Med-Peds Residency Programs: 2026 IMG Match Data
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Med-Peds Residency Programs: 2026 IMG Match Data & Friendly States

May 4, 2026

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IMGPrep · Med-Peds Data Brief · 2026

79 programs. 404 positions. 100% filled.

A snapshot of the U.S. Internal Medicine-Pediatrics landscape entering the 2026 cycle — with the IMG-friendly states the data actually identifies.

IMGPrep Data Brief ·Source: ACGME, NRMP ·Data through 2026 Main Match ·Companion to Internal Medicine-Pediatrics for IMGs
79
Accredited Med-Peds Residency Programs (ACGME 2025-26)
404
PGY-1 positions offered (2026 NRMP Match)
12.7%
Non-U.S. IMG match rate to Med-Peds
22
Total IMG matches in 2026 (8 U.S. · 14 Non-U.S.)

Internal Medicine-Pediatrics is a four-year combined residency leading to dual board certification in Internal Medicine and Pediatrics. There are 79 ACGME-accredited Med-Peds Residency Programs in the United States, distributed across 38 states. For the strategic decision framework — where dual training creates measurable advantage and what successful IMG applicants look like — see Internal Medicine-Pediatrics for IMGs: A Strategic Guide.

Where the 79 Med-Peds Residency Programs Sit

Michigan and New York tie for the top spot with 6 programs each. The top 10 states account for 42 of 79 programs.

Top 10 states · Med-Peds program count · ACGME 2025-26
Michigan
6
New York
6
Illinois
5
California
4
Massachusetts
4
Ohio
4
Pennsylvania
4
Louisiana
3
North Carolina
3
Texas
3
14 states with zero Med-Peds programs

Alaska, Hawaii, Idaho, Iowa, Montana, Nevada, New Hampshire, New Mexico, North Dakota, Oregon, South Dakota, Vermont, Washington, Wyoming.

Is Med-Peds IMG-Friendly?

Direct Answer

No — Med-Peds is one of the least IMG-friendly residencies in the Match. The Non-U.S. IMG match rate to Med-Peds is 12.7%, roughly one-fifth of the U.S. MD Senior rate. Of 110 Non-U.S. IMGs who applied in 2026, only 14 matched.

U.S. MD Sr
81.0%
325 / 401
U.S. DO Sr
57.0%
53 / 93
U.S. IMG
29.6%
8 / 27
Non-U.S. IMG
12.7%
14 / 110

The 100% fill rate across all 79 Med-Peds Residency Programs combined with the U.S. MD Senior preference share is what makes Med-Peds structurally selective for IMGs. Programs do not need to recruit beyond U.S. graduates to fill — IMGs compete for the residual share, not for the bulk of positions.

IMG-Friendly States: Where IMGs Actually Match in Med-Peds

Of 38 states with at least one Med-Peds program, only 8 states matched any IMGs in 2026. Michigan absorbed 10 of 22 IMG matches — 45.5% of the entire IMG cohort.

2026 Med-Peds IMG matches by state · stacked U.S. + Non-U.S. IMG
U.S. IMG Non-U.S. IMG
Michigan
10
New York
4
Missouri
2
North Carolina
2
Louisiana
1
Minnesota
1
West Virginia
1
Wisconsin
1
13 states filled 100% with U.S. MD Seniors only

Arkansas, Colorado, Connecticut, DC, Indiana, Kansas, Maryland, Nebraska, New Jersey, Puerto Rico, Rhode Island, Utah, Virginia. These states matched zero IMGs into Med-Peds in 2026.

New Med-Peds Program for 2025-26

Only one Med-Peds program received Initial Accreditation for the 2025-26 academic year.

New Med-Peds Program · Initial Accreditation 2025

Zucker School of Medicine at Hofstra/Northwell

ACGME Program Code
7003500001
Program Director
Mariecel Pilapil, MD, MPH
Accreditation Status
Initial Accreditation
Effective Date
September 12, 2025
Specialty
Internal Medicine / Pediatrics
State
New York

Source-Derived Facts

Med-Peds Residency Programs & Accreditation

  • 79 ACGME-accredited Med-Peds Residency Programs in the U.S. (AY 2025-26).
  • 77 hold Continued Accreditation; 2 hold Initial Accreditation.
  • Initial Accreditation programs: Emory (eff. 09/06/2024) and Zucker / Hofstra-Northwell (eff. 09/12/2025).
  • Only 1 program is genuinely new for the 2025-26 academic year.

Geography

  • 38 of 52 U.S. states/territories host a Med-Peds program; 14 do not.
  • Top 10 states hold 42 of 79 programs (53.2%).
  • Michigan and New York tie for #1 with 6 programs each.
  • Top concentrations: Michigan, New York, Illinois, California, Massachusetts, Ohio, Pennsylvania.

2026 National Match Outcomes

  • 404 PGY-1 positions offered, 404 filled, 0 unfilled.
  • 639 unique applicants ranked at least one Med-Peds position.
  • Match rates: U.S. MD Sr 81.0% · U.S. DO Sr 57.0% · U.S. IMG 29.6% · Non-U.S. IMG 12.7%.
  • IMGs combined filled 5.4% of Med-Peds positions.

IMG Concentration

  • 22 total IMG matches in Med-Peds nationwide (8 U.S. IMG, 14 Non-U.S. IMG).
  • Michigan absorbed 10 of those 22 (45.5%).
  • New York second with 4 IMG matches.
  • Only 8 states matched at least one IMG into Med-Peds in 2026.
  • 13 states filled 100% of positions with U.S. MD Seniors only.
IMG matched into Med-Peds Residency Programs — celebrating Match Day with NRMP congratulations letter

22 IMGs matched Med-Peds in the 2026 cycle. With strategic positioning and the right Med-Peds Residency Programs list, you could be among next year’s matches.

Find Med-Peds Residency Programs That Match IMGs

The 22 IMG matches in 2026 went to a small subset of the 79 Med-Peds Residency Programs. IMGPrep’s Customized Residency Program Lists identify the specific programs in your specialty that have actually matched IMGs in recent cycles — not just the ones that say they consider international applicants.

Get a Customized Med-Peds Program List → Schedule a Consultation

Related Reading on imgprep.com

Sources

  1. Accreditation Council for Graduate Medical Education (ACGME). Public list of programs by specialty — Internal Medicine/Pediatrics, AY 2025-2026. apps.acgme.org
  2. National Resident Matching Program (NRMP). 2026 Main Residency Match: Match Rates by Specialty and State. nrmp.org
  3. National Resident Matching Program (NRMP). 2026 Main Residency Match: Advance Data Tables.

IMGPrep is not associated with the NRMP®, the MATCH®, the ACGME, the AAMC, or the ECFMG®. Reproduction of NRMP figures requires written permission of the NRMP.