U.S. clinical experience helps applicants: Understand the U.S. healthcare system Obtain U.S. Letters of Recommendation (LoRs) Demonstrate hands-on clinical exposure Build geographic or institutional ties Many residency programs prefer or require U.S. clinical experience, especially for IMGs.

Applying to the right programs improves Match chances. Factors commonly considered include: Specialty competitiveness IMG acceptance rate USMLE score filters Visa sponsorship policies Program location and state preferences Strategic program selection is more effective than applying broadly without filters.

The NRMP Match uses an applicant-proposing algorithm, meaning it prioritizes the applicant’s Rank Order List. Applicants are matched to the highest-ranked program that also ranks them favorably, making ROL strategy extremely important.

Program Insider provides complete, end-to-end Residency Match support for medical graduates applying to ACGME-accredited U.S. residency programs. The support covers the entire Match journey, including residency program research, ERAS application guidance, clinical rotation planning, CV and profile optimization, interview preparation, Rank Order List (ROL) strategy, NRMP Match compliance, and post-Match or SOAP guidance if required. The approach is data-driven and Match-focused, helping applicants make informed decisions at every stage-from early planning to final Match outcomes-while aligning with ACGME, ERAS, NRMP, and ECFMG requirements.