Not Matched
123
120
100
80
60
50
40
20
12
3
0
1
1
0
2
1
0
3
0
4
0
5
0
0
6 and mRUe
Non-U.S. IMG
Matched
140
Not Matched
120
100
80
60
40
45
27
20
5
3
0
1
2
1
1
0
3
0
4
0
0
5
0
2
6 and mRUe
52
Chart
EM-8
Emergency Medicine
U.S. IMG
60
Matched
55
Not Matched
50
40
32
30
20
20
19
12
11
10
5
5
3
1
0
less than 1
2 to 6
7 to 12
11
9
13 to 24
25 to 48
7
0
more than 48
no data
Non-U.S. IMG
60
Matched
Not Matched
50
40
30
20
10
15
9
4
8
4
7
8
9
1
0
less than 1
2 to 6
7 to 12
13 to 24
10
8
25 to 48
1
more than 48
0
0
no data
53
Chart
EM-9
Emergency Medicine
U.S. IMG
80
Matched
78
Not Matched
70
60
50
40
34
33
30
20
13
12
10
5
0
0
less than 1
1 to 2
7
3 to 5
0
6 to 10
2
11 to 15
1
4
16 to 25
0
0
25 or more
Non-U.S. IMG
Matched
80
Not Matched
70
60
50
40
30
20
10
8
13
8
7
14
9
7
6
1
0
less than 1
1 to 2
3 to 5
6 to 10
7
11 to 15
0
1
16 to 25
0
0
25 or more
54
Chart
EM-10
Emergency Medicine
U.S. IMG
70
60
50
40
30
20
10
0
Matched
64
Not Matched
39
20
17
16
All Other
34
Dominica
Grenada
Non-U.S. IMG
70
60
50
40
30
20
10
0
Matched
38
31
Not Matched
15
All Other
Grenada
55
FM
Family Medicine
Table
FM-1
Summary Statistics
Family Medicine
U.S. IMG
Matched
(n=531)
Measure
Non-U.S. IMG
Unmatched
(n=702)
Matched
(n=293)
Unmatched
(n=616)
6
3
4
3
1.3
1.5
1.4
1.5
206
198
213
204
1.4
2.1
1.2
1.4
213
203
219
210
1.2
1.9
1.1
1.3
1.1
1.5
1.1
1.4
8
28
14
27
1.7
6.1
3.6
7.8
78
54
58
30
57
Chart
FM-1
Family Medicine
U.S. IMG
400
Matched
372
Not Matched
350
300
250
200
150
100
128
96
70
70
57
50
51
24
33 22
33
10
34
13
22
19 10
8
0
1
2
3
4
5
6
7
8
24 12
9
20
10
1
16
11
4
11
12
5
10
13
3
12
14
1
15
23 19
16 or
More
Contiguous Ranks
Non-U.S. IMG
Matched
379
400
Not Matched
350
300
250
200
150
100
100
94
49
50
31 41
21 13
19 11
4
5
14
8
0
1
2
3
6
7
7
7
13
9
8
8
7
9
8
15
10
5
3
11
4
0
12
2
1
13
3
2
14
3
2
15
7
23
16 or
More
Contiguous Ranks
58
Graph
FM-1
Family Medicine
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
11
U.S. IMG
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
59
Chart
FM-2
500
Family Medicine
U.S. IMG
Matched
462
Not Matched
450
400
367
350
300
250
186
200
146
150
100
50
37
18
0
1
2
9
0
3
4 or More
500
Non-U.S. IMG
450
Matched
Not Matched
394
400
350
300
250
200
191
160
150
91
100
50
50
10
0
1
2
8
1
3
4 or More
60
Chart
FM-3
USMLE Step 1 Scores
Family Medicine
U.S. IMG
300
Matched
270
250
210
200
172
145
150
132
86
100
57
55
50
0
Not Matched
0
36
2
<= 180
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
26
Between 221
and 230
23
4
Between 231
and 240
12
0
Between 241
and 250
2
0
0
Between 251
and 260
0
>260
0
1
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
300
Not Matched
250
193
200
150
100
102
62
50
0
136
112
0
0
<= 180
63
55
21
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
42
48
Between 221
and 230
28
19
Between 231
and 240
14
4
Between 241
and 250
7
2
Between 251
and 260
1
0
>260
0
0
Score Unknown
Step 1 Scores
61
Graph
FM-2
1.00
Family Medicine
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 1 Score
62
Chart
FM-4
Family Medicine
U.S. IMG
Matched
500
450
400
Not Matched
403
330
350
300
250
183
200
150
95
86
100
32
50
0
1
2
44
6
3
22
3
4
5
1
28
6 and mRUe
Step 1 Attempts
Non-U.S. IMG
500
Matched
453
450
Not Matched
400
350
300
250
254
200
150
113
100
29
50
0
1
39
9
2
3
0
3
4
8
1
5
0
0
6 and mRUe
Step 1 Attempts
63
Graph
FM-3
Family Medicine
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1
2
3
4
5
U.S. IMG
6
7
8
Non-U.S. IMG
Step 1 Attempts
64
Chart
FM-5
Family Medicine
U.S. IMG
101
300
50
100 239
138 183
79
Matched
Matched
53
Not
NotMatched
Matched
239
250
40
35
183
200
30
138
150
20
100
15
10
50
0
133 105
6
0
6
<= 180
101
133
22
105
100
79
12
53
35
15
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
12
Between 231
and 240
22
7
1
1
Between 241
and 250
7
1
1
Between 251
and 260
2
2
0
>260
0
1
1
Score
Unknown
Step
Step 2
2 Scores
CK Scores
Non-U.S. IMG
300
50
140
47
59
152
70
138
52
Matched
Matched
79
Not
NotMatched
Matched
45
250
40
200
30
152
140
150
20
100
14
47
10
50
0
30
29
0
1
1
<= 180
14
Between 181
and 190
59
138
70
29
Between 191
and 200
Between 201
and 210
Between 211
and 220
23
79
52
Between 221
and 230
30
45
Between 231
and 240
23
13
12
13
12
Between 241
and 250
1
1
Between 251
and 260
4
4
0
>260
0
0
Score
Unknown
Step
Step 2
2 Scores
CK Scores
65
Graph
FM-4
1.00
Family Medicine
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 2 CK Score
66
Chart
FM-6
Family Medicine
U.S. IMG
500
450
Matched
447
400
Not Matched
364
350
300
250
193
200
150
100
78
67
50
17
0
1
2
39
0
3
14
0
4
0
5
14
6 and moUe
Step 2 CK Attempts
Non-U.S. IMG
Matched
479
500
Not Matched
450
400
350
300
263
250
200
150
103
100
25
50
0
1
25
4
2
6
1
3
4
3
0
5
0
0
6 and moUe
Step 2 CK Attempts
67
Chart
FM-7
Family Medicine
U.S. IMG
500
489
Matched
484
Not Matched
450
400
350
300
250
200
152
150
100
48
41
50
1
0
1
2
9
0
3
3
0
4
5
0
6
6 and moUe
Non-U.S. IMG
500
450
Matched
453
Not Matched
400
350
300
269
250
200
150
118
100
50
20
0
1
31
3
2
8
0
3
4
2
1
5
0
4
6 and moUe
68
Chart
FM-8
200
180
160
140
120
100
80
60
40
20
0
Family Medicine
U.S. IMG
Matched
167
179
Not Matched
154
145
126
122
67
81
80
43
36
11
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
2
more than 48
20
no data
Non-U.S. IMG
200
Matched
180
140
124
120
94
100
88
80
40
162
155
160
60
Not Matched
50
34
56
61
32
25
15
20
0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
1
12
no data
69
Chart
FM-9
Family Medicine
U.S. IMG
Matched
300
250
Not Matched
256
234
212
200
136
150
92
100
65
50
66
64
43
26
8
7
1
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
16 to 25
19
25 or more
Non-U.S. IMG
Matched
300
250
Not Matched
223
200
150
100
50
95
113
92
72
79
52
35
59
49
12
13
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
16 to 25
0
11
25 or more
70
Chart
FM-10
Family Medicine
U.S. IMG
Matched
29 35
14
12
39
38 27
Sa
in
t
Lu
ci
Si
a
nt
Eu
st
at
iu
s
Si
nt
M
aa
rte
n
ev
i
s
10 10
N
25
D
Sa
in
t
Ki
tts
An
d
11
Sa
ba
16
Po
la
nd
ex
ic
o
ra
el
Ira
n
28
23
ta
n
Ph
ilip
pi
ne
s
38
11
Pa
ki
s
11
M
32
Is
37
16
In
di
a
14
re
na
da
la
nd
s
C
An
tig
ua
An
d
ay
m
an
Ar
ub
a
Ba
rb
ud
a
O
th
er
0
15
G
33
12
D
om
om
in
in
ic
a
ic
an
R
ep
ub
lic
50
73
49
ub
a
63 63
C
78
Is
100
Not Matched
133
111
127
Eg
yp
t
150
Al
l
200
Non-U.S. IMG
140
Not Matched
130
33 32
s
25 15
ev
i
N
An
d
Ki
tts
us
si
a
14
Sa
in
t
M
20
R
10
ta
n
10
Pa
ki
s
In
di
a
re
na
da
G
Eg
yp
t
a
om
in
ic
D
hi
na
C
O
th
er
0
12
56
45
20
ig
er
ia
18
N
23
ya
nm
ar
45
17
Ira
q
22 24
16
Ira
n
50
Sa
ba
100
Ph
ilip
pi
ne
s
150
Matched
182
Al
l
200
71
IM
Internal Medicine
Table
IM-1
Summary Statistics
Internal Medicine
U.S. IMG
Matched
(n=841)
Measure
Non-U.S. IMG
Unmatched
(n=753)
Matched
(n=1,690)
Unmatched
(n=1,856)
8
3
7
3
1.3
1.6
1.3
1.4
221
205
231
217
1.1
1.6
1.0
1.2
228
210
236
221
1.1
1.4
1.0
1.1
1.1
1.4
1.1
1.3
7
22
15
22
1.7
5.9
4.3
6.6
71
51
19
17
73
Chart
IM-1
Internal Medicine
U.S. IMG
Matched
1,000
Not Matched
800
600
421
400
200
120
136
66
49 60
45 33
56 28
3
4
5
44
12
0
1
2
48
6
16
45
7
43
12
8
6
9
57
13
10
43
4
11
41
0
12
45
1
35
1
29 2
13
14
15
33 6
35 5
34 4
13
14
15
75
8
16 or
More
Contiguous Ranks
Non-U.S. IMG
1,000
Matched
912
Not Matched
800
600
360
400
240
200
178
182
224
140 125
134
60
125
31
99
34
86
0
1
2
3
4
5
6
7
89
22
8
15
9
73
19
10
67
11
8
66
12
3
109
28
16 or
More
Contiguous Ranks
74
Graph
IM-1
Internal Medicine
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
11
U.S. IMG
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
75
Chart
IM-2
1,400
Internal Medicine
U.S. IMG
Matched
Not Matched
1,200
1,000
800
600
604
405
400
259
203
200
70
25
0
1
2
12
9
3
4 or More
1,400
Non-U.S. IMG
1,317
Matched
1,268
Not Matched
1,200
1,000
800
600
432
400
289
200
123
67
1
2
27
11
0
3
4 or More
76
Chart
IM-3
USMLE Step 1 Scores
Internal Medicine
U.S. IMG
Matched
450
Not Matched
400
350
300
250
218
200
150
112
100
50
0
0
3
<= 180
137
165
175
144
174
82
146
76
75
23
21
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
8
Between 241
and 250
21
5
Between 251
and 260
9
0
>260
0
0
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
450
384
400
337
350
333
340
329
235
227
250
200
163
144
150
86
100
0
383
281
300
50
Not Matched
0
0
<= 180
110
76
33
23
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
Between 251
and 260
55
7
>260
0
0
Score Unknown
Step 1 Scores
77
Graph
IM-2
1.00
Internal Medicine
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 1 Score
78
Chart
IM-4
Internal Medicine
U.S. IMG
Matched
1,800
Not Matched
1,600
1,400
1,200
1,000
800
783
523
600
400
200
131
40
0
1
50
9
2
23
6
3
11
1
4
5
2
15
6 and moUe
Step 1 Attempts
Non-U.S. IMG
1,800
1,647
Matched
1,632
1,600
Not Matched
1,400
1,200
1,000
800
600
400
200
163
39
1
44
3
0
2
10
1
3
4
3
0
5
0
4
6 and moUe
Step 1 Attempts
79
Graph
IM-3
Internal Medicine
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1
2
3
4
5
U.S. IMG
6
7
8
Non-U.S. IMG
Step 1 Attempts
80
Chart
IM-5
Internal Medicine
U.S. IMG
61
50
450
153
85
188
Matched
Matched
98
158
Not
Not
Matched
Matched
114
61
41
300
30
250
29
209
200
20
150
0
150 158
43
400
40
350
100
10
50
209
150 158
153
13
61
6
0
6
<= 180
13
Between 181
and 190
188
158
114
98
85
43
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
11
61
41
Between 191
and 200
14
14
Between 241
and 250
11
Between 251
and 260
29
2
2
>260
0
0
Score
Unknown
Step
Step 2
2 Scores
CK Scores
Non-U.S. IMG
50
450
74
46
185
94
268
173 383
278 397
Matched
Matched
243
72
146
369
278
268
185
200
20
150
0
369 183
325
300
30
250
100
10
50
397
383
400
40
350
325 270
Not
Not
Matched
Matched
74
0
6
<= 180
16
Between 181
and 190
243
183
173
16
6
270
146
94
72
46
Between 191
and 200
18
18
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
Between 251
and 260
>260
0
0
Score
Unknown
Step
Step 2
2 Scores
CK Scores
81
Graph
IM-4
1.00
Internal Medicine
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
240
U.S. IMG
260
280
300
Non-U.S. IMG
Step 2 CK Score
82
Chart
IM-6
Internal Medicine
U.S. IMG
Matched
1,800
Not Matched
1,600
1,400
1,200
1,000
800
804
534
600
400
200
147
28
0
1
45
6
2
20
2
3
7
0
4
1
5
0
6 and moUe
Step 2 CK Attempts
Non-U.S. IMG
1,800
Matched
1,693
1,669
Not Matched
1,600
1,400
1,200
1,000
800
600
400
200
133
20
0
1
2
23
0
3
1
3
4
1
0
5
3
0
6 and mRUe
Step 2 CK Attempts
83
Chart
IM-7
Internal Medicine
U.S. IMG
Matched
1,600
Not Matched
1,400
1,200
1,000
800
791
543
600
400
200
152
45
1
45
3
0
2
3
1
3
3
0
4
5
1
7
6 and moUe
Non-U.S. IMG
1,600
1,534
1,400
Matched
1,430
Not Matched
1,200
1,000
800
600
353
400
138
200
61
12
0
1
2
6
5
3
4
2
1
5
0
4
6 and moUe
84
Chart
IM-8
Internal Medicine
U.S. IMG
800
Matched
Not Matched
600
400
306
269
200
121
102
141
172
124
61
136
42
13
0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
75
9
more than 48
23
no data
Non-U.S. IMG
800
Matched
713
575
600
Not Matched
567
502
400
346
201
200
66
172
158
40
157
35
0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
1
13
no data
85
Chart
IM-9
Internal Medicine
U.S. IMG
Matched
700
Not Matched
600
500
444
400
300
237
200
217
144
125
105
87
100
38
17
66
18
72
0
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
16 to 25
16
25 or more
Non-U.S. IMG
700
656
664
Matched
575
600
461
500
400
325
300
200
100
Not Matched
239
205
138
82
57
101
28
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
16 to 25
0
12
25 or more
86
Sa
in
t
O
th
er
a
ai
ti
Ira
n
H
re
ec
e
87
ep
al
An
d
a
kr
ai
ne
ria
Ve
ne
zu
el
U
Sy
Ko
re
a
s
si
a
ev
i
us
N
R
So
ut
h
Ki
tts
ta
n
Ph
ilip
pi
ne
s
Pa
ki
s
N
18
10
11
10
16
26
18
15
12
13
12
15
57
31
11
17
10
17
29
20
16
30
33
178
188
Matched
ex
ic
o
on
55
28
31
19
15
27
19
20
18
30
32
33
45
79
583
hi
na
Sa
in
t
ig
er
ia
An
d
si
a
N
ev
i
s
Lu
ci
Si
a
nt
Eu
st
at
iu
Si
s
nt
M
aa
rte
n
Sa
in
t
Ki
tts
us
Sa
ba
R
Po
la
nd
ta
n
Ph
ilip
pi
ne
s
Pa
ki
s
N
ra
el
ex
ic
o
Is
Ira
n
In
di
a
re
na
da
M
G
Eg
yp
t
D
om
om
in
in
ic
ic
a
an
R
ep
ub
lic
C
90
63
31
10
11
29
34
16
11
19
24
10
13
19
48
17
25
20
18
16
27
47
61
20
21
15
16
11
28
16
50
69
201
196
136
156
Matched
M
Le
ba
n
14
12
475
D
th
er
Ba
rb
ud
a
O
600
Ja
pa
n
25
41
28
44
17
10
50
34
11
40
77
24
15
16
600
Ire
la
nd
G
Et
hi
op
ia
Ec
ua
do
r
om
in
ic
45
72
18
12
29
16
15
20
14
An
d
Al
l
Ba
ng
la
de
C
ay
sh
m
an
Is
la
nd
s
An
tig
ua
0
D
hi
na
21
11
200
C
0
10
400
200
283
200
Ba
ng
la
de
sh
Al
l
Chart
IM-10
Internal Medicine
U.S. IMG
Not Matched
400
Non-U.S. IMG
Not Matched
N
Neurology
Table
N-1
Summary Statistics
Neurology
U.S. IMG
Matched
(n=59)
Measure
Non-U.S. IMG
Unmatched
(n=44)
Matched
(n=148)
Unmatched
(n=149)
7
2
6
2
1.7
2.0
1.7
1.8
216
203
230
214
1.1
2.1
1.1
1.2
222
206
236
217
1.1
1.8
1.0
1.1
1.1
1.4
1.1
1.4
7
28
19
29
2.0
5.8
5.4
7.7
71
52
14
10
89
Chart
N-1
Neurology
U.S. IMG
Matched
100
Not Matched
90
80
70
60
50
40
29
30
20
14
8
5
10
3
1
0
1
2
4
3
2
4
4
2
3
5
0
2
6
0
2
7
1
1
8
0
3
9
0
2
10
0
3
11
0
3
12
1
3
13
0
4
14
0
15
3
0
16 or
More
Contiguous Ranks
Non-U.S. IMG
Matched
96
100
Not Matched
90
80
70
60
50
40
30
25
22 25
20
16
12
10
17
13
6
5
7
0
0
1
2
3
4
5
6
7
2
7
10
6
1
0
8
9
1
0
10
7
0
11
4
0
12
4
0
13
4
0
14
2
0
15
3
2
16 or
More
Contiguous Ranks
90
Graph
N-1
Neurology
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
11
U.S. IMG
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
91
Chart
N-2
80
Neurology
U.S. IMG
Matched
Not Matched
70
60
50
40
30
30
18
20
17
12
11
10
10
3
1
0
1
2
3
4 or More
80
70
Non-U.S. IMG
Matched
67
64
63
Not Matched
57
60
50
40
30
16
20
16
10
6
5
0
1
2
3
4 or More
92
USMLE Step 1 Scores
Chart
N-3
Neurology
U.S. IMG
Matched
50
Not Matched
40
30
20
11
10
0
0
0
<= 180
10
13
14
6
2
Between 181
and 190
12
Between 191
and 200
Between 201
and 210
9
8
4
Between 211
and 220
Between 221
and 230
5
2
Between 231
and 240
4
0
Between 241
and 250
2
0
1
Between 251
and 260
0
>260
0
0
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
50
40
36
30
30
21
20
8
0
0
<= 180
34
30
25
21
23
16
15
10
0
Not Matched
11
10
4
2
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
9
2
Between 251
and 260
0
>260
0
0
Score Unknown
Step 1 Scores
93
Graph
N-2
1.00
Neurology
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
180
200
220
240
U.S. IMG
Non-U.S. IMG
260
280
Step 1 Score
94
Chart
N-4
Neurology
U.S. IMG
Matched
150
Not Matched
120
90
60
57
24
30
11
1
0
1
2
0
2
2
1
3
3
0
4
5
0
2
6 and mRre
Step 1 Attempts
Non-U.S. IMG
150
Matched
141
Not Matched
132
120
90
60
30
13
6
1
2
1
0
2
1
0
3
4
0
0
5
0
1
6 and moUe
Step 1 Attempts
95
Graph
N-3
Neurology
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1
2
3
4
5
U.S. IMG
6
7
8
Non-U.S. IMG
Step 1 Attempts
96
Chart
N-5
Neurology
U.S. IMG
Matched
Matched
50
40
Not
NotMatched
Matched
40
30
30
20
20
10
10
10
10
00
00
00
<=
<=180
180
33
Between
Between181
181
and
and190
190
6
6
10
10
Between
Between191
191
and
and200
200
7
7
12
12
6
6
Between
Between201
201
and
and210
210
15
15
11
11
55
33
Between
Between211
211
and
and220
220
Between
Between221
221
and
and230
230
33
Between
Between231
231
and
and240
240
6
6
11
Between
Between 241
241
and
and 250
250
33
00
Between
Between 251
251
and
and 260
260
2
0
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
Non-U.S. IMG
Matched
Matched 38
50
40
40
30
17
17
20
10
10
10
10
00
00
<=
<=180
180
22
Between
Between181
181
and
and190
190
25
32
30
25
25
28
20
00
38
28
30
Not
NotMatched
Matched
32
30
25
21
19
21
19
15
15
33
Between
Between191
191
and
and200
200
12
12
11
11
8
8
00
Between
Between201
201
and
and210
210
Between
Between211
211
and
and220
220
Between
Between221
221
and
and230
230
Between
Between231
231
and
and240
240
Between
Between 241
241
and
and 250
250
Between
Between 251
251
and
and 260
260
1
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
97
Graph
N-4
1.00
Neurology
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
180
200
220
240
U.S. IMG
260
280
Non-U.S. IMG
Step 2 CK Score
98
Chart
N-6
Neurology
U.S. IMG
Matched
150
Not Matched
120
90
60
55
25
30
11
3
0
1
3
1
2
3
0
3
2
0
4
0
5
0
6 and PoUe
Step 2 CK Attempts
Non-U.S. IMG
150
146
Matched
137
Not Matched
120
90
60
30
10
2
0
1
2
2
0
0
0
3
4
0
0
5
0
0
6 and mRre
Step 2 CK Attempts
99
Chart
N-7
Neurology
U.S. IMG
Matched
150
Not Matched
120
90
60
56
32
30
8
3
0
1
2
0
2
1
0
3
1
0
4
5
0
0
6 and PoUe
Non-U.S. IMG
Matched
150
Not Matched
129
120
101
90
60
36
30
17
9
1
0
1
2
2
1
3
4
0
0
5
0
1
6 and moUe
100
Chart
N-8
Neurology
U.S. IMG
60
Matched
Not Matched
50
40
30
24
18
20
9
10
4
3
8
4
11
9
4
1
0
less than 1
2 to 6
7 to 12
13 to 24
8
25 to 48
0
more than 48
0
no data
Non-U.S. IMG
57
60
Matched
50
45
40
Not Matched
45
34
32
30
26
17
20
10
0
14
11
1
14
1
less than 1
0
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
0
no data
101
Chart
N-9
Neurology
U.S. IMG
Matched
80
Not Matched
70
60
50
40
34
30
20
14
10
12
5
10
4
9
2
4
5
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
1
3
16 to 25
0
0
25 or more
Non-U.S. IMG
Matched
80
70
61
60
Not Matched
57
50
40
40
32
32
30
10
19
18
20
5
12
2
6
12
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
16 to 25
0
1
25 or more
102
Chart
N-10
Neurology
U.S. IMG
Matched
80
70
60
50
40
30
20
10
0
Not Matched
44
39
10
All Other
10
Dominica
Grenada
Non-U.S. IMG
80
70
60
50
40
30
20
10
0
77
Matched
Not Matched
63
45
57
All Other
China
India
18
14
12
11
Iran
Pakistan
103
OB
Table
OB-1
Summary Statistics
U.S. IMG
Matched
(n=78)
Measure
Non-U.S. IMG
Unmatched
(n=99)
Matched
(n=62)
Unmatched
(n=120)
8
3
5
3
1.3
1.7
1.2
1.6
221
207
226
215
1.0
1.4
1.0
1.2
232
213
234
221
1.1
1.3
1.0
1.2
1.0
1.2
1.1
1.3
4
16
10
26
0.9
4.6
3.3
8.0
82
62
39
17
105
Chart
OB-1
U.S. IMG
Matched
80
Not Matched
70
60
46
50
40
30
20
10
16
10
5
12
5
6
3
7
3
5
1
0
1
2
3
4
5
5
6
5
7
4
3
1
8
2
4
9
3
6
10
0
4
11
0
4
12
1
5
13
0
8
2
14
1
0
15
16 or
More
Contiguous Ranks
Non-U.S. IMG
80
Matched
Not Matched
69
70
60
50
40
30
20
10
11
17
11
11
4
7
6
6
5
7
4
6
0
0
1
2
3
4
5
6
7
3
2
1
8
1
9
4
0
10
1
0
11
0
0
12
1
0
13
0
0
14
1
0
15
1
3
16 or
More
Contiguous Ranks
106
Graph
OB-1
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
U.S. IMG
11
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
107
Chart
OB-2
80
70
60
U.S. IMG
Matched
Not Matched
60
53
50
40
26
30
20
14
13
10
4
0
1
2
4
1
3
4 or More
80
Non-U.S. IMG
Matched
74
Not Matched
70
60
52
50
40
29
30
20
13
8
10
2
0
1
2
4
0
3
4 or More
108
USMLE Step 1 Scores
Chart
OB-3
U.S. IMG
Matched
50
Not Matched
40
30
26
20
20
14
10
0
21
0
0
<= 180
10
25
18
10
8
2
8
6
6
0
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
3
0
0
Between 251
and 260
0
>260
0
0
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
50
Not Matched
40
30
20
10
0
7
0
1
<= 180
0
Between 181
and 190
4
Between 191
and 200
25
24
20
17
7
11
19
14
11
9
8
2
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
2
Between 251
and 260
1
0
>260
0
0
Score Unknown
Step 1 Scores
109
Graph
OB-2
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 1 Score
110
Chart
OB-4
U.S. IMG
Matched
110
Not Matched
100
90
80
77
75
70
60
50
40
30
20
13
10
0
0
1
8
0
2
1
3
0
1
0
4
5
0
2
6 and PoUe
Step 1 Attempts
Non-U.S. IMG
110
Matched
102
100
Not Matched
90
80
70
60
61
50
40
30
20
11
10
1
0
1
5
0
2
2
0
3
4
0
0
5
0
0
6 and mRUH
Step 1 Attempts
111
Graph
OB-3
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1
2
3
4
U.S. IMG
5
6
Non-U.S. IMG
Step 1 Attempts
112
Chart
OB-5
U.S. IMG
Matched
Matched
50
40
31
40
30
31
30
21
20
21
15
15
20
10
10
00
Not
NotMatched
Matched
00
00
<=
<=180
180
11
44
Between
Between181
181
and
and190
190
44
11
11
10
10
8
8
17
17
14
14
17
17
11
11
9
9
11
Between
Between191
191
and
and200
200
Between
Between201
201
and
and210
210
Between
Between211
211
and
and220
220
Between
Between221
221
and
and230
230
Between
Between231
231
and
and240
240
Between
Between 241
241
and
and 250
250
00
Between
Between 251
251
and
and 260
260
2
1
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
Non-U.S. IMG
Matched
Matched
50
40
Not
NotMatched
Matched
40
30
22
30
20
8
8
10
10
00
22
17
17
20
00
00
<=
<=180
180
11
Between
Between181
181
and
and190
190
33
Between
Between191
191
and
and200
200
15
15
14
14
7
7
Between
Between201
201
and
and210
210
13
13
8
8
55
17
17
12
12
16
16
11
11
7
7
2
Between
Between211
211
and
and220
220
Between
Between221
221
and
and230
230
Between
Between231
231
and
and240
240
Between
Between 241
241
and
and 250
250
Between
Between 251
251
and
and 260
260
44
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
113
Graph
OB-4
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
180
200
220
240
U.S. IMG
260
280
Non-U.S. IMG
Step 2 CK Score
114
Chart
OB-6
U.S. IMG
Matched
120
Not Matched
100
80
83
75
60
40
20
8
2
0
1
6
1
2
1
0
3
1
0
4
0
5
0
6 and mRUe
Step 2 CK Attempts
Non-U.S. IMG
120
Matched
110
Not Matched
100
80
60
62
40
20
6
0
0
1
2
2
0
1
0
3
4
0
0
5
1
0
6 and mRUH
Step 2 CK Attempts
115
Chart
OB-7
U.S. IMG
100
Not Matched
87
90
80
Matched
75
70
60
50
40
30
20
10
9
3
1
3
0
0
2
0
0
3
0
0
4
5
0
0
6 and mRUH
Non-U.S. IMG
100
Matched
93
Not Matched
90
80
70
60
57
50
40
30
18
20
5
10
0
1
6
0
2
1
0
3
4
0
0
5
0
2
6 and mRUH
116
Chart
OB-8
U.S. IMG
50
Matched
Not Matched
40
33
30
29
27
20
17
10
17
16
7
15
7
5
3
less than 1
2 to 6
7 to 12
13 to 24
1
0
0
25 to 48
more than 48
0
no data
Non-U.S. IMG
50
Matched
Not Matched
38
40
30
30
20
10
7
19
19
17
15
8
14
8
3
0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
1
more than 48
3
0
no data
117
Chart
OB-9
U.S. IMG
60
Matched
Not Matched
52
50
40
30
30
30
21
20
11
10
3
1 to 2
3 to 5
8
1
0
0
less than 1
9
6 to 10
8
1
11 to 15
0
16 to 25
2
25 or more
Non-U.S. IMG
Matched
60
Not Matched
50
40
36
30
20
10
26
20
17
14
13
9
15
14
12
2
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
0
16 to 25
0
2
25 or more
118
Chart
OB-10
U.S. IMG
Matched
100
74
80
60
40
Not Matched
38
25
14
20
26
0
All Other
Dominica
Grenada
Non-U.S. IMG
100
80
60
90
Matched
Not Matched
62
40
30
20
0
All Other
India
119
PTH
Pathology
Table Summary Statistics
PTH-1 Pathology
U.S. IMG
Matched
(n=46)
Measure
Non-U.S. IMG
Unmatched
(n=69)
Matched
(n=151)
Unmatched
(n=136)
8
3
6
3
1.1
1.5
1.3
1.3
224
204
226
214
1.1
1.7
1.0
1.2
226
205
228
216
1.1
1.5
1.1
1.2
1.2
1.6
1.2
1.6
9
39
21
30
4.1
11.2
9.4
12.6
74
29
9
7
121
Chart
PTH-1
Pathology
U.S. IMG
Matched
80
Not Matched
70
60
50
41
40
30
20
10
6
10
4
4
3
6
6
4
2
3
0
0
1
2
3
4
5
1
6
0
0
7
1
0
8
0
3
2
9
5
10
0
1
11
0
3
12
0
1
13
1
1
14
0
15
5
2
16 or
More
Contiguous Ranks
Non-U.S. IMG
80
Matched
71
70
Not Matched
60
50
40
30
25
24
18
20
16
10
10
17
11
4
2
3
4
3
0
0
1
15
11
5
6
3
7
6
7
2
8
2
9
4
3
10
12
6
1
11
5
0
12
1
0
13
2
0
14
2
1
15
5
16 or
More
Contiguous Ranks
122
Graph
PTH-1
Pathology
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
U.S. IMG
11
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
123
Chart
PTH-2
120
Pathology
U.S. IMG
Matched
Not Matched
100
80
60
40
51
41
20
8
5
0
1
6
0
2
4
0
3
4 or More
120
Non-U.S. IMG
115
Matched
103
Not Matched
100
80
60
40
29
28
20
5
4
0
1
2
3
2
1
4 or More
124
USMLE Step 1 Scores
Chart
PTH-3
Pathology
U.S. IMG
Matched
50
Not Matched
40
30
20
20
10
0
15
13
0
2
<= 180
4
3
Between 181
and 190
8
4
Between 191
and 200
Between 201
and 210
9
8
Between 211
and 220
9
4
Between 221
and 230
4
Between 231
and 240
6
1
Between 241
and 250
4
1
0
Between 251
and 260
0
>260
0
0
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
50
40
35
28
30
23
20
8
0
12
32
29
25
23
17
10
0
Not Matched
15
15
8
7
0
<= 180
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
7
3
Between 251
and 260
0
0
>260
0
0
Score Unknown
Step 1 Scores
125
Graph
PTH-2
1.00
Pathology-Anatomic and Clinical
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
Non-U.S. IMG
240
260
Step 1 Score
126
Chart
PTH-4
Patholog\
U.S. IMG
Matched
150
Not Matched
120
90
60
47
44
30
10
0
0
1
4
1
2
4
1
3
3
0
4
5
0
1
6 and mRUe
Step 1 Attempts
Non-U.S. IMG
150
148
Matched
Not Matched
120
120
90
60
30
9
3
0
1
2
6
0
1
0
3
4
0
0
5
0
0
6 and mRUH
Step 1 Attempts
127
Graph
PTH-3
Patholog\
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1
2
3
4
5
U.S. IMG
6
7
8
Non-U.S. IMG
Step 1 Attempts
128
Chart
PTH-5
Pathology-Anatomic and Clinical
U.S. IMG
Matched
Matched
50
40
Not
NotMatched
Matched
40
30
30
21
20
21
20
11
11
10
10
00
00
22
<=
<=180
180
11
9
9
13
13
11
11
10
10
9
9
11
Between
Between181
181
and
and190
190
44
33
Between
Between191
191
and
and200
200
Between
Between201
201
and
and210
210
Between
Between211
211
and
and220
220
Between
Between221
221
and
and230
230
7
7
7
7
22
Between
Between231
231
and
and240
240
11
Between
Between 241
241
and
and 250
250
11
Between
Between 251
251
and
and 260
260
2
0
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
Non-U.S. IMG
50
40
37
40
30
19
20
19
20
10
10
00
00
<=
<=180
180
44
8
8
Between
Between181
181
and
and190
190
21
16
16
21
Not
NotMatched
Matched
34
30
37
30
00
Matched
Matched
30
21
34
22
21
24
22
17
17
8
8
Between
Between191
191
and
and200
200
24
12
12
6
6
Between
Between201
201
and
and210
210
Between
Between211
211
and
and220
220
Between
Between221
221
and
and230
230
Between
Between231
231
and
and240
240
Between
Between 241
241
and
and 250
250
55
Between
Between 251
251
and
and 260
260
2
1
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
129
Graph
PTH-4
1.00
Pathology
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 2 CK Score
130
Chart
PTH-6
Pathology
U.S. IMG
Matched
150
Not Matched
120
90
60
47
42
30
14
3
0
1
5
1
2
1
0
3
1
0
4
1
0
5
6 and mRUH
Step 2 CK Attempts
Non-U.S. IMG
150
145
Matched
Not Matched
120
120
90
60
30
12
4
0
1
2
3
0
2
3
0
4
0
0
5
1
0
6 and mRUH
Step 2 CK Attempts
131
Chart
PTH-7
Pathology
U.S. IMG
Matched
150
Not Matched
120
90
60
46
39
30
15
4
1
4
2
0
2
1
3
1
0
4
0
5
0
3
6 and PRUH
Non-U.S. IMG
Matched
150
Not Matched
125
120
90
78
60
41
25
30
11
1
0
1
2
3
0
3
4
2
0
5
0
1
6 and PoUe
132
Chart
PTH-8
Pathology
U.S. IMG
60
Matched
Not Matched
50
40
30
20
14
14
10
3
0
0
less than 1
20
17
2 to 6
9
6
7
3
7 to 12
18
1
13 to 24
25 to 48
2
1
more than 48
no data
Non-U.S. IMG
60
Matched
51
50
47
41
40
34
28
30
0
28
21
20
10
Not Matched
12
10
3
12
0
less than 1
0
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
0
no data
133
Chart
PTH-9
Pathology
U.S. IMG
Matched
60
Not Matched
50
40
30
26
20
9
10
13
9
2
2
1
0
less than 1
1 to 2
3 to 5
16
12
10
4
2
6 to 10
11 to 15
2
16 to 25
5
25 or more
Non-U.S. IMG
Matched
60
Not Matched
55
50
40
40
35
30
0
33
26
23
20
20
10
33
8
6
3
0
less than 1
1 to 2
0
3 to 5
6 to 10
11 to 15
16 to 25
4
25 or more
134
Chart
PTH-10
Pathology
U.S. IMG
80
Matched
69
Not Matched
60
35
40
20
11
0
All Other
Grenada
Non-U.S. IMG
80
Matched
69
Not Matched
62
60
42
40
40
28
22
20
14
10
0
All Other
China
India
Iran
135
PD
Pediatrics
Table
PD-1
Summary Statistics
Pediatrics
U.S. IMG
Matched
(n=196)
Measure
Non-U.S. IMG
Unmatched
(n=151)
Matched
(n=278)
Unmatched
(n=382)
9
2
6
2
1.2
1.5
1.3
1.5
216
201
223
211
1.1
1.7
1.0
1.2
224
208
231
217
1.0
1.4
1.0
1.1
1.1
1.3
1.1
1.3
3
21
12
24
0.7
5.8
3.9
7.2
87
53
25
16
137
Chart
PD-1
Pediatrics
U.S. IMG
Matched
250
Not Matched
200
150
100
50
82
36
17
12 13
11
9
8
10
2
0
1
2
3
4
11
5
2
12
6
0
13
7
13
2
8
0
9
14
0
10
16
2
11
14
0
8
12
1
8
13
0
8
14
1
15
20
2
16 or
More
Contiguous Ranks
Non-U.S. IMG
250
Matched
222
Not Matched
200
150
100
50
78
40
39
30 30
28
11
29
13
19
4
0
1
2
3
4
5
6
18
3
7
10
11
2
8
0
9
14
10
8
10
11
1
11
12
2
6
0
13
5
1
14
2
0
15
6
7
16 or
More
Contiguous Ranks
138
Graph
PD-1
Pediatrics
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
U.S. IMG
11
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
139
Chart
PD-2
300
Pediatrics
U.S. IMG
Matched
Not Matched
250
200
163
150
92
100
50
46
29
10
3
0
1
2
1
0
3
4 or More
300
Non-U.S. IMG
Matched
258
250
Not Matched
214
200
150
87
100
53
50
26
11
1
2
9
0
0
3
4 or More
140
Chart
PD-3
USMLE Step 1 Scores
Pediatrics
U.S. IMG
Matched
100
Not Matched
90
80
70
60
51
50
40
30
30
0
38
29
37
29
29
18
20
10
49
0
1
<= 180
9
8
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
3
Between 231
and 240
11
1
Between 241
and 250
4
0
0
Between 251
and 260
0
>260
0
0
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
95
100
90
80
77
71
70
60
60
51
50
40
48
23
20
0
57
45
41
34
30
10
Not Matched
0
1
<= 180
22
6
Between 181
and 190
6
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
12
4
Between 251
and 260
6
1
>260
0
0
Score Unknown
Step 1 Scores
141
Graph
PD-2
1.00
Pediatrics
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 1 Score
142
Chart
PD-4
Pediatrics
U.S. IMG
Matched
350
Not Matched
300
250
200
180
150
100
76
50
51
11
1
15
4
0
2
5
1
3
4
0
4
5
0
0
6 and mRUe
Step 1 Attempts
Non-U.S. IMG
300
Matched
332
350
Not Matched
266
250
200
150
100
50
36
11
1
10
1
0
2
4
0
3
4
0
0
5
0
0
6 and mRUe
Step 1 Attempts
143
Graph
PD-3
1.00
Pediatrics
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1.0
1.5
2.0
2.5
3.0
U.S. IMG
3.5
4.0
4.5
5.0
Non-U.S. IMG
Step 1 Attempts
144
Chart
PD-5
Pediatrics
U.S. IMG
Matched
Matched
50
100
43
80
40
38
34
60
30
33
27
43
40
20
34
20
10
0
Not
NotMatched
Matched
45
44
0
2
2
<= 180
2
2
8
8
Between 181
and 190
12
44
38
45
21
33
16
27
9
9
16
12
21
9
9
0
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
0
Between 251
and 260
3
3
1
>260
0
0
Score
Unknown
Step
Step 2
2 Scores
CK Scores
Non-U.S. IMG
51
50
100
83
88
57
Matched
Matched
37
60
30
51
68
23
37
20
10
0
1
<= 180
2
2
11
10
11
10
Between 181
and 190
Between 191
and 200
45
44
45
44
65
57
40
20
0
Not
Not65
Matched
Matched
88
83
40
80
68
23
Between 201
and 210
26
20
20
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
14
26
8
8
Between 251
and 260
14
7
7
>260
0
0
Score
Unknown
Step
Step 2
2 Scores
CK Scores
145
Graph
PD-4
1.00
Pediatrics
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 2 CK Score
146
Chart
PD-6
Pediatrics
U.S. IMG
Matched
350
Not Matched
300
250
200
189
150
103
100
35
50
5
0
1
11
2
2
1
0
3
0
0
4
1
0
5
6 and mRUe
Step 2 CK Attempts
Non-U.S. IMG
344
350
300
Matched
Not Matched
271
250
200
150
100
50
32
7
0
1
5
0
2
0
0
3
4
0
0
5
1
0
6 and mRUH
Step 2 CK Attempts
147
Chart
PD-7
Pediatrics
U.S. IMG
Matched
300
Not Matched
250
200
186
150
114
100
50
25
9
1
9
1
0
2
1
0
3
1
0
4
5
0
1
6 and PRUe
Non-U.S. IMG
250
Matched
285
300
Not Matched
255
200
150
100
80
50
19
1
14
4
0
2
3
0
3
4
0
0
5
0
0
6 and mRUH
148
Chart
PD-8
Pediatrics
U.S. IMG
120
100
Matched
Not Matched
92
80
68
60
40
28
15
20
19
25
35
31
16
11
1
0
0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
6
0
more than 48
no data
Non-U.S. IMG
120
111
111
Matched
104
Not Matched
100
89
80
67
57
60
20
38
33
40
18
18
6
4
0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
3
1
no data
149
Chart
PD-9
Pediatrics
U.S. IMG
150
Matched
139
Not Matched
120
90
60
32
30
42
40
24
22
9
16
4
2
0
less than 1
1 to 2
3 to 5
6 to 10
14
0
11 to 15
0
16 to 25
2
25 or more
Non-U.S. IMG
Matched
150
132
117
120
90
60
Not Matched
85
80
57
48
41
30
51
12
9
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
21
2
16 to 25
1
3
25 or more
150
Chart
PD-10
Pediatrics
U.S. IMG
Matched
180
150
120
90
60
30
0
83
51
18
All Other
15
Antigua And Barbuda
Not Matched
55
38
20
19
Dominica
18
Grenada
14
Israel
Pakistan
16
Sint Maarten
Non-U.S. IMG
180
150
120
90
60
30
0
Matched
170
137
Not Matched
123
64
13
All Other
China
11
Egypt
12
11
Grenada
India
10
11
10
Jordan
Lebanon
Libya
19
Nigeria
37
Pakistan
11
Philippines
11
Syria
10
Venezuela
151
PM
Table
PM-1
Summary Statistics
U.S. IMG
Matched
(n=40)
Measure
Non-U.S. IMG
Unmatched
(n=43)
Matched
(n=21)
Unmatched
(n=26)
8
3
5
2
1.8
1.8
1.8
1.9
223
207
220
211
1.1
1.3
1.1
1.5
231
212
225
210
1.1
1.5
1.0
1.4
1.0
1.1
1.1
1.3
7
13
23
36
1.4
1.8
7.3
11.3
83
74
38
12
153
Chart
PM-1
U.S. IMG
Matched
20
Not Matched
18
16
14
14
12
12
10
8
6
4
6
4
3
2
2
3
2
3
2
0
0
1
2
3
4
3
3
4
4
1
5
2
1
6
7
2
1
0
8
5
4
9
2
0
10
0
11
0
12
0
0
13
0
14
0
15
0
16 or
More
Contiguous Ranks
Non-U.S. IMG
Matched
20
18
Not Matched
16
16
14
12
10
7
8
6
4
4
4
4
2
2
0
0
1
2
3
1
0
4
2
1
0
5
2
0
6
0
7
0
0
0
8
9
1
0
10
1
0
11
0
0
12
1
0
13
0
0
14
1
0
15
0
0
16 or
More
Contiguous Ranks
154
Graph
PM-1
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
U.S. IMG
11
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
155
Chart
PM-2
20
18
U.S. IMG
19
Matched
17
16
15
16
Not Matched
14
12
10
7
8
6
6
4
2
1
2
0
1
2
3
4 or More
20
Non-U.S. IMG
Matched
Not Matched
18
16
14
12
10
10
10
10
8
6
5
6
5
4
2
1
0
0
1
2
3
4 or More
156
USMLE Step 1 Scores
Chart
PM-3
U.S. IMG
Matched
20
17
18
Not Matched
16
14
12
10
10
8
8
5
6
0
7
5
3
3
4
2
7
6
0
0
<= 180
3
4
1
4
0
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
0
0
Between 251
and 260
0
>260
0
0
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
20
Not Matched
18
16
14
12
9
10
7
8
6
4
4
2
0
2
0
0
<= 180
0
Between 181
and 190
8
4
3
2
1
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
2
3
Between 231
and 240
1
0
Between 241
and 250
1
0
Between 251
and 260
0
0
>260
0
0
Score Unknown
Step 1 Scores
157
Graph
PM-2
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
180
190
200
210
220
U.S. IMG
230
240
250
260
Non-U.S. IMG
Step 1 Score
158
Chart
PM-4
U.S. IMG
40
Matched
38
Not Matched
34
35
30
25
20
15
10
5
5
2
0
0
1
4
2
0
3
0
0
4
0
5
0
0
6 and moUe
Step 1 Attempts
Non-U.S. IMG
Matched
40
Not Matched
35
30
25
20
21
19
15
10
5
2
2
0
1
2
1
0
1
0
3
4
0
0
5
0
1
6 and mRre
Step 1 Attempts
159
Graph
PM-3
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1
2
3
4
U.S. IMG
5
6
Non-U.S. IMG
Step 1 Attempts
160
Chart
PM-5
U.S. IMG
Matched
Matched
50
20
40
15
14
30
9
10
20
6
5
10
00
Not
NotMatched
Matched
00
00
<=
<=180
180
1
1
1
1
Between
Between181
181
and
and190
190
6
00
Between
Between191
191
and
and200
200
14
9
2
2
Between
Between201
201
and
and210
210
10
9
10
9
Between
Between211
211
and
and220
220
10
9
10
Between
Between221
221
and
and230
230
9
5
4
2
2
Between
Between231
231
and
and240
240
4
00
Between
Between 241
241
and
and 250
250
1
1
5
00
Between
Between 251
251
and
and 260
260
0
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
Non-U.S. IMG
Matched
Matched
50
20
Not
NotMatched
Matched
40
15
30
10
20
5
5
10
00
5
00
00
<=
<=180
180
00
Between
Between181
181
and
and190
190
2
2
3
3
Between
Between191
191
and
and200
200
4
4
5
5
Between
Between201
201
and
and210
210
5
2
2
5
Between
Between211
211
and
and220
220
4
4
4
4
4
4
4
4
4
4
Between
Between221
221
and
and230
230
Between
Between231
231
and
and240
240
00
Between
Between 241
241
and
and 250
250
1
1
00
Between
Between 251
251
and
and 260
260
0
0
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
161
Graph
PM-4
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
180
200
220
240
U.S. IMG
260
280
Non-U.S. IMG
Step 2 CK Score
162
Chart
PM-6
U.S. IMG
40
Matched
38
35
Not Matched
31
30
25
20
15
10
6
5
2
0
0
1
5
2
0
0
3
0
0
4
1
0
5
6 and moUe
Step 2 CK Attempts
Non-U.S. IMG
Matched
40
Not Matched
35
30
25
20
22
20
15
10
5
2
1
0
1
2
0
0
1
0
3
4
0
0
5
1
0
6 and mRUH
Step 2 CK Attempts
163
Chart
PM-7
U.S. IMG
Matched
50
40
39
Not Matched
38
30
20
10
5
1
0
1
0
0
2
0
0
3
0
0
4
5
0
0
6 and mRUe
Non-U.S. IMG
Matched
50
Not Matched
40
30
20
19
18
10
7
2
1
1
0
0
2
0
3
0
4
0
0
5
0
0
6 and mRUH
164
Chart
PM-8
U.S. IMG
20
Matched
18
16
14
16
14
Not Matched
15
12
10
8
6
6
6
7
6
4
3
2
2
1
0
0
less than 1
2 to 6
7 to 12
13 to 24
3
25 to 48
2
more than 48
2
no data
Non-U.S. IMG
20
Matched
Not Matched
18
16
14
12
10
7
8
5
6
4
3
5
3
3
3
4
2
2
2
7
3
0
0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
0
no data
165
Chart
PM-9
U.S. IMG
Matched
30
25
Not Matched
25
22
20
15
13
10
10
5
4
2
1 to 2
3
0
0
0
less than 1
3
3 to 5
6 to 10
11 to 15
0
1
16 to 25
0
0
25 or more
Non-U.S. IMG
Matched
30
Not Matched
25
20
15
10
5
7
3
5
1
1
2
8
6
3
2
5
2
1
1
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
16 to 25
25 or more
166
Chart
PM-10
U.S. IMG
Matched
50
40
29
30
Not Matched
29
20
14
11
10
0
All Other
Dominica
Non-U.S. IMG
Matched
50
Not Matched
40
30
20
26
21
10
0
All Other
167
P
Psychiatry
Table
P-1
Summary Statistics
Psychiatry
U.S. IMG
Matched
(n=203)
Measure
Non-U.S. IMG
Unmatched
(n=256)
Matched
(n=163)
Unmatched
(n=277)
6
2
5
2
1.4
1.4
1.2
1.3
205
198
214
205
1.4
2.2
1.2
1.4
211
202
219
208
1.4
1.9
1.1
1.3
1.2
1.5
1.2
1.4
18
41
20
36
3.8
8.3
6.0
9.9
73
49
26
14
169
Chart
P-1
Psychiatry
U.S. IMG
160
Matched
147
Not Matched
140
120
100
80
60
52
51
40
27 22
20
20
10
7
16
6
9
2
0
1
2
3
4
5
11
6
2
7
7
5
3
8
3
13
9
6
11
10
1
4
11
0
4
12
1
4
13
0
5
14
1
15
6
3
16 or
More
Contiguous Ranks
Non-U.S. IMG
Matched
154
160
Not Matched
140
120
100
80
60
40
47
35
20
20
28
16
18
10
11 10
14
7
11
4
9
0
1
2
3
4
5
6
7
10
1
8
0
9
4
2
10
6
1
11
4
0
12
5
0
13
5
1
14
1
0
15
2
4
16 or
More
Contiguous Ranks
170
Graph
P-1
Psychiatry
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
U.S. IMG
11
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
171
Chart
P-2
220
Psychiatry
U.S. IMG
Matched
200
184
180
160
140
Not Matched
135
120
100
80
56
60
50
40
16
11
20
0
1
2
4
1
3
4 or More
220
Non-U.S. IMG
214
Matched
200
Not Matched
180
160
140
135
120
100
80
60
41
40
21
20
17
5
0
1
2
3
4
2
4 or More
172
Chart
P-3
USMLE Step 1 Scores
Psychiatry
U.S. IMG
100
90
Matched
93
76
80
70
64
60
46
50
37
35
40
25
30
20
10
0
Not Matched
1
26
19
10
3
<= 180
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
12
4
Between 231
and 240
2
4
Between 241
and 250
1
0
0
Between 251
and 260
0
>260
0
1
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
100
90
Not Matched
83
80
70
57
60
40
34
36
30
0
31
21
20
10
49
46
50
26
10
0
17
12
0
<= 180
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
8
3
Between 241
and 250
5
0
Between 251
and 260
1
1
>260
0
0
Score Unknown
Step 1 Scores
173
Graph
P-2
1.00
Psychiatry
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 1 Score
174
Chart
P-4
Psychiatry
U.S. IMG
Matched
210
Not Matched
180
150
147
120
107
90
71
60
38
33
30
21
17
3
0
1
2
3
7
2
4
5
1
12
6 and PRUe
Step 1 Attempts
Non-U.S. IMG
206
210
Matched
Not Matched
180
150
137
120
90
51
60
20
30
14
6
1
2
3
0
0
3
4
1
0
5
0
2
6 and PRUe
Step 1 Attempts
175
Graph
P-3
Psychiatry
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1
2
3
4
5
U.S. IMG
6
7
8
Non-U.S. IMG
Step 1 Attempts
176
Chart
P-5
Psychiatry
U.S. IMG
50
100
90
79
46
70
50
16
30
20
10
0
6
6
<= 180
40
30
24
24
16
Between 181
and 190
Between 191
and 200
Not
NotMatched
Matched
69
46
40
20
Matched
Matched
40
65
30
60
30
0
69
79
80
40
10
65
Between 201
and 210
Between 211
and 220
28
28
18
17
18
17
Between 221
and 230
9
9
Between 231
and 240
6
6
1
Between 241
and 250
1
2
2
Between 251
and 260
0
0
>260
0
2
2
Score
Unknown
Step
Step 2
2 Scores
CK Scores
Non-U.S. IMG
60
50
100
78
90
78
40
80
70
50
29
29
30
9
9
20
10
0
Not
NotMatched
Matched
39
32
32
48
20
40
20
0
60
29
60
30
10
Matched
48Matched
29
32
32
39
20
17
17
17
17
0
<= 180
Between 181
and 190
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
14
14
5
5
Between 241
and 250
7
7
1
Between 251
and 260
3
3
0
>260
0
0
Score
Unknown
Step
Step 2
2 Scores
CK Scores
177
Graph
P-4
1.00
Psychiatry
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
140
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 2 CK Score
178
Chart
P-6
Psychiatry
U.S. IMG
Matched
210
180
150
Not Matched
153
133
120
90
64
60
40
36
30
7
0
1
2
12
3
3
3
4
2
5
1
5
6 and PRUe
Step 2 CK Attempts
Non-U.S. IMG
204
210
Matched
Not Matched
180
150
146
120
90
54
60
30
15
0
1
16
2
2
2
0
3
4
1
0
5
0
0
6 and PoUe
Step 2 CK Attempts
179
Chart
P-7
Psychiatry
U.S. IMG
Matched
200
180
173
Not Matched
162
160
140
120
100
72
80
60
40
24
20
17
4
0
1
2
2
3
1
1
0
4
5
0
3
6 and moUe
Non-U.S. IMG
Matched
191
200
Not Matched
180
160
140
137
120
100
80
69
60
40
22
20
14
3
0
1
2
2
1
3
4
1
0
5
0
0
6 and mRre
180
Chart
P-8
Psychiatry
U.S. IMG
100
Matched
Not Matched
90
82
80
70
50
40
61
58
60
44
41
30
21
15
20
25
27
29
26
23
10
6
1
0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
no data
Non-U.S. IMG
100
Matched
Not Matched
93
90
80
70
60
51
50
40
33
30
20
10
66
63
23
7
36
32
16
14
4
less than 1
2
0
0
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
no data
181
Chart
P-9
Psychiatry
U.S. IMG
Matched
140
Not Matched
120
100
80
71
64
63
60
47
44
40
26
17
20
35
18
35
11
10
3
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
16 to 25
11
25 or more
Non-U.S. IMG
Matched
140
116
120
Not Matched
100
80
58
60
40
20
37
30
15
8
54
42
17
7
45
6
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
16 to 25
0
2
25 or more
182
Chart
P-10
Psychiatry
U.S. IMG
120
100
80
60
40
20
0
Matched
104
Not Matched
82
19
All Other
15
Antigua And
Barbuda
18
10
Bangladesh
Cayman Islands
34
23
Dominica
27
14
Grenada
13
25
23
India
Pakistan
12
16
13
Saint Kitts And
Nevis
11
Sint Maarten
Non-U.S. IMG
120
100
80
60
40
20
0
Matched
114
109
Not Matched
90
44
41
16
All Other
China
16
India
Nigeria
10
Pakistan
183
DR
Table
DR-1
Summary Statistics
U.S. IMG
Matched
(n=55)
Measure
Non-U.S. IMG
Unmatched
(n=47)
Matched
(n=66)
Unmatched
(n=63)
6
3
4
3
2.1
1.7
1.7
1.8
237
223
232
219
1.0
1.1
1.0
1.2
241
223
238
220
1.0
1.2
1.0
1.2
1.1
1.3
1.1
1.3
13
30
23
41
1.4
6.3
6.2
7.9
73
53
21
14
185
Chart
DR-1
U.S. IMG
Matched
50
Not Matched
40
30
26
20
10
9
8
5
7
6
8
2
5
1
0
1
2
3
4
5
0
5
1
6
0
1
7
2
0
8
0
2
9
1
1
10
1
3
11
1
4
12
1
0
0
13
1
14
0
15
1
0
16 or
More
Contiguous Ranks
Non-U.S. IMG
Matched
50
Not Matched
38
40
30
20
15
14
8
10
7
6
7
2
3
2
5
1
0
1
2
3
4
5
6
4
0
7
3
3
1
8
0
9
1
1
10
3
0
11
0
0
12
1
0
13
1
0
14
1
1
15
0
1
16 or
More
Contiguous Ranks
186
Graph
DR-1
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
U.S. IMG
11
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
187
Chart
DR-2
50
U.S. IMG
Matched
Not Matched
40
30
25
22
20
16
14
9
10
8
4
4
0
1
2
3
4 or More
50
Non-U.S. IMG
40
Matched
Not Matched
36
33
30
19
20
12
9
10
10
8
2
0
1
2
3
4 or More
188
USMLE Step 1 Scores
Chart
DR-3
U.S. IMG
Matched
30
Not Matched
25
20
15
15
11
10
7
5
0
3
0
0
<= 180
0
Between 181
and 190
Between 191
and 200
10
9
7
2
0
13
4
4
10
4
3
0
0
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
Between 251
and 260
>260
0
0
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
30
Not Matched
25
19
20
15
10
10
5
5
0
0
0
<= 180
6
10
7
4
6
12
8
10
11
6
2
1
Between 181
and 190
Between 191
and 200
Between 201
and 210
7
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
Between 251
and 260
4
1
>260
0
0
Score Unknown
Step 1 Scores
189
Graph
DR-2
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
180
200
220
240
U.S. IMG
Non-U.S. IMG
260
280
Step 1 Score
190
Chart
DR-4
U.S. IMG
Matched
80
Not Matched
70
60
54
50
42
40
30
20
10
4
1
0
1
1
0
2
0
3
0
0
4
0
5
0
0
6 and moUe
Step 1 Attempts
Non-U.S. IMG
Matched
80
70
Not Matched
65
60
50
50
40
30
20
13
10
1
0
1
0
2
0
0
3
0
4
0
0
5
0
0
6 and moUe
Step 1 Attempts
191
Graph
DR-3
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0.8
1.2
1.6
2.0
U.S. IMG
2.4
2.8
3.2
Non-U.S. IMG
Step 1 Attempts
192
Chart
DR-5
U.S. IMG
Matched
Matched
50
40
Not
NotMatched
Matched
40
30
30
20
20
8
8
10
10
00
00
00
<=
<=180
180
11
00
Between
Between181
181
and
and190
190
22
00
Between
Between191
191
and
and200
200
6
6
Between
Between201
201
and
and210
210
7
7
6
6
6
6
Between
Between211
211
and
and220
220
9
9
8
8
Between
Between221
221
and
and230
230
11
11
Between
Between231
231
and
and240
240
10
10
13
13
55
Between
Between 241
241
and
and 250
250
33
Between
Between 251
251
and
and 260
260
7
7
0
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
Non-U.S. IMG
Matched
Matched
50
40
Not
NotMatched
Matched
40
30
30
20
20
13
13
10
10
00
00
00
<=
<=180
180
22
55
Between
Between181
181
and
and190
190
7
7
22
Between
Between191
191
and
and200
200
33
Between
Between201
201
and
and210
210
6
6
10
10
9
9
11
11
9
9
8
8
13
13
8
8
11
11
8
8
22
Between
Between211
211
and
and220
220
Between
Between221
221
and
and230
230
Between
Between231
231
and
and240
240
Between
Between 241
241
and
and 250
250
Between
Between 251
251
and
and 260
260
2
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
193
Graph
DR-4
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
180
200
220
240
U.S. IMG
260
280
300
Non-U.S. IMG
Step 2 CK Score
194
Chart
DR-6
U.S. IMG
Matched
80
Not Matched
70
60
54
50
41
40
30
20
10
2
1
0
1
3
0
2
1
0
3
0
4
0
0
5
0
6 and moUe
Step 2 CK Attempts
Non-U.S. IMG
Matched
80
70
Not Matched
66
56
60
50
40
30
20
10
4
0
0
1
2
2
0
1
0
3
4
0
0
5
0
0
6 and moUe
Step 2 CK Attempts
195
Chart
DR-7
U.S. IMG
Matched
80
Not Matched
70
60
50
51
40
35
30
20
10
10
3
1
2
0
0
2
0
3
0
0
4
0
5
1
0
6 and moUe
Non-U.S. IMG
Matched
80
70
60
Not Matched
61
46
50
40
30
20
13
10
4
1
2
1
0
2
1
0
3
4
0
0
5
0
1
6 and mRre
196
Chart
DR-8
30
U.S. IMG
Matched
26
Not Matched
25
20
16
15
13
11
10
10
5
5
3
3
1
6
5
2
1
0
0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
no data
Non-U.S. IMG
30
Matched
Not Matched
25
20
20
22
19
18
15
9
10
5
0
6
5
1
8
10
10
0
less than 1
1
0
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
no data
197
Chart
DR-9
U.S. IMG
Matched
50
40
Not Matched
41
30
20
13
10
12
8
5
3
3
3
1
0
less than 1
1 to 2
3 to 5
7
6 to 10
3
11 to 15
1
0
16 to 25
1
25 or more
Non-U.S. IMG
Matched
50
Not Matched
40
30
24
22
20
10
0
16
18
13
8
7
4
1
less than 1
1 to 2
4
3 to 5
6 to 10
11 to 15
4
3
16 to 25
1
0
25 or more
198
Chart
DR-10
U.S. IMG
47
50
Matched
Not Matched
40
30
24
20
19
12
10
0
All Other
Dominica
Grenada
Non-U.S. IMG
50
40
47
41
Matched
Not Matched
30
20
16
15
10
10
0
All Other
India
Iran
199
GS
Surgery-General
Table
GS-1
Summary Statistics
Surgery-General
U.S. IMG
Matched
(n=119)
Measure
Non-U.S. IMG
Unmatched
(n=123)
Matched
(n=158)
Unmatched
(n=150)
4
2
3
3
1.2
1.4
1.2
1.4
227
216
233
221
1.0
1.3
1.0
1.1
234
216
240
224
1.0
1.2
1.0
1.1
1.0
1.2
1.1
1.2
8
19
16
24
1.1
2.7
4.4
6.3
81
74
20
21
201
Chart
GS-1
Surgery-General
U.S. IMG
Matched
100
Not Matched
90
80
70
62
60
50
40
30
34
30
24
12 15
20
10
15
5
12
3
0
1
2
3
4
2
5
0
7
6
1
3
7
1
0
8
1
5
9
1
1
10
0
0
11
0
3
12
0
3
13
0
0
14
0
15
1
1
16 or
More
Contiguous Ranks
Non-U.S. IMG
Matched
94
100
Not Matched
90
80
70
60
50
47
34
40
27
30
20
24
22
11
10
4
10
1
0
1
2
3
4
5
6
1
6
5
0
7
5
1
1
8
1
9
4
3
10
0
0
11
0
0
12
0
0
13
0
0
14
1
0
15
1
5
16 or
More
Contiguous Ranks
202
Graph
GS-1
Surgery-General
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0
1
2
3
4
5
6
7
8
9
10
U.S. IMG
11
12
13
14
15
16
17
18
19
20
Non-U.S. IMG
203
Chart
GS-2
150
Surgery-General
U.S. IMG
Matched
Not Matched
120
99
90
80
60
35
30
18
7
2
0
1
2
1
0
3
4 or More
150
Non-U.S. IMG
Matched
127
120
Not Matched
103
90
60
34
26
30
9
4
0
1
2
3
2
1
4 or More
204
USMLE Step 1 Scores
Chart
GS-3
Surgery-General
U.S. IMG
Matched
50
Not Matched
40
30
22
20
10
0
14
10
0
0
<= 180
25
31
27
20
24
18
19
11
10
4
0
Between 181
and 190
3
Between 191
and 200
Between 201
and 210
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
2
2
Between 251
and 260
0
>260
0
0
Score Unknown
Step 1 Scores
Non-U.S. IMG
Matched
50
Not Matched
30
25
20
17
10
0
39
38
40
0
0
<= 180
3
7
Between 181
and 190
6
Between 191
and 200
25
28
22
24
16
20
15
10
Between 201
and 210
7
Between 211
and 220
Between 221
and 230
Between 231
and 240
Between 241
and 250
Between 251
and 260
4
2
>260
0
0
Score Unknown
Step 1 Scores
205
Graph
GS-2
1.00
Surgery-General
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
180
200
220
240
U.S. IMG
Non-U.S. IMG
260
280
Step 1 Score
206
Chart
GS-4
Surgery-General
U.S. IMG
Matched
160
Not Matched
140
120
117
105
100
80
60
40
20
10
2
0
1
5
0
2
2
0
3
0
4
0
5
0
1
6 and moUe
Step 1 Attempts
Non-U.S. IMG
160
Matched
153
Not Matched
134
140
120
100
80
60
40
20
12
3
0
1
2
3
2
1
0
3
4
0
0
5
0
0
6 and mRUH
Step 1 Attempts
207
Graph
GS-3
Surgery-General
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
1
2
3
4
U.S. IMG
5
6
Non-U.S. IMG
Step 1 Attempts
208
Chart
GS-5
Surgery-General
U.S. IMG
Matched
Matched
50
50
Not
NotMatched
Matched
40
40
30
30
30
30
20
20
20
20
00
00
22
<=
<=180
180
00
22
Between
Between181
181
and
and190
190
55
20
20
16
16
14
14
10
10
29
29
26
26
25
25
15
15
99
55
Between
Between191
191
and
and200
200
12
12
8
33
Between
Between201
201
and
and210
210
Between
Between211
211
and
and220
220
Between
Between221
221
and
and230
230
Between
Between231
231
and
and240
240
Between
Between 241
241
and
and 250
250
Between
Between 251
251
and
and 260
260
1
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
Non-U.S. IMG
Matched
Matched
50
50
Not
NotMatched
Matched
40
40
37
37
28
28
30
30
20
20
27
27
27
27
88
00
11
<=
<=180
180
11
Between
Between181
181
and
and190
190
Between
Between191
191
and
and200
200
20
19
19
12
12
11
11
44
29
29
26
26
17
17
10
10
00
24
24
99
44
Between
Between201
201
and
and210
210
4
Between
Between211
211
and
and220
220
Between
Between221
221
and
and230
230
Between
Between231
231
and
and240
240
Between
Between 241
241
and
and 250
250
Between
Between 251
251
and
and 260
260
>260
0
0
Score
Unknown
Step22CK
Scores
Step
Scores
209
Graph
GS-4
1.00
Surgery-General
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
160
180
200
220
U.S. IMG
240
260
280
Non-U.S. IMG
Step 2 CK Score
210
Chart
GS-6
Surgery-General
U.S. IMG
Matched
160
140
120
Not Matched
118
105
100
80
60
40
20
10
1
0
1
8
0
2
0
3
0
0
4
0
0
5
0
6 and PoUe
Step 2 CK Attempts
Non-U.S. IMG
160
153
Matched
142
140
Not Matched
120
100
80
60
40
20
6
5
0
1
2
1
0
0
3
0
4
1
0
5
0
0
6 and moUe
Step 2 CK Attempts
211
Chart
GS-7
Surgery-General
U.S. IMG
Matched
140
120
Not Matched
116
103
100
80
60
40
17
20
2
0
1
1
1
2
0
0
3
0
0
4
5
0
2
6 and moUe
Non-U.S. IMG
140
139
Not Matched
120
120
Matched
100
80
60
40
28
17
20
2
0
1
2
2
0
3
0
4
0
0
5
0
0
6 and mRre
212
Chart
GS-8
Surgery-General
U.S. IMG
Matched
Not Matched
70
60
50
40
39
30
36
32
20
18
20
15
21
17
10
10
16
13
1
0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
3
1
more than 48
no data
Non-U.S. IMG
Matched
70
60
40
10
48
36
29
30
20
57
51
50
Not Matched
8
24
19
16
13
4
2
0
less than 1
2 to 6
7 to 12
13 to 24
25 to 48
more than 48
1
0
no data
213
Chart
GS-9
Surgery-General
U.S. IMG
Matched
80
70
66
Not Matched
62
60
50
41
40
30
30
20
15
6
10
9
4
2
2
0
less than 1
1 to 2
3 to 5
6 to 10
11 to 15
0
5
16 to 25
0
0
25 or more
Non-U.S. IMG
Matched
80
68
70
Not Matched
60
50
36
40
10
30
27
30
20
47
43
13
10
7
14
1
0
less than 1
11
1 to 2
3 to 5
6 to 10
11 to 15
16 to 25
0
0
25 or more
214
Chart
GS-10
Surgery-General
U.S. IMG
Matched
120
100
80
60
40
20
0
Not Matched
62
47
All Other
41
32
31
19
Dominica
10
Grenada
Sint Maarten
Non-U.S. IMG
120
100
80
60
40
20
0
97
Matched
102
14
All Other
Egypt
Not Matched
22
10
22
Grenada
India
18
12
Pakistan
11
Venezuela
215

Charting Outcomes in the Match

Transcription

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