Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). Applicants with USMLE Step 1 scores ranging from 239 to 251 (gray line) submitted more applications before reaching the point of diminishing returns (42 applications; confidence band of 35 to 48) than applicants with USMLE Step 1 scores ≥ 252. Because the number of applicants who entered training in this specialty was less than 10 for multiple Step 1 score terciles, we are not able to report the exact percentages or trends for specialty entrance rates for those terciles. For non‐normally distributed data, the nonparametric Wilcoxon Signed Rank Sum test or Kruskal‐Wallis test was used to compare the distributions of continuous variables by group. The study included data from 2,412 U.S.-MD applicants who applied to the Pathology training programs in ERAS® between 2013 and 2018 and who have scores for the USMLE Step 1 exam. *Outside of Integrated Vascular Surgery training programs, the most common specialties where Integrated Vascular Surgery applicants entered training were General Surgery, Diagnostic Radiology, and Anesthesiology. The data from our sample are generalizable to national trends, given it represents applicants from the majority of the US medical schools and applicants from all 50 states. When reviewing Doximity residency rankings on Doximity Residency Navigator, pay attention to “feeder” schools for each program. The most common specialties are only reported where 10 or more applicants entered training. Note: If the number of applicants was less than 10, the number and percentage are replaced with a double dash (--). Internal Medicine Residency Match Statistics. Cumulatively, 10,032 applicants applied for 7,916 internal medicine residency positions in 2018. Doctors Hospital/OhioHealth Program Osteopathic Recognized! For internal medicine in particular, it is important to discuss the possibility of doing audition rotations with an advisor or mentor from your home medical school. Research has consistently shown that a large segment of ethnic and racial minorities in the United States (US) population face inequities in both health care quality and access.1-3 A growing body of empirical evidence has shown that increasing the diversity of the physician workforce may assist in eliminating health disparities in the US.1, 2, 4-7 For example, results from previous research indicates that minority physicians are more likely to care for minority patients and work in underserved communities.4, 7 Patient‐provider concordance can produce better communication, trust, satisfaction, adherence to medication, and health outcomes, supporting the case for diversity.1, 8-10 Despite the many benefits of a diverse physician workforce, there are various factors that limit it.11-13 At the Graduate Medical Education (GME) level, one potential limiting factor of a diverse physician workforce is the overemphasis on standardized test scores such as the United States Medical and Licensing Examination (USMLE).1, 11, 14-16, Administered by the National Board of Medical Examiners (NBME), the USMLE is a series of three tests (steps 1‐3) for the purpose of granting medical licenses to physicians who want to practice in the US.11, 16, 17 The USMLE step 1 is intended to assess medical students' understanding and application of basic science concepts to medical practice, with a special emphasis on principles underlying modes of disease, therapy, and health.15-17 All residency program applicants graduating from allopathic schools are required to take USMLE step 1, with many program directors using USMLE and the Comprehensive Osteopathic Medical Licensing Examination (COMLEX‐USA; for osteopathic school) scores in making their decisions to grant interviews.11, 15, 18, 19 The NBME recognizes the use of step 1 scores as “a major factor in residency screening and selection,” which may be useful to some key stakeholders but viewed as a negative consequence for others, such as those underrepresented minorities in medicine (URiM).15, 20, The Association of American Medical Colleges (AAMC) defines URiM as “racial and ethnic populations that are underrepresented in the medical profession relative to their numbers in the general population.”21 URiM include individuals from African American (AA), Hispanic/Latino (HL), and Native American racial and ethnic groups.21 According to the 2016 U.S. Census data, racial and ethnic minorities comprised at least 38.7% of the U.S. population, 17.8% of which were H/L, 13.3% Black/AA, and 2% Native Americans22, 23 Yet, between 1997 and 2017, AA, H/L, and Native Americans made up only 4%, 4%, and <0.04% of medical doctors, respectively.1, 2, 24 In 2014, the population of AA and H/L in New York City, one of the most ethnically diverse cities in the US, was 53%, yet, only 12% of practicing physicians were URiM.2, 24, Since the implementation of step 1 in the 1990s, exam results were reported as a pass/fail status, but with time, it also included a three‐digit numeric score.11, 14 Typically, URiM students score lower on standardized tests than do White students.11, 25 One study found that based on USMLE cutoff scores, AA were three to six times less likely to be offered an interview compared to non‐AA; White students had a mean score of 210, while Black students had a mean score of 187.9.11 A 2019 study by the NBME showed that compared to White males, female students scored 5.9 points lower, while Asians, H/L, and Black test‐takers scored 4.5, 12.1, and 16.6 points lower, respectively, on the USMLE step 1.26. Now, assuming you are selected for an interview, what factors influence how (and if) you are ranked? We also noted out how some specialties require higher Step 1 scores than others. All you need to do is: 1- get a high score in Step 2 2- make connections/do some networking 3- while doing your rotations prove yourself and show them how good you are Good luck The x-axis shows the number of applications submitted. Entrance rate data come from the GME Track Residency Survey, which typically receives a response rate of about 94% (e.g., 94.4% in 2018). The most common specialties are only reported where 10 or more applicants entered training. In general, the proportion of applicants who entered Radiation Oncology training increased as Step 1 scores increased, and the entrance rates for applicants who failed Step 1 on their first attempt were lower than entrance rates for applicants who passed Step 1 on their first attempt. As Step 2 CS and CK results are required to receive a Massachusetts medical license, this due date is to ensure test results are available on Match Day so the licensing process can begin as soon as possible. The most common specialties are only reported where 10 or more applicants entered training. The x-axis shows the number of applications submitted. Restrictions apply to the availability of these data, which were used under the jurisdiction of one of the co‐authors of this study. *Outside of Diagnostic Radiology training programs, the most common specialties where Diagnostic Radiology applicants entered training were Internal Medicine, General Surgery, and Anesthesiology. N = number of applicants; % = percentage of tercile total, where the tercile represents a range of Step 1 scores within that specialty [or percentage of those who failed Step 1 on their first attempt].

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