Combined MedPeds

Competitiveness: High

Combined Internal Medicine and Pediatrics (Med-Peds) is a versatile specialty for residency candidates who want to work directly with a diverse set of patients. Training in MedPeds provides a flexibility and depth of training that one does not see in other specialties. MedPeds training is typically 4 years total (1 Preliminary (PGY-1) year and 3 years of MedPeds training (PGY 2-4)). While MedPeds is the largest combined specialty, it is still relatively small compared to other primary care specialties such as Internal Medicine. Therefore, it remains a very competitive specialty to get into. Residency candidates applying to MedPeds programs should aim to have USMLE scores above 230 and a variety of experiences to provide dedication to the specialty.

ENTER YOUR CREDENTIALS Customize your Combined MedPeds program list

IMG Profile

Average Stats for a Matched US IMG in 2018:

  • USMLE Step 1 score: 224
  • USMLE Step 2 CK score: 233
  • Research: 2.1
  • Abstracts/Presentations/etc: 2.4
  • Work: 6.1
  • Volunteer: 7.0

Average Stats for a Matched Non-US IMG in 2018:

  • USMLE Step 1 score: 238
  • USMLE Step 2 CK score: 240
  • Research: 2.0
  • Abstracts/Presentations/etc: 5.0
  • Work: 6.0
  • Volunteer: 4.0

Specialty Factors

Every specialty has unique factors they want each candidate to have in their residency application. NRMP conducts regular Program Director surveys to identify which parts of the residency application are most important in differing specialties. Among the information gathered, Program Directors were asked to to cite factors they used to select candidates for interviews. They were also asked to rate each factor on a scale from 1 (least important) to 5 (most important).

The Top 5 Most Important Combined MedPeds Application Factors

Percentage of Programs Citing Each Factor

  1. USMLE Step 1 score (100%)
  2. Grades in required clerkships (85%), Grades in clerkship in desired specialty (85%)
  3. MSPE (81%)
  4. Specialty specific Letters of Recommendation (78%)
  5. USMLE Step 2 CK score (74%), Class ranking/quartile (74%)

Average Importance Rating for Each Factor (scale of 1 to 5)

  1. Evidence of professionalism and ethics (4.5)
  2. Any failed attempt in USMLE (4.4)
  3. Grades in clerkship in desired specialty (4.3)
  4. USMLE Step 2 CK score (4.2)
  5. USMLE Step 1 score (4.1), MSPE (4.1), Grades in required clerkships (4.1)

Fast Facts

Total Training 4 years
Average Work Week 54.8 Hours
Key Organizations and Societies: Med-Peds Program Directors Association
National Med-Peds Residents’ Association
American Academy of Pediatrics – Med-Peds section
  • MedPeds is over 40 years old as a specialty
  • MedPeds is the largest combined specialty
  • After training, MedPeds residents take two board examinations, one for Pediatrics and one for Internal medicine

Match Statistics

Main Residency Match and Post-Match Stats


IMGs Matched

77 /

Number of Programs/Positions


Post-Match SOAP Unfilled Positions

Main Residency Match


Post-Match SOAP

Program Track
Participating Programs 13
Filled Programs 5
Positions Available 5
Filled Positions 5


  • See Internal Medicine or Pediatrics