@bobjonesbob @medradthrowaway
This was mentioned earlier in the thread, but I'll echo what's already been said. Residency
competitiveness and residency
match rate are not equivalent. It's not hard to understand. Just as an example, the Diagnostic Radiology match rate last year was 95%, which is on par with the match rate for family medicine or IM, but the average Step 1 score for matched DR applicants was 241. So, are IM and DR equal in competitiveness b/c they had similar match rates ? Of course not.
Step 1 scores are undoubtedly the single most important factor when applying for any residency, but even more so for highly competitive specialties. That is why I singled out Step 1 as a variable over other factors that come in to play. If you can't grasp that now, you'll understand when you apply for residency or sit on a residency selection committee.
For IR applicants this past cycle with Step 1 scores > 245+, the competitiveness was identical or even higher to last year, as the applicant pool was more concentrated with competitive applicants. I am telling you this as a member of my residency selection committee, and while my experience is not identical to every other IR program, it undoubtedly gives me a higher level perspective than outsiders looking in. For noncompetitive applicants (eg, applicants with Step 1 scores in the 220-235 range), the chances of matching this past cycle dropped considerably. Despite the overall match rate increasing from 58% to 80%, applicants were still competing against other applicants with similarly high test scores. The increased match rate % was almost entirely the result of noncompetitive applicants self selecting and applying to different residency pathways, and that is clear if you simply compare applicant pools from both years. And please, show me another field in which the average Step 1 score increased by 3+ points. I'll save you the trouble, there isn't one.