As most of you know journey to matching a residency in USA is not that simple it is really a tough long journey starting from the 1st day in the medical school till passing USMLE with good scores and spending time on researches and electives ...etc. You can find more details and discussion about USMLE in our USMLE Forum. It is well known that US medical residency programs are the best training programs for doctors in the world, this is why US residencies are the most competitve residencies. Different residencies are not the same, It differs according to the hospital itself and according to the specialty, we are discussing here the most competitive specialties for the match. 10. General Surgery Overall score: 18 Future general surgeons need to exhibit solid USMLE Step 1 and Step 2 scores which, in this instance average 238.5. They still, however, have more than a few spots open for them as an average US senior competes for 1.1 open position in trying to get the match in this residency. Finally, general surgery promises physician’s mean salary of $360,933 which represents the middle ground compared to the rest of available specialties. 9. Diagnostic Radiology Overall score: 20 “The eye of medicine” – diagnostic radiology is responsible for diagnosing the illness and paving the way for other medical specialties. The average salary of $404,302 is quite promising indeed, but in order to earn it, every diagnostic radiology resident will have to get a 245 USMLE Step tests average or thereabouts. Lucky for them, at least they compete for 1.29 open positions. 8. Ophthalmology Overall score: 20 Ophthalmologists might earn slightly lower average yearly salaries of $343,144 than their predecessors on this list, but they don’t have plenty of maneuvering space when it comes to a number of open positions. 1.01 is the number here, and most US seniors have to really excel with their respective applications. 7. Urology Overall score: 22 Urology is still competitive, even though the results vary between the years. Average USMLE tests scores for urology are almost impossible to find, but we have managed to dig urologist’s average Step 1 score which sits at 238. Salary of $381,029 and positions per US senior score of 0.82, however, clearly pinpoint urology’s high competitiveness rating. 6. Radiation Oncology Overall score: 23 A present-day radiation oncologist is closely connected with cancer treatment, even though physician in this field would only be a part of any respective cancer treatment team. Still, their overall Step score averages 244.5, and they all fight for 0.93 positions. Furthermore, their respective yearly salary of $418,288 is also quite competitive, but they first have to finish their residencies before getting the chance to actually earn it. Take Our Free Quiz: Medical Specialty Quiz 5. Dermatology Overall score: 24 With mean USMLE Step tests score of 251, average US dermatologist represents the most qualified residency match. Their respective salary reaches $400,989 and they compete for 0.95 open positions. Considering all this, it’s no wonder why dermatology is one of the most competitive specialties on our list of 10 most competitive residency programs in the US. 4. Otolaryngology Overall score: 25 Proudly carrying the moniker of “the oldest medical specialty in the US”, otolaryngology positions itself inside the top 5. Compared to some of less competitive residencies, the salary of $369,790 doesn’t seem like much, but 250 average in Step 1 and Step 2 scores, together with 0.84 positions per US senior applicant clearly make this residency stand out among others. 3. Plastic Surgery Overall score: 26 Opposite of otolaryngology, plastic surgery is one of the youngest medical fields in the US. However, it has rapidly gained popularity in past couple of decades and is now considered one of the most competitive specialties. The future plastic surgeon can expect a median yearly salary of $407,709, but he/she also needs average USMLE test score results of around 248.5. Finally, Plastic surgery is the most competitive residency in terms of open positions per US applicant. 0.74 positions mean that only two out of three US seniors can expect to get a match. 2. Neurological Surgery Overall score: 27 Neurosurgeons earn the most, with their average yearly salaries soaring as high as $609,639. However, they compete for 0.93 positions which isn’t the highest score; as we have seen. Their respective Step 1 and Step 2 score average of 245.5 also isn’t the best, but neurological surgery still manages to be one of the most competitive residency programs, regardless. 1. Orthopedic Surgery Overall score: 28 The specialty that leads the list of 10 most competitive residency programs in US is orthopedic surgery. Orthopedics warrants the average USMLE tests score of 248, and all future residents have to know that they will compete for only 0.83 open positions. However, average annual salary of $535,668 should be enough to sway many a young med school graduates and seniors into considering this highly competitive specialty as their future vocation. Check Our Free Quiz: What Is The Suitable Medical Specialty For Your Personality ?