Step 1: Explore the Specialty
Before you pursue a career in Pediatrics, it's important to be well informed about the specialty. We've put together a great collection of articles and resources which are essential reading for the aspiring pediatrician.
These articles will give you a better idea of the pros and cons of a career in the field, trends in the specialty, and hot-topic issues for trainees.
Step 2: Review Pediatrics Match Data
Pediatrics is one of the less competitive specialties for U.S. allopathic and osteopathic medical students. In recent years, there has been a notable decline in interest in the field, especially among allopathic medical students. Much has been written about the factors leading to this diminished interest, with lower compensation and administrative burdens suggested as major areas of concern for graduating students.
Year after year, for the past five years, there has been a decrease in the number of applications submitted to pediatrics residency programs. In the 2024 NRMP Match, there were 252 unfilled positions in the specialty, a significant increase from previous years.
Pediatrics-Charting Outcomes in the Match for U.S. MD 2024
Charting Outcomes™: Characteristics of U.S. MD Seniors Who Matched to Their Preferred Specialty: 2024 Main Residency Match®
Pediatrics-Charting Outcomes in the Match for U.S. DO 2024
Charting Outcomes™: Characteristics of U.S. DO Seniors Who Matched to Their Preferred Specialty: 2024 Main Residency Match®
Pediatrics-Charting Outcomes in the Match for IMGs 2024
Charting Outcomes™: Characteristics of International Medical Graduates Who Matched to Their Preferred Specialty: 2024 Main Residency Match®
Step 3: Understand Residency Selection Criteria
"We had another amazing year for the pediatric residency program in the 2015 National Resident Matching Program," writes the Children's National Health System in Washington, DC. "2,655 applications."
To maximize your chances of matching with your first-choice residency program in pediatrics, you must become well informed as early as possible. In particular, you need to know the criteria residency programs use to select residents.
We recommend beginning with the following resources:
Pediatrics-2024 NRMP Program Director Survey
Charting Outcomes™: Program Director Survey Results, 2024 Main Residency Match®
Check out these other recommended resources
Step 4: Develop your Strategy for Success
The process of matching into the specialty and/or program of your choice begins well before it’s time to work on the residency application. Success is the culmination of many decisions and actions that take place over a period of several years.
Many medical students struggle to become strong residency applicants not because they are not talented or hardworking, but because they lack knowledge or guidance about the actions they should take to position themselves for future success.
Complicating matters even further is the rapidly changing landscape in residency admissions making it difficult for both residency applicants and mentors to stay well informed. A recent study showed that 75% of faculty advisors had advising concerns due to lack of knowledge of current practices or recent changes to the residency application.
As competition for positions in the residency match intensifies, it's more important than ever to be an informed candidate who has the "right" strategy for success. To develop the optimal strategy, use our book, The Successful Match. It's been designated recommended or required reading by the Association of American Medical Colleges, American Medical Women's Association, and numerous allopathic and osteopathic medical schools.
AMSA wrote the book "provides the medical student reader with detailed preparation for the matching process." Fully updated in 2025 with over 1,000 pages of powerful information, the book is a must-have resource to help you stand out from the competition.
This book will empower you to become a stronger pediatrics residency applicant. Inside, you'll find answers to the following questions and much more:
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What content are pediatrics residency program directors looking for in a personal statement?
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What should your signaling strategy be in pediatrics?
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What separates top from average performers during the residency interview?
For more powerful information, sign up for our weekly update.
Step 5: Make the Most of your Preclinical Years
Step 6: Apply for Scholarships and Awards
When Amol Patel, a medical student at the Texas College of Osteopathic Medicine, won the Young Investigator Award from the National Lipid Association, Dr. Don Wilson, his mentor, had this to say about the accomplishment. "I'm proud of his work. He represents his medical school and our community well." The award was given for Amol's paper about a 3-year-old with a rare liver condition.
Winning medical school scholarships and awards can provide a major boost to your residency application, and set you apart from your peers. Awards can be placed in the application, MSPE (Dean's Letter), letters of recommendation, and CV. We have found that interviewers often ask about awards during residency interviews.
Step 7: Assess your USMLE Step 1 Score or COMLEX 1 Score
Your USMLE Step 1 or COMLEX 1 exam score is a major factor used by pediatrics residency programs in the selection process. In 2018, the mean USMLE Step 1 and COMLEX 1 scores among matched students were 227 and 526, respectively. Among unmatched U.S. seniors and osteopathic students, the mean scores were 209 and 465, respectively.
Step 8: Strive for Success During Clerkships, Observerships and Externships
Grades in required or core clerkships are very important to pediatrics residency programs. In a NRMP survey of pediatrics residency programs, 77% cited "grades in required clerkships" as a factor in selecting applicants to interview." Pediatrics rotations are also of obvious importance to international medical graduates seeking positions in the field.
Step 9: Prepare a Powerful Residency Application
Step 10: Develop a Powerful Personal Statement
Step 11: Deliver an Impressive Interview Performance
What if I didn't match?
If you were unsuccessful during your initial match cycle, you'll need to sit down with your dean or advisor to review your match strategy. In planning your reapplication, each of the steps above becomes even more important.
For those who seek additional expert assistance, we can provide that. Dr. Desai has had significant experience in helping re-applicants match successfully.
This is provided via a Strategy for Success Session. Dr. Desai will perform a comprehensive review of your credentials, assess your strengths and weaknesses, and provide you with a specific plan to implement tailored to your unique situation.