Emergency Medicine

Competitiveness: Medium

Emergency Medicine is a specialty with high variety and pressure, and a mix of primary care and procedures. Like many other specialties, Emergency Medicine has seen a surge of competitiveness over the last few years. The specialty is a trendsetter in residency applications as it is the only specialty to require its own unique Letter of Recommendation called the Standard Letter of Evaluation (SLOE). Emergency Medicine was also the first specialty to implement the Standardized Video Interview (SVI) as a part of its application. Emergency Medicine training is typically three to four years and can follow any of three formats: PGY 1-3, PGY 2-4 with separate PGY-1 internship, or PGY 1-4. Residency applicants interested in applying to Emergency Medicine programs will want to do well in their “audition” clinical rotation and join as many Emergency Medicine organizations as they can to get further guidance.

ENTER YOUR CREDENTIALS Customize your Emergency Medicine program list

IMG Profile

Average Stats for a Matched US IMG in 2018:

  • USMLE Step 1 score: 232
  • USMLE Step 2 CK score: 241
  • Research: 1.8
  • Abstracts/Presentations/etc: 2.2
  • Work: 4.3
  • Volunteer: 18.8

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

  • USMLE Step 1 score: 229
  • USMLE Step 2 CK score: 234
  • Research: 2.9
  • Abstracts/Presentations/etc: 7.6
  • Work: 5.2
  • Volunteer: 4.3

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 Emergency Medicine Application Factors

Percentage of Programs Citing Each Factor

  1. USMLE Step 1 score (97%), Specialty specific Letters of Recommendation (97%)
  2. USMLE Step 2 CK score (86%)
  3. Grades in clerkship in desired specialty (85%)
  4. MSPE (83%), Any failed attempt in USMLE (83%)
  5. Audition elective/rotation within department (82%)

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

  1. Specialty specific Letters of Recommendation (4.8)
  2. Any failed attempt in USMLE (4.6), Audition elective/rotation within department (4.6), Flagged by NRMP (4.6), Away rotation in specialty at another institution (4.5)
  3. Grades in clerkship in desired specialty (4.5), Evidence of professionalism and ethics (4.5)
  4. Personal prior knowledge of applicant (4.3)
  5. Perceived commitment to specialty (4.2)

Fast Facts

Total Training 3 years
Average Residency Salary $54,000
Average Work Week 46.4 Hours
Peak Interview Months November, February
Key Organizations and Societies: Society for Academic Emergency Medicine
Emergency Medicine Residents Association
American College of Emergency Physicians (ACEP)
American Academy of Emergency Medicine
  • Many programs require at least one (even two) LoRs from an EM faculty member LoRs from EM faculty must be “Standardized Letter of Evaluation ” (“SLOE”) form developed by the Council of Residency Directors (“CORD”).
  • Join professional groups like Medical Student section of the Emergency Medicine Residents Association to help your application

Match Statistics

Main Residency Match and Post-Match Stats


IMGs Matched

220 /

Number of Programs/Positions


Post-Match SOAP Unfilled Positions

Main Residency Match


Post-Match SOAP

Program Track Categorical
Participating Programs 7
Filled Programs 6
Positions Available 10
Filled Positions 8


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