All Specialties

Specialty Guide

Emergency Medicine

Competitive

242–256

Step 2 Range

248

Avg Step 2

~2,800

Total Spots

~84%

Match Rate

A high-energy specialty with strong applicant demand. Programs prioritize clinical skills, temperament, and genuine interest in emergency settings over research productivity.

Competitive for IMGs

IMGs face a steeper climb in Emergency Medicine. Research, Sub-Is, and US clinical rotations are near-mandatory for competitive applicants.

Key Facts

Annual Positions~2,800
Avg Step 2 (Matched)~248
Overall Match Rate~84%
IMG Match Rate<10%
Training Length3–4 years

What Programs Weigh Most

Step 2 scoreEM clerkship performanceLetters from EM physiciansProcedural aptitudeInterpersonal skills

Match Strategy

EM programs place enormous weight on interpersonal skills and the ability to function in high-stress, fast-paced environments. Research matters less than in most competitive specialties. Programs actively look for applicants who have spent time in EDs and understand what the specialty actually involves. Academic EM programs are significantly more competitive than community programs.

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