Combined MedPeds

Internal Medicine-Pediatrics (Med-Peds) training and practice synthesizes the disciplines of both internal medicine and pediatrics. Med-Peds physicians tend to care for patients throughout their lifespan. Caring for multiple generations of the same family requires an understanding of family dynamics, epidemiology, and the impact of acute or chronic illness at all ages, all in the context of family systems. Med-Peds physicians draw from the knowledge and skills of pediatricians and internists to bring breadth and flexibility in their approach to clinical medicine. This adaptability provides the versatility to follow many paths throughout their career, including patient care as a generalist, hospitalist, emergency room physician, or subspecialist; research; administration; public health; and education.

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Competitiveness: High

IMG Profile

Average Stats for a Matched US IMG in 2024:

Pct. that passed USMLE Step 1 on first attempt 99.0%
USMLE Step 2 CK score: 250
Research: 3
Abstracts/Presentations/Publications: 5
Work: 4
Volunteer: 10

Average Stats for a Matched Non-US IMG in 2024:

Pct. that passed USMLE Step 1 on first attempt 100%
USMLE Step 2 CK score: 244
Research: 3
Abstracts/Presentations/Publications: 4
Work: 5
Volunteer: 7

Speciality Factors

In March 2024, the National Resident Matching Program (NRMP) conducted its survey of directors of programs participating in the Main Residency Match® to characterize the factors that Program Directors use to select applicants for interviews and rank applicants for the Main Residency Match. See results of the Program Director Survey for Combined MedPeds below:

Frequency and Mean Importance Ratings of Each Factor Considered in Deciding Who to Interview

Medical Student Performance Evaluation (MSPE/Dean`s Letter): 88% (4.4)
Letters of recommendation in the specialty: 88% (3.6)
Grades in required clerkships: 81% (4.2)
Class ranking/quartile: 81% (3.8)
Gold Humanism Honor Society (GHHS) membership: 75% (3.6)
Alpha Omega Alpha (AOA) membership: 75% (3.1)
Personal prior knowledge of the applicant: 63% (3.0)
Grades in clerkship in desired specialty: 56% (4.4)
Audition elective/rotation within your department: 56% (3.4)
Accreditation status of applicant`s medical school: 50% (4.1)
Consistency of grades: 44% (3.9)
Awards or special honors in clinical clerkships: 44% (3.7)
Visa status: 38% (4.0)
Awards or special honors in clerkship in desired specialty: 38% (4.0)
Sigma Sigma Phi (osteopathic honor society) membership: 31% (2.6)
Evidence of continuous medical education without gaps: 25% (3.5)
Ability to work legally in the U.S. without a visa: 25% (4.5)
Applicant was flagged with Match violation by the NRMP: 25% (4.8)
Graduate of highly-regarded medical or osteopathic school: 19% (4.0)
Away rotation in your specialty at another institution: 19% (3.7)
Awards or special honors in basic sciences: 13% (3.5)
How applicant`s medical school handled virtual rotations: 0% (N/A)

Frequency and Mean Importance Ratings of Each Factor Considered in Deciding Who to Rank

Query successful
Interpersonal skills: 100% (4.8)
Interactions with faculty during interview and visit: 100% (4.6)
Feedback from current residents: 88% (4.3)
Medical Student Performance Evaluation (MSPE/Dean`s Letter): 81% (4.2)
Interactions with house staff during interview and visit: 75% (4.6)
Class ranking/quartile: 69% (3.5)
Grades in required clerkships: 63% (3.8)
Gold Humanism Honor Society (GHHS) membership: 56% (3.3)
Alpha Omega Alpha (AOA) membership: 56% (3.2)
Grades in clerkship in desired specialty: 50% (4.3)
Awards or special honors in clinical clerkships: 31% (4.2)
Awards or special honors in clerkship in desired specialty: 31% (4.0)
Sigma Sigma Phi (osteopathic honor society) membership: 25% (2.8)
Graduate of highly-regarded medical or osteopathic school: 25% (4.0)
Evidence of continuous medical education without gaps: 25% (3.8)
Consistency of grades: 25% (4.0)
Awards or special honors in basic sciences: 13% (3.5)
Accreditation status of applicant`s medical school: 13% (5.0)
Other post-interview contact: 6% (3.0)
Second interview/visit: 0% (N/A)
Applicant facility with meeting platform technology: 0% (N/A)
How applicant`s medical school handled virtual rotations: 0% (N/A)

¹Ratings on a scale from 1 (not at all important) to 5 (very important).

% of Programs Interviewing IMGs:

US IMG: Often 6%, Seldom 75%, Never 19%
Non-US IMG: Often 6%, Seldom 69%, Never 25%

% of Programs Ranking IMGs:

US IMG: Often 34%, Seldom 45%, Never 21%
Non-US IMG: Often 22%, Seldom 44%, Never 34%

% of Programs Using USMLE to Select IMG Applicants for Interview:

Step 1: Requires pass only 100%
Step 2 CK: Does not consider 15%, Requires pass only 38%, Prefers but does not require target score 23%, Requires target score 23%
Step 3: Does not consider 62%, Requires pass only 15%, Prefers but does not require target score 23%, Requires target score 0%

Fast Facts

Total Training	4 years
Average Residency Salary	$59,000
Average Physician Salary	$215,000
Average Physician Work Week	55 Hours
Peak Interview Months	November-December
Key Organizations and Societies	American Board of Internal Medicine American Board of Pediatrics Medicine-Pediatrics Program Directors Association Fellowship Guide to Combined Internal Medicine and Pediatrics Residency Training National Med-Peds Residents Association
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 2025

Main Residency Match

Main Residency Match and Post-Match Stats

28

Total IMGs Matched

79

Total Number of Available Programs

398

Positions

3

Post-Match SOAP Unfilled Positions

SOAP Stats

Program Track	Participating Programs	Positions Available	Filled Programs	Filled Positions
PGY-1	3	3	3	3

Subspecialties

See Internal Medicine or Pediatrics

Additional Info

Select Combined MedPeds programs may participate in Program Signaling. Visit the ERAS Participating Specialties and Programs page for more information.