All Specialties

Specialty Guide

Neurology

Moderately Competitive

235–252

Step 2 Range

242

Avg Step 2

~700

Total Spots

~88%

Match Rate

A moderately competitive specialty with notable IMG representation and strong intellectual culture. Academic and community programs have meaningfully different selection criteria.

IMG-Friendly

Neurology programs routinely match IMGs. Strong board scores and clinical experience in the US remain important, but the door is genuinely open.

Key Facts

Annual Positions~700
Avg Step 2 (Matched)~242
Overall Match Rate~88%
IMG Match Rate~35-40%
Training Length4 years (incl. intern year)

What Programs Weigh Most

Step 2 scoreNeurology clerkship performanceResearch (academic programs)Letters from neurologistsIntellectual curiosity signals

Match Strategy

Neurology is one of the more IMG-friendly specialties among those above the primary care tier. Programs genuinely value intellectual interest in complex neurological problems — applicants who demonstrate curiosity about mechanism and pathophysiology fare better than those who frame it as a lifestyle choice. Research is valued, particularly at academic centers with active neuroscience programs.

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