All SpecialtiesHighly Competitive
Specialty Guide
Orthopedic Surgery
252–265
Step 2 Range
257
Avg Step 2
~850
Total Spots
~72%
Match Rate
Among the most competitive surgical specialties, with approximately 850 positions. Strong emphasis on both academic metrics and demonstrated hands-on aptitude.
Competitive for IMGs
IMGs face a steeper climb in Orthopedic Surgery. Research, Sub-Is, and US clinical rotations are near-mandatory for competitive applicants.
Key Facts
Annual Positions~850
Avg Step 2 (Matched)~257
Overall Match Rate~72%
IMG Match Rate<5%
Training Length5 years
What Programs Weigh Most
Step 2 scoreSurgery clerkship gradesResearchAway rotation performanceLetters from orthopedic surgeons
Match Strategy
Orthopedics is an early-decision specialty — competitive applicants often make their choice by end of MS2. Research productivity matters more here than in most surgical fields. Away rotations are essentially mandatory for programs outside your home institution. Physical demands and the 'fit' factor are weighted more explicitly than in most specialties.