What to Do Next if You Didn't Match During the 2025 Residency Cycle
Not matching during the residency cycle can feel discouraging, but remember, you're not alone, and it's absolutely possible to find success next year. With the 2025 NRMP Match Week behind us, it's crucial for medical students, graduates, and residency applicants to explore the pathways and strategies that can turn this setback into an opportunity.
This guide outlines actionable steps you can take to position yourself for future success.
Understanding the Residency Match Process
The residency match is a competitive and complex process, with over 42,000 applicants vying for approximately 40,000 spots annually. While 93.8% of U.S. MDs and 92.3% of U.S. DOs matched in 2024, thousands still found themselves unmatched.
Before moving forward, it's important to understand where things might have gone wrong. Was it your application, your interview performance, or perhaps your specialty choice? Identifying these factors will help guide your next steps effectively.
Options to Explore After an Unsuccessful Match
1. Participate in the Supplemental Offer and Acceptance Program (SOAP)
SOAP allows unmatched applicants to apply for unfilled residency slots. Starting immediately after Match Week, this program is an excellent short-term solution for securing a position. To improve your chances, ensure your documents are polished, and be ready to act quickly.
2. Consider a Preliminary or Transitional Year
Preliminary or transitional programs offer a one-year residency that allows you to gain clinical experience. These programs can serve as a steppingstone to match into your desired specialty the following year. Research programs actively, as they often provide the opportunity to strengthen both your skills and your resume.
3. Obtain Clinical or Research Experience
Many unmatched applicants enhance their applications by gaining additional clinical or research experience. Working as a research assistant or clinical observer can help you build relationships with mentors, earn strong letters of recommendation, and demonstrate your commitment to your specialty.
Some options to consider include:
- Applying for clinical observerships or externships
- Taking on a paid or volunteer research assistant role
- Finding opportunities through platforms like FindAResident or other fellowship directories provided by organizations like the Association of American Medical Colleges (AAMC).
4. Improve Your Application for Next Match Cycle
Take time to address any weak areas in your residency applications. This includes retaking exams if necessary, improving your personal statement, and ensuring your ERAS application is well-polished. Seek guidance from medical school advisors or mentors to create a standout application for the 2026 match.
Here are specific ways to enhance your application:
- Strengthen Your Personal Statement: Reflect on growth and lessons learned from this process.
- Reassess Your Specialty Choices: Consider targeting a less competitive specialty if you're open to new career paths.
- Improve Board Scores: If exam performance was a contributing factor, dedicate this year to improving your scores.
5. Opt for Public Health or Advanced Degrees
If you're seeking to strengthen your resume while taking a proactive step toward career growth, consider pursuing an additional degree such as a Master of Public Health (MPH) or a Master of Business Administration (MBA). These programs not only enhance your application but can also diversify your career options.
6. Stay Connected with the Medical Community
Engaging with the medical community ensures you remain active in the field while waiting for your next opportunity. Options include becoming a medical scribe or volunteering at free clinics to keep your clinical skills sharp and show your dedication to providing patient care.
7. Take the USMLE Step 3 Exam
Passing the USMLE Step 3 can demonstrate your medical competency and provide an added boost to your application during the next cycle. Use this year to prepare thoroughly and show programs that you've utilized this time productively.
Maintaining Your Emotional Well-Being Post-Match
Experiencing an unsuccessful match can be emotionally challenging. It's important to focus on self-care and seek mentorship or counseling if needed. Remember, you're not alone—many physicians have faced this situation and gone on to have successful, fulfilling careers. Lean on your support network, and don't hesitate to ask for help when you need it.
Leveraging Locum Tenens Opportunities
Locum tenens positions offer unmatched medical graduates the opportunity to gain clinical experience, earn income, and learn about different healthcare settings. AMN Healthcare can help connect you with locum opportunities tailored to your skills and goals while keeping your career trajectory on track.
Benefits of Locum Tenens Roles:
- Build hands-on clinical experience
- Explore diverse healthcare environments
- Earn income while gaining flexibility in your career growth
See how AMN Healthcare can support your career goals and explore how locum tenens can help you take the next step with confidence.
Set Yourself Up for 2026 Residency Match Success
Failing to match doesn't indicate failure as a doctor—it simply means you have more time to refine your approach. Each of the strategies outlined above can help you stand out as a stronger candidate next cycle. Start by assessing your current application, seeking professional mentorship, and pursuing clinical opportunities or advanced education to set yourself apart.
With diligence, adaptability, and the right resources, you'll be well-prepared when the next match cycle comes around. As always, AMN Healthcare is in your corner, ready to support you as you embark on a rewarding physician career. Reach out today to learn how we can help you take the next step in your physician journey.
