All Specialties

Specialty Guide

Psychiatry

Moderately Competitive

232–248

Step 2 Range

238

Avg Step 2

~1,800

Total Spots

~90%

Match Rate

A growing specialty with excellent opportunities for both US and international graduates. Strong interpersonal skills and genuine commitment to mental health care are highly valued.

IMG-Friendly

Psychiatry 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~1,800
Avg Step 2 (Matched)~238
Overall Match Rate~90%
IMG Match Rate~45-50%
Training Length4 years

What Programs Weigh Most

Step 2 scorePsychiatry clerkship performanceInterpersonal skillsCommitment to mental healthLetters from psychiatrists

Match Strategy

Psychiatry is experiencing genuine specialty growth driven by the mental health crisis, which creates real opportunity. Programs place significant weight on interpersonal qualities and the ability to engage with patients therapeutically. A coherent, authentic narrative about choosing psychiatry — particularly one that doesn't frame it as a fallback — resonates strongly with programs. IMGs are well-represented and programs often have robust visa sponsorship infrastructure.

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