An Ever-changing List of Medical Specialties
At the time of this writing, there are 26 medical and surgical specialties to choose from when applying for residency in the Match. Many of these fields contain subspecialties that can be pursued with fellowship training after residency. This means that there truly is something for everyone!
If you’re trying to choose a medical specialty, you should check out my Specialty Stories podcast for interviews with practicing physicians in each specialty. You can also check out our post about choosing a medical specialty, then use the details below to help narrow down your choice!
In this post, we’ve collected details about each specialty, including residency length, competitiveness, average Step 1 and Step 2 scores, fellowships available, work environments, salary, and more.
Click on a specialty to skip to that one: Internal Medicine, Pediatrics, Internal Medicine/Pediatrics, Family Medicine, Emergency Medicine, Neurology, Child Neurology, Psychiatry, Dermatology, Radiology, Radiation Oncology, Nuclear Medicine, Medical Genetics, Physical Medicine and Rehabilitation, Pathology, General Surgery, Thoracic Surgery, Orthopedic Surgery, Otolaryngology (ENT), Ophthalmology, Plastic Surgery, Neurosurgery, Obstetrics and Gynecology, Urology, Anesthesiology, and Preventative Medicine.
Alright, let’s take a look at each specialty!
Internal Medicine
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Internal medicine physicians are also referred to as internists. Internists take care of adults from the age of 18 to the very elderly.
The field focuses on the diagnosis and treatment of diseases of the heart, lungs, GI tract, blood, and joints, as well as cancers, diabetes, hormonal imbalance, local and systemic infections, autoimmune diseases, end-of-life care, and care for the elderly. Preventive medicine is also an important part of the field.
Internal medicine contains many subspecialties with fellowship training after residency. This means internal medicine can range from the very broad (primary care) to the very subspecialized (e.g. Transplant Medicine).
Length of Internal Medicine Residency Training
Internal medicine residency length: 3 years
2011 NRMP Match Data
381 programs
7874 applicants for 5407 positions
95% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
226
Average Step 2 score for matched US seniors
237
Mean number of research experiences: 2.3
Mean number of publications: 3.2
Percentage of matched US seniors in AOA: 15.5%
Percentage of matched US seniors with PhD: 5.7%
Fellowships
Internal medicine fellowships available (1-3 years): Cardiology, Pulmonary and Critical Care, Nephrology, Gastroenterology, Hematology/Oncology, Infectious Disease, Endocrinology, Rheumatology, Transplant Medicine, Palliative Care, Sleep Medicine, and Geriatrics
Work Environment
Internal medicine practice types/location: Outpatient office practice, hospitalist medicine, consult services, nursing homes
Average Salary of an Internist
Average salary: ranges widely depending on specialty and type of practice, with cardiology and gastroenterology being the most lucrative and primary care being the least well compensated. The average is listed as $184,200 to $231,691.2
More information
American Board of Internal Medicine, American College of Physicians
Pediatrics
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Pediatricians take care of children from birth until the age of 18 or 21, depending on the pediatrician. They deal with the diagnosis and treatment of diseases of the heart, lungs, GI tract, blood, and joints, as well as cancers, growth conditions, hormonal imbalance, local and systemic infections, and autoimmune diseases. Preventative medicine is also an important part of the field.
Pediatrics contains many subspecialties with fellowship training after residency. This means pediatrics can range from the very broad (primary care) to the very subspecialized (e.g. Neonatal Medicine).
Length of Pediatrics Residency Training
Pediatrics residency length: 3 years (includes required rotations in general pediatrics, normal newborn care, and time in subspecialty areas)
2011 NRMP Match Data
198 programs
2988 applicants for 2601 positions
96% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
221
Average Step 2 score for matched US seniors
234
Mean number of research experiences: 2
Mean number of publications: 2.4
Percentage of matched US seniors in AOA: 11.6%
Percentage of matched US seniors with PhD: 4.2%
Fellowships
Pediatrics fellowships (1-3 years): Adolescent Medicine, Neonatal-Perinatal Medicine, Cardiology, Pulmonary and Critical Care, Nephrology, Gastroenterology, Hematology/Oncology, Infectious Disease, Endocrinology, Rheumatology, Emergency Medicine, Transplant Medicine, and Palliative Care.
Work Environment
Pediatrics practice types/location: Outpatient office practice, hospitalist medicine, consult services
Average Salary of a Pediatrician
Average salary: Ranges widely depending on subspecialty and type of practice, with cardiology and gastroenterology being the most lucrative and primary care being the least well compensated. The average is listed as $160,111 to $228,750. Pediatricians typically make less in the same subspecialties as their internal medicine counterparts.
More Information
American Board of Pediatrics, American Academy of Pediatrics
Internal Medicine/Pediatrics
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Meds/peds physicians are trained in both internal medicine and pediatrics, such that they can diagnose and treat diseases of both children and adults.
Length of Med/Peds Residency Training
Med/Peds residency length: 4 years (2 in pediatrics, 2 in internal medicine)
2011 NRMP Match Data
80 programs
434 applicants for 365 positions
88% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
230
Average Step 2 score for matched US seniors
242
Mean number of research experiences: 1.9
Mean number of publications: 2.3
Percentage of matched US seniors in AOA: 24.2%
Percentage of matched US seniors with PhD: 3.3%
Med/Peds Fellowships
Unique: Med-Peds Generalist
Combined: Allergy and Immunology, Cardiology, Endocrinology, Gastroenterology, Hematology/Oncology, Infectious Disease, Nephrology, Neurology, Pulmonary/Critical Care, Rheumatology, Palliative Care
Special: Adolescent Medicine, Epidemic Intelligence Service (EIS), HIV Medicine, Medical Genetics, Medical Informatics, Outcomes Research, Quality Improvement, Robert Wood Johnson Clinical Scholars Program, Sports Medicine
Work Environment
Med/peds practice types/location: Outpatient office practice, hospital inpatient service (ward attending), hospital consult service
Average Salary in Med/Peds
Average salary: Varies widely depending on the given subspecialty.
More information
National Med-Peds Resident’s Association
Family Medicine
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Family medicine physicians take care of patients of all ages, both children and adults, from newborns to the very elderly. They also provide annual gynecological care for women. Many family medicine physicians take care of an entire family. There is a special focus on preventative medicine.
Family physicians treat the same diseases as internists and pediatricians but typically in more of a community setting and often in rural and underserved areas.
Length of Family Medicine Residency Training
Family medicine residency length: 3 years
2011 NRMP Match Data
452 programs
3551 applicants for 2708 positions
97% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
213
Average Step 2 score for matched US seniors
225
Mean number of research experiences: 1.4
Mean number of publications: 1.6
Percentage of matched US seniors in AOA: 6.5%
Percentage of matched US seniors with PhD: 0.9%
Fellowships
Available family medicine fellowships (1 year): Adolescent Medicine, Geriatric Medicine, Hospice and Palliative Care, Sleep Medicine, and Sports Medicine
Work Environment
Family medicine practice types/location: Outpatient office practice
Average Salary of Family Practitioner
Average salary: $175,000 to $220,196.2
More information
American Board of Family Medicine, American Academy of Family Physicians, American Geriatric Society, and American College of Sports Medicine
Emergency Medicine
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Emergency medicine physicians specialize in the acute stabilization and disposition of patients who present to the emergency department. They see patients of all ages with any ailment or injury, with varying levels of acuity, ranging from a small laceration to a critically ill trauma patient who was involved in a motor vehicle collision.
EM physicians must be proficient in a variety of procedural skills, including the placement of central lines and arterial lines, intubation, lumbar puncture, thoracentesis, and paracentesis. Once finished with their residency training, emergency medicine physicians can choose to practice in emergency departments with various levels of trauma: level-1 trauma centers, level-2 trauma centers, and urgent care centers.
Length of Emergency Medicine Residency Training
Emergency medicine residency length: 3-4 years (4 for academic centers)
2011 NRMP Match Data
158 programs
2025 applicants for 1626 positions
90% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
223
Average Step 2 score for matched US seniors
234
Mean number of research experiences: 1.8
Mean number of publications: 2.1
Percentage of matched US seniors in AOA: 9.1%
Percentage of matched US seniors with PhD: 1.7%
Fellowships
Available emergency medicine fellowships (1 year): Medical Toxicology, Pediatric emergency medicine, Sports Medicine, Ultrasound, Undersea and hyperbaric medicine
Work Environment
Emergency medicine practice types/location: Hospital emergency department (level 1 or 2), urgent care center
Average Salary of Emergency Medicine Physician
Average salary: $239,000 to $316,296
More information
American Academy of Emergency Medicine, American Board of Emergency Medicine, American College of Emergency Physicians, Emergency Medicine Residents Association, Society for Academic Emergency Medicine
Neurology
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Neurologists specialize in the diagnosis and treatment of diseases of the central, peripheral, and autonomic nervous systems. After interviewing and examining a patient, they must determine not only the diagnosis but also localize the problem within the nervous system. The neurological examination is one of the most involved examinations in all of medicine. It has many parts and provides a great wealth of diagnostic information.
Neurologists deal with diseases of the central nervous system (brain and spinal cord) including ischemic stroke, hemorrhage, epilepsy, infection (encephalitis and meningitis), multiple sclerosis and other demyelinating diseases, dementia, movement disorders (e.g. Parkinson’s disease and Huntington’s disease), neuromuscular diseases such as ALS (Lou-Gehrig’s disease), autoimmune diseases, headaches, sleep disorders, and malignancies of the brain and spinal cord.
Neurologists also deal with diseases of the peripheral nervous system (nerve roots, nerves, neuromuscular junctions, and muscles) including radiculopathies, neuropathies (carpal tunnel syndrome), myasthenia gravis, and myopathies. They are also essential in providing prognostic information for patients who have suffered anoxic brain injury as a result of cardiac arrest. Neurologists in the hospital setting are often called upon for the formal determination of brain death.
Neurologists typically see adult patients, from the ages of 18 to the very elderly, while pediatric patients are typically seen by Child/Pediatric Neurologists. They receive some training in psychiatry during residency, as they must have some knowledge of psychiatric disease. Neurologists and psychiatrists take a common board exam to become board-certified in their respective specialties, offered by the American Board of Psychiatry and Neurology.
Length of Neurology Residency Training
Neurology residency length: 4 years (includes 1 year of internal medicine)
2011 NRMP Mach Data
128 programs
755 applicants for 605 positions
96% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
225
Average Step 2 score for matched US seniors
233
Mean number of research experiences: 2.9
Mean number of publications: 4.2
Percentage of matched US seniors in AOA: 11.9%
Percentage of matched US seniors with PhD: 11.9%
Fellowships
Available neurology fellowships (1-2 years): Behavioral Neurology, Vascular (Stroke Neurology), Neurocritical Care, Interventional Neurology, Multiple sclerosis and Neuroimmunology, Movement Disorders, Epilepsy and Electrophysiology, Neuromuscular, Headache, Sleep Medicine, Neuro-Infectious Disease, Neuro-oncology, Neuro-ophthalmology, Neuro-otology, Neuro-Hospitalist, Neuro-Rehab, and Sports Medicine
Work Environment
Neurology practice types/location: Outpatient office practice, hospital inpatient service (ward or ICU attending), interventional suite, hospital consult service
Average Salary of a Neurologist
Average neurologist salary: Depends on the type of practice
More information
American Academy of Neurology, American Neurological Association, American Board of Psychiatry and Neurology, Neurological Institute for Neurological Diseases and Stroke
Child Neurology
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Child/Pediatric Neurologists specialize in the diagnosis and treatment of diseases of the central, peripheral and autonomic nervous systems in children from birth until the age of 18 (or 21 depending on the physician).
Pediatric neurologists deal with diseases of the central nervous system (brain and spinal cord) including ischemic stroke, hemorrhage, epilepsy, infection (encephalitis and meningitis), neurodevelopmental disorders (autism and autism spectrum diseases), behavioral disorders (ADD and ADHD), multiple sclerosis and other demyelinating diseases, neuromuscular diseases (e.g. muscular dystrophy) autoimmune diseases, headaches, sleep disorders, and malignancies of the brain and spinal cord.
They also deal with diseases of the peripheral nervous system (nerve roots, nerves, neuromuscular junctions, and muscles) including radiculopathies, neuropathies (carpal tunnel syndrome), myasthenia gravis, and myopathies.
Length of Pediatric Neurology Residency Training
Child neurology residency length: 5 years (2 in pediatrics and 3 in neurology)
2011 Match Data:
No data available
Fellowships
Available child neurology fellowships (1 year): Vascular (Stroke) Neurology, Epilepsy and Electrophysiology, Neurodevelopmental disorders (Autism and Autism spectrum disorders),
Work Environment
Pediatric neurology practice types/location: Outpatient office practice, hospital inpatient service (ward attending), consult services in a hospital
Average Salary of a Child Neurologist:
No data available
More information
Psychiatry
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Psychiatrists specialize in the diagnosis and treatment of mental illness. They deal with psychotic disorders, mood disorders, anxiety disorders, personality disorders, and substance abuse. They treat diseases such as schizophrenia, major depression, bipolar disorder, generalized anxiety disorder, obsessive-compulsive disorder, alcohol abuse, drug abuse, and borderline personality disorder, among others.
Psychiatrists are required to commit patients to psychiatric hospitals involuntarily when they are a threat to themselves or others. Along these lines, they may be called upon to provide a determination of a patient’s capacity to determine his/her own decisions, both in the hospital and in court. Psychiatrists are trained in both psychotherapy and psychopharmacological treatment, as well as electroconvulsive therapy for severe depression and suicidality. There is a growing trend in which psychiatrists provide pharmaceutical treatment, and clinical psychologists provide counseling and therapy.
Psychiatrists receive some training in Neurology during residency, as they must have some knowledge of neurological disease. Psychiatrists and neurologists take a common board exam to become board-certified in their respective specialties, offered by the American Board of Psychiatry and Neurology.
Length of Psychiatry Residency Training
Psychiatry residency length: 4 years (includes 3 months of neurology, 3 months of internal medicine)
2011 NRMP Match Data
182 programs
1597 applicants for 1097 positions
96% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
214
Average Step 2 score for matched US seniors
225
Mean number of research experiences: 2.1
Mean number of publications: 3
Percentage of matched US seniors in AOA: 4.6%
Percentage of matched US seniors with PhD: 5.1%
Fellowships
Available psychiatry fellowships (1 year): addiction psychiatry, child and adolescent psychiatry, forensic psychiatry, geriatric psychiatry, psychosomatic medicine
Work Environment
Psychiatry practice types/location: Outpatient office practice, general hospital inpatient service (locked psychiatric ward attending), state psychiatric hospital
Average Salary of a Psychiatrist
Average salary: $173,800 to $248,198
More Information
American Psychiatric Association , American Board of Psychiatry & Neurology, American Academy of Child and Adolescent Psychiatry
Dermatology
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Dermatologists are specialized in the diagnosis and treatment of diseases of the skin. They deal with skin cancers, moles, acne, allergic rashes, autoimmune conditions with skin manifestations (e.g. Lupus), and the manifestations of malignancy from other organs in the skin. They perform surgical biopsies and resections of skin growths for medical and/or cosmetic purposes.
Dermatologists are also trained in the pathologic diagnosis of skin specimens, aka dermatopathology. Dermatologists see some patients for purely cosmetic intervention for piercing and for the treatment of skin changes related to aging, scarring, and hair loss. During residency, dermatologists are also trained in Mohs surgery, microscopic surgery aimed at providing complete margin resection of skin cancers.
Length of Dermatology Residency Training
Dermatology residency length: 4 years (includes 1 year of internal medicine)
2011 NRMP Match Data
114 programs
519 applicants for 372 positions
79% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
244
Average Step 2 score for matched US seniors
253
Mean number of research experiences: 3.7
Mean number of publications: 7.5
Percentage of matched US seniors in AOA: 50.8%
Percentage of matched US seniors with PhD: 9.1%
Fellowships
Available dermatology fellowships (1 year): Dermatopathology, Pediatric dermatology, Procedural dermatology
Work Environment
Dermatology practice types/location: Outpatient office practice with hospital affiliation/surgical privileges, hospital-based practice, Cosmetic centers
Average Salary of a Dermatologist
Average salary: $313,100 to $480,088
More Information
American Academy of Dermatology, American Board of Dermatology, American College of Mohs Surgery, American Society for Dermatologic Surgery, American Society of Dermatology
Radiology (diagnostic)
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Radiologists are specialized in the interpretation of imaging modalities used to diagnose and monitor disease. They are trained in interpreting x-rays, ultrasound, nuclear scans (PET), computed tomography (CT), and magnetic resonance imaging (MRI).
Some radiologists pursue interventional radiology in which they specialize in using a combination of imaging and catheter-guided wires to recanalize occluded arteries in the treatment of stroke and vasospasm in subarachnoid hemorrhage.
Given the advancement in computers in recent decades, radiologists are now able to view studies remotely from thousands of miles away from an imaging center and bill for the interpretation of such imaging.
Length of Diagnostic Radiology Residency Training
Radiology residency length: 5 years (1 year of internal medicine, 4 years of diagnostic radiology)
2011 NRMP Match Data
188 programs
1255 applicants for 1124 positions
96% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
240
Average Step 2 score for matched US seniors
245
Mean number of research experiences: 2.8
Mean number of publications: 3.9
Percentage of matched US seniors in AOA: 26.4%
Percentage of matched US seniors with PhD: 4.3%
Fellowships
Available radiology fellowships: Neuroradiology, Nuclear radiology, Pediatric radiology, Vascular and interventional radiology
Work Environment
Diagnostic radiology practice types/location: Outpatient imaging center, hospital-based reading room, hospital interventional suite, remotely/from home
Average Salary for a Radiologist
Average Salary: $377,300 to $478,000
More Information
American Board of Radiology, American College of Radiology, Radiological Society of North America
Radiation Oncology
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Radiation oncologists are specialized in the treatment of malignant tumors via radiation therapy.
Length of Radiation Oncology Residency Training
Radiation oncology residency length: 5 years
2011 NRMP Match Data
87 programs
211 applicants for 171 positions
85% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
240
Average Step 2 score for matched US seniors
244
Mean number of research experiences: 4.2
Mean number of publications: 8.3
Percentage of matched US seniors in AOA: 31.2%
Percentage of matched US seniors with PhD: 22.1%
Fellowships
Available radiation oncology fellowships: None currently
Work Environment
Radiation oncology practice types/location: Hospital-based practice
Average Salary of a Radiation Oncologist
Average Salary: $242,900 to $518,991
More Information
American College of Radiation Oncology, American Society of Clinical Oncology, American Society for Therapeutic Radiology and Oncology
Nuclear Medicine
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Nuclear medicine physicians are specialized in using radiopharmacologic tracers to diagnosis disease. Tracers are used to study the body in conjunction with imaging modalities including molecular imaging such as PET/CT scans. Nuclear medicine technology is used to diagnose coronary artery disease and cancer, as well as to assess the efficacy of cancer treatment. Some radioactive tracers are used in the treatment of certain cancers and severe pain.
Length of Nuclear Medicine Residency Training
Nuclear medicine residency length: 3 years
2011 Match Data
55 programs
Fellowships
Available nuclear medicine fellowships: None currently
Work Environment
Nuclear medicine practice types/location: Hospital-based practice
Average Nuclear Medicine Salary
Average salary: No data
More Information
American Board of Nuclear Medicine, American College of Nuclear Physicians, American Nuclear Society, Society of Nuclear Medicine and Molecular Imaging
Medical Genetics
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Medical geneticists specialize in the prevention, diagnosis, and treatment of genetic diseases using biochemical, cytogenetic, and radiological testing. They can provide counseling to families prior to pregnancy, and they can diagnose genetic disease both in the prenatal and postnatal periods. They also coordinate screening programs for chromosomal abnormalities, inborn errors of metabolism, and neural tube defects.
Length of Medical Genetics Residency Training
Medical genetics residency length: 2 or 4 years (2-year program completed after 2 years of residency in another specialty, 4-year program includes 2 years of pre-genetics education)
2011 NRMP Match Data
50 programs
Fellowships
Available medical genetics fellowships (1 year): Medical biochemical genetics, Molecular genetic pathology
Work Environment
Medical genetics practice types/location: Outpatient office practice with hospital affiliation/surgical privileges, hospital-based practice
Average Salary
Average medical genetics salary: No data
More Information
American Board of Genetic Counseling, American Board of Medical Genetics and Genomics, American College of Medical Genetics, Genetics Society of America
Physical Medicine and Rehabilitation (Rehab Medicine/Physiatry)
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Physical medicine and rehabilitation (PM&R) physicians are also known as physiatrists. They specialize in the diagnosis and treatment of physical disabilities acquired from traumatic injuries (e.g. motor vehicle collisions), sports-related injuries, overuse injuries (e.g. carpal tunnel syndrome), neurological disease (e.g. stroke, traumatic brain injuries or spinal cord injuries).
Physiatrists provide medical treatment and rehabilitation for patients so as to optimize their recovery so as to return them to their prior functioning. They work closely with physical and occupational therapists.
Many physiatrists work at rehabilitation hospitals, centers of care devoted to rehabilitation after stroke, myocardial infarction, and other surgeries. They receive specific training in the care of patients in chronic vegetative and minimally conscious states.
Length of PM&R Residency Training
PM&R residency length: 4 years (including 1 year of internal medicine)
2011 NRMP Match Data
77 programs
484 applicants for 373 positions
90% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
214
Average Step 2 score for matched US seniors
224
Mean number of research experiences: 1.9
Mean number of publications: 2.1
Percentage of matched US seniors in AOA: 3.9%
Percentage of matched US seniors with PhD: 1.1%
Fellowships
Available PM&R fellowships (1 year): Neuromuscular medicine, Pain medicine, Pediatric rehabilitation medicine, Spinal cord injury medicine, Sports medicine
Work Environment
PM&R practice types/location: Outpatient office practice, rehab hospital, consult service in a hospital
Average Salary of a Physiatrist
Average salary: depends on the type of practice
More Information
American Academy of Physical Medicine & Rehabilitation, American Board of Physical Medicine and Rehabilitation, American Congress of Rehabilitation Medicine, American Pain Society, Association of Academic Physiatrists
Pathology
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Pathologists specialize in the diagnosis of diseases via gross and microscopic examination of tissue specimens, bodily fluids and cells, and via laboratory testing. They deal with both living and dead tissue. They are responsible for determining the type of malignancy found in a surgical specimen, and they often need to make this diagnosis quickly.
Pathologists are given frozen sections from active operating rooms where surgeons will decide how to proceed with their surgical procedures depending on the information they receive from the pathologist. Along with diagnosing the type of malignancy, pathologists use microscopic specimens to determine the grade of a tumor. This is information which will help the oncologist and surgeon determine the patient’s prognosis and viable treatment options.
Pathologists also deal with dead tissue in the post-mortem examination of a body when an autopsy is requested. The pathologist will examine gross and microscopic tissue from the body to determine the cause of death. Some pathologists spend their careers as medical examiners and work closely with law enforcement.
Length of Pathology Residency Training
Pathology residency length: 3-4 years (anatomic pathology requires 3 years, clinical pathology requires 3 years, and a combined anatomic-clinical pathology residency requires 4 years of training)
2011 NRMP Match Data
146 programs
658 applicants for 518 positions
96% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
226
Average Step 2 score for matched US seniors
233
Mean number of research experiences: 2.5
Mean number of publications: 4.6
Percentage of matched US seniors in AOA: 10.9%
Percentage of matched US seniors with PhD: 17.2%
Fellowships
Available pathology fellowships (1 year except neuropathology which requires 2 years of additional training): blood banking/transfusion medicine, chemical pathology, cytopathology, dermatopathology, forensic pathology, hematology, medical microbiology, molecular genetic pathology, neuropathology, pediatric pathology
Work Environment
Pathology practice types/location: Hospital-based practice, medical examiner at a morgue
Average Salary for a Pathologist
Average salary: $239,000 to $331,842
More Information
American Board of Pathology, American Society for Investigative Pathology, American Society for Clinical Pathology, College of American Pathologists
General Surgery
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General surgeons specialize in the surgical treatment of diseases of the abdomen and GI tract, endocrine system, breast, blood vessels, and skin. They deal with hernias, benign and malignant tumors of the breast, gallbladder disease, appendicitis, small and large bowel obstructions, inflammatory conditions of the bowel, pancreatitis, diseased blood vessels, and malignancies of the GI tract.
General surgeons see a combination of healthy patients, critically ill, and trauma patients in a variety of settings including the emergency department, outpatient day surgery OR, inpatient wards and intensive care units, and outpatient office practice. They see patients of all ages.
Length of General Surgery Residency Training
General surgery residency length: 5 years
2011 NRMP Match Data
250 programs
1756 applicants for 1108 positions
80% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
227
Average Step 2 score for matched US seniors
238
Mean number of research experiences: 2.6
Mean number of publications: 3.3
Percentage of matched US seniors in AOA: 13.1%
Percentage of matched US seniors with PhD: 2.2%
Fellowships
Available general surgery fellowships (1-2 years): Hand surgery, Surgical critical care, Vascular surgery, Pediatric surgery
Work Environment
General surgery practice types/location: Outpatient office practice with hospital affiliation/surgical privileges, hospital-based practice, same-day surgical centers
Average Salary for a General Surgeon
Average salary: $284,642 to $383,333
More Information
American Board of Surgery, American College of Surgeons, American Society of General Surgeons
Thoracic Surgery
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Thoracic surgeons are specialized in the surgical management of diseases of the thorax. This includes the heart and its vessels and valves, pericardium, lungs, pleura, esophagus, chest wall, mediastinum, and diaphragm.
Thoracic surgeons treat congenital and acquired diseases and provide care to critically ill patients in intensive care units. Cardiothoracic surgeons perform coronary artery bypass graft surgery (CABG) and cardiac valve replacements, as well as other procedures.
Length of Thoracic Surgery Residency Training
Thoracic surgery residency length: 6-8 years
2011 Match Data
17 programs
Fellowships
Available thoracic surgery fellowships: Congenital cardiac surgery
Work Environment
Thoracic Surgery practice types/location: Hospital-based practice, Inpatient service (thoracic ward or ICU attending)
Average Salary for a Thoracic Surgeon
Average Salary: depends on the type of practice
More Information
American Association for Thoracic Surgery, American Board of Thoracic Surgery, American College of Chest Physicians, Society of Thoracic Surgeons
Orthopedic Surgery
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Orthopedic surgeons are specialized in the medical and surgical treatment of injuries, deformities, and diseases of the musculoskeletal system. This includes working with the bones, joints, ligaments, tendons, and muscles of the spine, hands, feet, shoulders, elbows, hips, knees, and ankles.
Orthopedic surgeons treat fractures, ligament tears, congenital deformities, and benign and malignant tumors of the bone. They also perform hip and knee replacements. Orthopedic surgeons treat for sports-related injuries as well as traumatic injuries related to motor vehicle collisions and other accidents. They see patients of all ages.
Length of Orthopedic Surgery Residency Training
Length of residency training: 5 years (1 year of general surgery and 4 years of orthopedic surgery)
2011 NRMP Match Data
153 programs
974 applicants for 670 positions
77% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
240
Average Step 2 score for matched US seniors
245
Mean number of research experiences: 2.9
Mean number of publications: 4.5
Percentage of matched US seniors in AOA: 27.1%
Percentage of matched US seniors with PhD: 2.4%
Fellowships
Available orthopedic surgery fellowships (1 year): Joint replacements, Spine surgery, Pediatric orthopedic surgery, Trauma surgery, Hand surgery, Foot/ankle surgery, Sports medicine
Work Environment
Orthopedic surgery practice types/location: Outpatient office practice with hospital affiliation/surgical privileges, hospital-based practice
Average Salary for Orthopedic Surgeons
Average salary: $397,879 to $600,000
More Information
American Academy of Orthopaedic Surgeons, American Board of Orthopaedic Surgery, American Orthopaedic Association, American Orthopaedic Society for Sports Medicine
Otolaryngology (ENT)
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Otolaryngologists specialize in the diagnosis and medical and surgical treatment of diseases of the ear, nose, throat, pharynx, and larynx. They deal with vocal problems; hearing problems; vestibular problems; allergic conditions; congenital and acquired deformities; injuries of the ears, nose, sinuses, pharynx, and face and jaw; and malignancies of these structures.
Length of ENT Residency Training
ENT residency length: 5 years (1 year of general surgery, emergency, critical care, and anesthesia training, 4 years of otolaryngology)
2011 NRMP Match Data
105 programs
364 applicants for 283 positions
86% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
243
Average Step 2 score for matched US seniors
250
Mean number of research experiences: 3.5
Mean number of publications: 5.1
Percentage of matched US seniors in AOA: 41.6%
Percentage of matched US seniors with PhD: 3.7%
Fellowships
Available ENT fellowships: Neurotology, Pediatric otolaryngology, Head and Neck reconstructive surgery
Work Environment
ENT practice types/location: Outpatient office practice with hospital affiliation/surgical privileges
Average Salary for an Otolaryngologist
Average salary: depends on the type of practice
Academics: $245,000 for assistant professors, $333,000 for associate and full professors
More Information
American Academy of Otolaryngology–Head & Neck Surgery, American Board of Otolaryngology, Association for Research in Otolaryngology
Ophthalmology
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Ophthalmologists are specialized in the diagnosis and medical and surgical treatment of diseases of the eye. They are trained to treat primary ocular disorders as well as secondary manifestations of systemic disease in the eye.
Ophthalmologists also provide corrective vision lenses in the form of glasses and contact lenses. Some ophthalmologists are specially trained in laser surgery to correct myopia. Ophthalmologists see patients of all ages.
Length of Ophthalmology Residency Training
Ophthalmology residency length: 4 years
2011 Match Data
117 programs
>85% match rate for US seniors in 2011
Average USMLE Step 1 score for successful applicants: 230-240
No. of programs the average applicant applies to: 30-40 –> 7-8 interviews
Fellowships
Available ophthalmology fellowships: Oculoplastics, Retina, Neuro-ophthalmology, Cornea, Pediatric Ophthalmology, Glaucoma, Ocular Pathology
Work Environment
Ophthalmology practice types/location: Outpatient office practice with hospital affiliation/surgical privileges, hospital-based practice, Laser eye center
Average Salary for an Ophthalmologist
Average Salary: depends on the type of practice
More Information
American Academy of Ophthalmology, American Board of Ophthalmology
Plastic Surgery
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Plastic surgeons are specialized in the reconstruction and repair of physical deformities of the face and head, breasts, trunk, and extremities. Their surgical procedures have two purposes: the treatment of disease and injury, and cosmetic enhancement. Plastic surgeons perform surgical cosmetic reconstruction, enhancement, and reduction of facial features, breasts, and features of the trunk.
Length of Plastic Surgery Residency Training
Plastic surgery residency length: 5-7 years (involving a combination of general and plastic surgery)
2011 NRMP Match Data
45 programs
197 applicants for 108 positions
44% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
249
Average Step 2 score for matched US seniors
249
Mean number of research experiences: 3.8
Mean number of publications: 8.1
Percentage of matched US seniors in AOA: 45.9%
Percentage of matched US seniors with PhD: 6.8%
Fellowships
Available plastic surgery fellowships (1 year): Hand surgery, Head and Neck surgery, Breast surgery
Work Environment
Plastic surgery practice types/location: Outpatient office practice with hospital affiliation and surgical privileges, hospital-based practice, Cosmetic centers
Average Salary of a Plastic Surgeon
Average salary: $275,000 to $499,656
More Information
American Board of Plastic Surgery, American Society of Plastic Surgeons, Foundation for Reconstructive Plastic Surgery
Neurosurgery
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Neurosurgeons specialize in the diagnosis and treatment of injuries and diseases of the central and peripheral nervous systems which require surgical intervention. They perform open surgical procedures as well as stereotactic radiosurgery to treat diseases of the skull, meninges, brain, spinal cord, vertebral column, and their associated vascular supply.
Neurosurgeons place deep brain stimulators for treatment of Parkinson’s disease and certain psychiatric conditions; they also place ventriculoperitoneal shunts for the treatment of hydrocephalus. They also treat injuries and diseases of the peripheral nervous system which require surgery, including compressive neuropathies (e.g. carpal tunnel syndrome).
Neurosurgeons share the care of spinal injuries with orthopedic surgeons, and they share the care of stenosed (narrowed) extracranial arteries with vascular surgeons. Neurosurgeons often provide care for patients in neurological intensive care units and must be proficient in performing emergent procedures for acutely declining patients, including external ventricular drains at the bedside and hemicraniectomies in the OR.
Length of Neurosurgery Residency Training
Neurosurgery residency length: 5-7 years (includes 1 year of general surgery and neurosurgical training in cerebrovascular disease, pediatric neurosurgery, spine surgery, trauma, and tumors).
2011 NRMP Match Data
101 programs
268 applicants for 195 positions
86% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
239
Average Step 2 score for matched US seniors
241
Mean number of research experiences: 3.4
Mean number of publications: 7.4
Percentage of matched US seniors in AOA: 25.3%
Percentage of matched US seniors with PhD: 10.3%
Fellowships
Available neurosurgery fellowships: Endovascular surgical neuroradiology, Pediatric Neurosurgery
Work Environment
Neurosurgery practice types/location: Outpatient office practice with hospital affiliation/surgical privileges, hospital-based practice
Average Salary of a Neurosurgeon
Average salary: $287,000–$637,000
More Information
American Association of Neurological Surgeons, American Board of Neurological Surgery, Congress of Neurological Surgeons, Society of Neurological Surgeons
Obstetrics and Gynecology (OB\GYN)
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Obstetrician/gynecologists specialize in women’s health. They provide care for pregnant women from the time of conception through the labor and delivery process and the postpartum period. OB/GYNs provide prenatal care and fetal monitoring, and they sometimes work in conjunction with midwives. They are also experts in the diagnosis and treatment of diseases of the female reproductive tract.
OB/GYNs treat women from the ages of 18 through the very elderly, though some young women are seen prior to age 18. Current guidelines recommend that a woman is seen by a gynecologist by the age of 21 or within 3 years of the start of sexual intercourse.
Some OB/GYNs are specially trained in high-risk pregnancies and treat diseases of pregnancy (preeclampsia and eclampsia, gestational diabetes, placenta previa, etc.) as well as diseases of the fetus (intrauterine growth retardation, etc.). OB/GYNs deal with diseases of the ovaries, fallopian tubes, endometrium, cervix, vagina, and external genitalia. This includes ovarian cysts, ectopic pregnancy, endometriosis, sexually transmitted diseases, and malignancies of the ovary, endometrium, cervix, and vagina.
OB/GYNs provide assistance to mothers in the labor and delivery of their babies. They perform obstetrical surgical procedures, including cesarean sections, cerclage, and removal of ectopic pregnancies. They perform gynecological procedures including open and laparoscopic hysterectomies and oophorectomies, removal of endometrial tissue, endometrial and cervical biopsies and LEEP procedures, removal of malignant tissue for diagnosis and treatment.
Length of OB/GYN Residency Training
OB/GYN residency length: 4 years
2011 NRMP Match Data
242 programs
1509 applicants for 1205 positions
94% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
220
Average Step 2 score for matched US seniors
233
Mean number of research experiences: 2.2
Mean number of publications: 2.4
Percentage of matched US seniors in AOA: 10.8%
Percentage of matched US seniors with PhD: 1.3%
Fellowships
Available OB/GYN fellowships (1-3 years): Maternal-fetal medicine, Reproductive Endocrinology and Infertility, and Gynecologic Oncology
Work Environment
OB/GYN practice types/location: Outpatient office practice with hospital affiliation/surgical privileges, hospital-based practice
Average Salary for an OB/GYN
Average salary: $251,500 to $326,924
More Information
American Board of Obstetrics & Gynecology, American Congress of Obstetricians & Gynecologists
Urology
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Urologists are specialized in the diagnosis and medical and surgical treatment of diseases of the urinary tract and the male reproductive tract. They deal with incontinence, calculi (stones) of the urinary tract, congenital anomalies of the urinary tract, sexually transmitted diseases, sexual dysfunction in men, benign prostatic hyperplasia, and malignancies of the urinary tract and male reproductive system.
Length of Urology Residency Training
Urology residency length: 6 years
2011 Match Data
122 programs
Fellowships
Available Fellowships: Pediatric urology, Urologic oncology
Work Environment
Urology practice types/location: Outpatient office practice with hospital affiliation/surgical privileges
Average Salary for a Urologist
Average salary: No data
More information
Anesthesiology
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Anesthesiologists are specialized in the monitoring and stabilization of patients undergoing surgery as well as the relief of pain resulting from that procedure. They try to optimize a patient’s condition before, during, and after surgery.
Anesthesiologists are responsible for monitoring patients after surgical procedures in the Post-anesthesia care unit (PACU). They are also often consulted for assistance in airway management and stabilization, as well as in a Code Blue when a patient’s respiratory status declines and intubation is necessary.
Anesthesiologists are trained in critical care and rotate through intensive care units, as well. Some choose to devote their careers to attending in the ICU. They are also trained in pain medicine and are consulted for nerve blocks and other procedures to relieve pain.
Length of Anesthesiology Residency Training
Anesthesiology residency length: 4 years (including 1 year of internal medicine or general surgery)
2011 NRMP Match Data
131 programs
1612 applicants for 1404 positions
96% match rate among US seniors in 2011
Average Step 1 score for matched US seniors
226
Average Step 2 score for matched US seniors
235
Mean number of research experiences: 2.2
Mean number of publications: 2.5
Percentage of matched US seniors in AOA: 8.9%
Percentage of matched US seniors with PhD: 3.5%
Fellowships
Available anesthesiology fellowships (1 year): Critical Care, Pain Medicine
Work Environment
Anesthesiology practice types/location: Operating room and PACU in hospital, Intensive Care Unit, consult service in hospital
Average Salary for an Anesthesiologist
Average salary: $331,000 to $423,507
More Information
American Board of Anesthesiology, American Society of Anesthesiologists
Preventive Medicine
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Preventive medicine physicians specialize in protecting the health of the individual and the larger community through promoting preventive medicine. Their goal is to prevent injury, disease, disability, and death. Preventive medicine physicians subspecialize in general preventive medicine, public health, occupational medicine, and aerospace medicine.
Length of Preventive Medicine Residency Training
Preventive medicine residency length: 3 years
Fellowships
Available preventive medicine fellowships (1-2 years): Medical toxicology, Undersea and Hyperbaric Medicine
Work Environment
Preventive medicine practice type/location: Hospital, corporations, environmental associations (OSHA), Military
Average Salary for a Preventive Medicine Physician
Average salary: depends on the type of practice
More Information
Aerospace Medical Association, American Board of Preventive Medicine, American College of Occupational and Environmental Medicine, American College of Preventive Medicine, American Public Health Association
Links and Other Resources
- Check out my Premed Playbook series of books (available on Amazon), with installments on the personal statement, the medical school interview, and the MCAT.
- Related episode: 5 Tips to Help You Choose a Medical Specialty.
- Related episode: How to Think About Choosing a Residency & Specialty.
- Need MCAT Prep? Save on tutoring, classes, and full-length practice tests by using promo code “MSHQ” at Blueprint MCAT (formerly Next Step Test Prep)!