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Medical Specialization in United States

Medical Residency in USA 🇺🇸

Join 9,000+ international medical graduates who matched into US residency programs. Navigate USMLE, Match process, and build a prestigious medical career in America.

IMG Positions Filled 2025
IMG Match Rate
Average Resident Salary
Attending Physician Salary
9,045
IMG Positions Filled 2025
61.2%
IMG Match Rate
$65,000
Average Resident Salary
$300,000+
Attending Physician Salary
Key Advantages

Why United States for Medical PG?

Discover what makes United States stand out for medical specialization

Highest Physician Salaries Globally

$200,000-500,000+ as attending physician. Even residents earn $60,000-75,000 during training.

Cutting-Edge Medical Technology

Access to latest medical innovations, research opportunities, and state-of-the-art facilities.

Global Medical Recognition

US medical training is recognized worldwide. Practice anywhere with American credentials.

Research & Innovation Hub

Home to top medical journals, breakthrough research, and medical innovation centers.

Diverse Career Pathways

Academic medicine, private practice, hospital employment, or locum tenens - multiple options.

Path to Permanent Residency

Multiple green card pathways for physicians including EB-1, EB-2 NIW, and Conrad 30 program.

Requirements

USMLE Step-by-Step Examination Guide

Three-step examination system for US medical licensing - most critical factor for IMG matching

USMLE Step 1

Tests basic medical science knowledge and principles. Changed to Pass/Fail in 2022 but still critical foundation.

$1,000
Cost
8 hours
Duration
85-90% for IMGs
Pass Rate
4-8 months intensive
Prep Time

Content Areas:

Anatomy & Embryology (12-16%)
Behavioral Sciences (12-16%)
Biochemistry & Nutrition (12-16%)
Microbiology & Immunology (12-16%)
Pathology (12-16%)
Pharmacology (12-16%)
Physiology (12-16%)
Interdisciplinary Topics (25-35%)

Preparation Tips:

Use First Aid + UWorld + Pathoma combination
Take multiple NBME practice tests
Focus on understanding concepts, not memorization

USMLE Step 2 CK (Clinical Knowledge)

Most important exam for IMGs - directly impacts matching success. Tests clinical knowledge and patient care.

$1,000
Cost
9 hours
Duration
85-90% for IMGs
Pass Rate
3-6 months after Step 1
Prep Time

Content Areas:

Internal Medicine (25-30%)
Surgery (15-20%)
Pediatrics (15-20%)
Obstetrics & Gynecology (10-15%)
Psychiatry (10-15%)
Emergency Medicine (5-10%)
Family Medicine (5-10%)

Preparation Tips:

Target 245+ for competitive specialties
UWorld CK is essential - do it twice
Take within 1 year of Step 1

USMLE Step 3

Taken during first year of residency (PGY-1). Tests ability to practice unsupervised medicine.

$875
Cost
2 days total
Duration
95%+ for residents
Pass Rate
2-3 months during residency
Prep Time

Content Areas:

Day 1: 233 multiple choice questions
Day 2: 180 multiple choice + 13 CCS cases
Computer Case Simulations (CCS)
Clinical decision making

Preparation Tips:

Usually easier than Step 2 CK
Practice CCS cases extensively
Take during intern year when clinical knowledge is fresh
Your Journey

Complete Guide to US Residency Match Process

Timeline: 18-month journey from planning to matching

1

USMLE Preparation & Exams

12-18 months$3,000-5,000

Pass Step 1 (Pass/Fail) and achieve competitive Step 2 CK score (245+ target). This is the foundation of your application.

Key Actions:

Complete Step 1 with Pass result
Achieve Step 2 CK score of 245+ for competitive specialties
Get ECFMG certification
Plan Step 3 for intern year
2

US Clinical Experience (USCE)

3-6 months$5,000-15,000

Gain hands-on US clinical experience and build relationships with attending physicians for strong letters of recommendation.

Key Actions:

Complete 2-3 clinical rotations in target specialty
Network with program directors and residents
Secure 3-4 strong US letters of recommendation
Learn US healthcare system and clinical practices
3

ERAS Application Submission

2-3 months$1,000-2,500

Submit comprehensive residency applications through ERAS to 150-250 programs for competitive chances.

Key Actions:

Write compelling personal statement
Prepare comprehensive CV in ERAS format
Submit applications by mid-September
Apply broadly - 200+ programs recommended for IMGs
4

Interview Season

4 months (Oct-Jan)$2,000-5,000

Attend 15-25 interviews (mostly virtual post-COVID). This is your chance to sell yourself beyond test scores.

Key Actions:

Schedule and attend 15-25 interviews
Research each program thoroughly
Practice interview skills with mock sessions
Follow up professionally with programs
Financial Benefits

Salary & Career Progression

Complete salary breakdown during training and after specialization

During Training

$60,000-65,000
PGY-1 (Intern)
Net: $4,000-4,500
$62,000-67,000
PGY-2
Net: $4,200-4,700
$64,000-69,000
PGY-3
Net: $4,400-4,900
$66,000-71,000
PGY-4
Net: $4,600-5,100
$68,000-75,000
PGY-5+
Net: $4,800-5,300

After Specialization

$250,000-400,000
PATHOLOGY
diagnostic
$350,000-500,000
RADIOLOGY
diagnostic
$200,000-260,000
PEDIATRICS
primary care
$200,000-250,000
FAMILY MEDICINE
primary care
$350,000-500,000
CARDIOLOGY
medical specialties
$280,000-400,000
NEPHROLOGY
medical specialties
$600,000-1,000,000+
NEUROSURGERY
surgical specialties
$350,000-500,000
GENERAL SURGERY
surgical specialties

Ready to Start Your United States Journey?

Get personalized guidance for medical specialization in United States

Expert consultation within 24 hours

Success Stories from United States

Join Indian doctors thriving in United States

The USMLE journey was tough but worth every moment. Scored 252 on Step 2 CK, matched at my top choice program. Now earning $67,000 as chief resident and will be attending next year at $280,000. The American dream is real for hardworking doctors!

Dr. Priya Singh

Internal MedicineUnited States

Frequently Asked Questions about Medical PG in United States

Get answers to common queries about specializing in this country

USMLE (United States Medical Licensing Examination) has 3 steps: Step 1 tests basic medical science knowledge, Step 2 CK (Clinical Knowledge) tests clinical science, and Step 3 tests ability to apply medical knowledge in patient care. All are required for medical licensing.

For competitive specialties: Step 2 CK 245+ is recommended. Step 1 is now Pass/Fail, so just passing is sufficient. Step 3 is taken during intern year. Focus most energy on achieving a high Step 2 CK score as it's the primary screening tool.

US medical residents earn $60,000-75,000 annually during residency training (2025 data). After residency, specialists earn $200,000-500,000+ depending on specialty. Primary care physicians start around $200,000-250,000, while surgical specialties can exceed $400,000+.

61.2% of IMGs matched in 2025 (9,045 positions filled out of 14,772 applicants). With SOAP, the total match rate reaches 84.2%. Internal Medicine, Family Medicine, and Psychiatry have the highest IMG match rates.

In 2025, the IMG (International Medical Graduate) match rate was 61.2%, with over 9,000 IMGs successfully matched into residency programs. The overall match rate including SOAP was 84.2%. Competition varies significantly by specialty.

Total cost: $15,000-30,000 including USMLE exams ($3,000), US clinical rotations ($10,000-15,000), ERAS applications ($1,500), interviews ($2,000-5,000), and living expenses during the process.

Yes! Multiple pathways: EB-1A (extraordinary ability), EB-2 NIW (national interest waiver), EB-2/EB-3 with PERM labor certification, or Conrad 30 program. Physicians have significant advantages due to high demand and strong salaries.

Most IMG-friendly: Internal Medicine (70-80% match rate), Family Medicine (85-90%), Psychiatry (75-85%), Pathology (90%+). Competitive for IMGs: Radiology (20-30%), Dermatology (<5%), Orthopedic Surgery (<10%).

Yes, US clinical experience (USCE) is essential for competitive applications. Aim for 2-3 months of clinical rotations in your target specialty to get strong US letters of recommendation and understand the healthcare system.

SOAP (Supplemental Offer and Acceptance Program) is a 4-day process immediately after Match Day for unmatched applicants. About 50% of SOAP participants find positions. Apply broadly to all available positions and have documents ready.

Duration varies: Internal Medicine (3 years), Family Medicine (3 years), Psychiatry (4 years), Surgery (5 years), Radiology (4 years + 1 year fellowship). You earn $60,000-75,000 annually during training.

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Begin Your Medical Journey in United States

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