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2025 Match® Results for Family Medicine
The AAFP’s brief analysis of family medicine results from the annual National Resident Matching Program Main Residency Match® (NRMP Match) provides a snapshot of the incoming physician workforce at its most significant inflection point. These results do not account for other matching services, like the annual Military Match, private arrangements outside of the Match, or the Supplemental Offer and Acceptance Program®.
FULL 2025 MATCH COVERAGE FROM THE AAFP
AAFP 2025 Match Analysis
In the 2025 NRMP Match:
- 4,574 medical students and graduates matched to family medicine residency programs. Here's the breakdown:
- 1,519 U.S. allopathic medical school (MD) seniors
- 1,486 osteopathic medical school (DO) seniors
- 626 U.S. international medical graduates (IMGs)
- 801 non-U.S. IMGs
- 90 previous graduates of U.S. MD-granting schools
- 52 previous graduates of DO-granting schools
- Family medicine offered 5,379 positions, which is 148 more than in 2024 and 13.4% of positions offered in all specialties.
- The number of U.S. MD seniors matching decreased by 16 compared with the year prior. It remains significantly below (by 821 matches) the historical peak of 2,340 matches in 1997. Only 7.9% of matched U.S. MD seniors matched in family medicine.
- The number of U.S. DO seniors matching to family medicine decreased by seven year-over-year. The percentage of U.S. DO students matching to family medicine declined by a percentage point to 19.1%, which is a steeper decline than the historical trend.
- The number of non-U.S. IMGs who matched in family medicine rose significantly for the second year in a row (801 in 2025 from 562 in 2023) and accounted for 12% of all non-U.S. IMG matches. This was the only applicant category with a year-over-year increase in family medicine.
- U.S. IMGs matched to family medicine at a higher rate than any other applicant type (20%). However, the number of U.S. IMGs who matched in family medicine in 2025 (749) declined by 123 compared to 2024.
- A total of 3,147 U.S. MD and DO seniors and graduates matched in family medicine.
- Family medicine represents 11.2% of all U.S. students or graduates matched in 2025.
Family Medicine Residency Positions Offered and Filled
These results are a combination of all PGY-1 positions that result in eligibility for licensure and board certification in family medicine. Those include family medicine-categorical and combined residency programs. Broken down:
- 817 family medicine-categorical programs offered a total of 5,357 positions and filled 4,552. The overall fill rate for family medicine-categorical programs was 85%.
- 7 family medicine-psychiatry programs offered and filled 14 positions.
- 3 emergency medicine-family medicine programs offered and filled 7 positions.
- 1 family medicine-preventive medicine program offered and filled 1 position.
Ways to Take Action Following Match 2025
Health care, education and societal systems need to incentivize, recruit and support a medical student population that better represents the U.S. population, especially medical students who are more likely to choose primary care careers and practice in underserved areas.
- While the NRMP Match results reflect momentum for residency training in family medicine, the U.S. medical education system is not meeting that momentum by recruiting and training students who are most likely to pursue primary care careers.
- It is urgent and vital for family medicine residency growth to continue and for the U.S. medical education and health care systems to collaborate in meeting the demand for family medicine in the United States. Impacting this trajectory will require reforms in the pathway to medical education, the process of medical education, the practice environment, and systems of payment and valuation in health care.
- The U.S. medical education system is far from delivering the primary care medical workforce needed in the country it serves by the taxpayers who fund it.
- The composition of residency training positions must reflect the needs of the physician workforce. As such, the number of positions in family medicine, other primary care specialties and a few other specialties must increase even more steeply than it has to date.
- To improve the health of Americans and the sustainability of the health care system, substantial increases in the family medicine and primary care workforce that also account for the composition, distribution and quality of that workforce are needed.
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- The Health of US Primary Care: 2025 Scorecard Report – The Cost of Neglect
- Primary Care in the US: A Chartbook of Facts and Statistics – From the Robert Graham Center for Policy Studies in Primary Care, this describes the current state of primary care in the U.S. and presents information from a variety of national sources to answer questions about who, what, where, and how primary care is being delivered
- Graham Center State Workforce Projections - The Graham Center projects to 2030 the needed primary care physician workforce by state.
- Graham Center Publications and Reports on Medical Education - Find Graham Center research on medical education, including related to graduate medical education positions, medical school contributions to the primary care workforce, Teaching Health Centers, and more.
- No More Lip Service; It’s Time We Fixed Primary Care – This two-part Health Affairs blog post calls for changes across the system to reach the optimal primary care workforce.
- Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care - This landmark report from the National Academies of Science, Engineering, and Medicine proposes an implementation plan to strengthen primary care in the U.S., especially for underserved populations, and to inform primary care systems around the world
- Graduate Medical Education Financing Policy – The AAFP’s recommended six principles to reforming the nation’s graduate medical education system to meet workforce needs.
- Advocacy Wins for Family Medicine – Read about recent AAFP advocacy wins to strengthen the primary care workforce.
- How to Strengthen the Primary Care Workforce – Learn about AAFP’s message to Congress
- AAFP Advocacy Focus: Graduate Medical Education – Learn about and Speak Out on efforts to grow graduate medical education opportunities in family medicine.
- AAFP Advocacy Focus: Medical Student Debt – Learn about and Speak Out on efforts to address the affordability of medical school and decreasing medical student debt.
- AAFP Rural Graduate Medication Education Policy – Review six principles for growing graduate medical education in rural communities.
- AAFP policy on Student Choice of Family Medicine, Incentives for Increasing
- AAFP policy on Diversity in the Workforce
- Strolling Through The Match – The AAFP's comprehensive guide to matching provides information from start to finish of the Match process, including the timeline, process, and tips on ranking programs and interviewing, and focuses entirely on careers in family medicine.
- AAFP FUTURE (formerly National Conference of Family Medicine Residents and Medical Students) – This annual conference hosted by the AAFP gives medical students and residents an opportunity to explore the family medicine specialty and interact with thousands of peers, hundreds of residency programs, and leaders in family medicine.
- FMIG Network – The AAFP’s Family Medicine Interest Group (FMIG) Network supports medical school student organizations to provide activities and programming that promote family medicine across the country and internationally.
- Family Medicine Champions – This new certificate-granting AAFP program prepares educators, advisors, and students to educate and inspire the next generation of family physicians.
- Family Medicine special edition – This publication from 2022 explores progress toward student interest in family medicine. Find multiple articles focused on the influence of medical school experiences on student choice of family medicine.
- The Best Practice Guide for Strategic Planning to Increase Student Choice of Family Medicine – This publication from the Association of Departments of Family Medicine, the AAFP and the Society of Teachers of Family Medicine is designed to positively impact the visibility of family medicine departments/divisions at their schools.