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Emergency Medicine

A physician who specializes in emergency medicine focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. This specialist provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Competitiveness MEDIUM
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IMG Profile

Average Stats for a Matched US IMG in 2022:

  • USMLE Step 1 score: 227
  • USMLE Step 2 CK score: 238
  • Research: 1.8
  • Abstracts/Presentations/etc: 2.2
  • Work: 4.4
  • Volunteer: 5.2

Average Stats for a Matched Non-US IMG in 2022:

  • USMLE Step 1 score: 231
  • USMLE Step 2 CK score: 240
  • Research: 2.8
  • Abstracts/Presentations/etc: 8.9
  • Work: 5.5
  • Volunteer: 6.0
Specialty Factors

In March 2022, the National Resident Matching Program (NRMP) conducted its survey of directors of programs participating in the Main Residency Match ® with the primary purpose of characterizing the factors that Program Directors use to (1) select applicants to interview, and (2) rank applicants for the Main Residency Match. See results of the Program Director Survey for Emergency Medicine below:

The Top 5 Most Important Emergency Medicine Application Factors

Percentage of Programs Citing Each Factor

  1. USMLE Step 1 score (83.8%)
  2. Grades in clerkship in preferred specialty (79.7%)
  3. MSPE (77%)
  4. USMLE Step 2 CK score (77%)
  5. Any failed attempt at USMLE (74.3%)

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

  1. Letters of recommendation in specialty (4.8)
  2. Ability to work legally w/o visa (4.7)
  3. Audition elective/rotation in PD`s dept (4.6)
  4. NRMP flag for match violation (4.5)
  5. Professionalism and ethics, Away rotation in specialty elsewhere (4.4)

Fast Facts

Total Training 3 years
Average Residency Salary $57,186.44
Average Physician Salary $373,000
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
Royal College of Emergency Medicine
Council of Emergency Medicine Residency Directors
Emergency Medicine Residents Association
Society for Academic Emergency Medicine (SAEM)
Society for Academic Emergency Medicine: Medical Student
  • 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

277 /

Number of Programs/Positions


Post-Match SOAP Unfilled Positions

Main Residency Match


Post-Match SOAP

Program Track PGY-1
Participating Programs 67
Filled Programs 57
Positions Available 217
Filled Positions 202


  • Anesthesiology Critical Care Medicine
  • Emergency Medical Services
  • Internal Medicine-Critical Care Medicine
  • Medical Toxicology
  • Neurocritcial Care
  • Pain Medicine
  • Pediatric Emergency Medicine
  • Sports Medicine
  • Undersea and Hyperbaric Medicine

Additional Info

  • Select Emergency Medicine programs may participate in the supplemental ERAS application. Please visit the supplemental ERAS application webpage for information, guidance, timelines, and resources. See CORD’s resources related to Emergency Medicine’s participation in the supplemental ERAS application.
  • Recognizing the diversity of opinions and needs as well as the potential for unanticipated challenges with COVID, the following have intentionally been structured as recommendations rather than requirements.
    Please see the consensus statement on the 2022-2023 Emergency Medicine Residency Application Cycle.
  • The Council of Emergency Medicine Residency Directors has introduced a new Standardized Letter of Evaluation (SLOE) form for those applying to Emergency Medicine. To request a SLOE, please send your letter author the ERAS Letter Request Form (that should include your ERAS Letter ID), and the SLOE website link (SLOE), which has instructions for completing the Form and information on eligibility requirements.