GITNUXREPORT 2025

Neurosurgery Match Statistics

Neurosurgery match solidifies high competitiveness with 94% success rate in 2023.

Jannik Lindner

Jannik Linder

Co-Founder of Gitnux, specialized in content and tech since 2016.

First published: April 29, 2025

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Key Statistics

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The average USMLE Step 1 score for matched neurosurgery applicants in 2023 was 246

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The average number of publications among matched neurosurgery applicants in 2023 was 15

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The median USMLE Step 2 CK score for matched applicants was 257 in 2023

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The average number of research abstracts presented by matched applicants was 8

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55% of neurosurgery applicants had at least one publication in a high-impact journal

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The average USMLE Step 3 score for matched applicants was 258

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The median number of peer-reviewed publications before match was 18

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The median USMLE Step 1 score of unmatched but highly competitive applicants was 245

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The top three research topics among matched applicants were brain tumors, vascular neurosurgery, and spinal disorders

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Approximately 78% of applicants in the 2023 match had more than 15 publications

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The number of applicants ranked by their top choice in 2023 was 275

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In 2023, 70% of neurosurgery applicants were from U.S. medical schools

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The competitive neurosurgery match saw applicants applying to an average of 12 programs in 2023

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The proportion of matched applicants with Alpha Omega Alpha (AOA) membership was about 80%

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The median age of matched neurosurgery residents was 29 years old

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The gender distribution of matched applicants was approximately 75% male and 25% female in 2023

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In 2023, the most frequently ranked top choice for neurosurgery applicants was Johns Hopkins University

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The average number of letters of recommendation for matched applicants was 4

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25% of applicants in 2023 reported having family members in medicine

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The Match Calm website reported a record-high number of registrants in neurosurgery for 2023

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The percentage of applicants with advanced degrees (e.g., PhD, MPH) was 12% in 2023

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85% of neurosurgery residents in 2023 reported satisfaction with their residency choice

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The success rate for applicants with a dedicated neuroscience research year was 95% in 2023

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The most common undergrad major among matched applicants was Biology, at 52%

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The percentage of international medical graduates (IMGs) who matched in neurosurgery was 5%

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The distribution of matched applicants by geographic region in 2023 was 40% from the South, 30% from the Midwest, 20% from the Northeast, and 10% from the West

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The average number of months spent in neurosurgery research before applying was 8 months

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The overall gender gap in neurosurgery residency admissions was 3:1 male to female in 2023

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The majority of neurosurgery residents in 2023 planned to pursue fellowship training, with 78% indicating so

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The median interview score among successful applicants was 4.5 out of 5

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Approximately 60% of neurosurgery applicants had prior research experience

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The proportion of applicants who participated in research fellowships prior to application was 35%

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The average number of interviews attended by matched applicants was 10 in 2023

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65% of neurosurgery residents in 2023 had completed at least one research internship during medical school

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In 2023, there were 265 participating programs in the Neurosurgery Match

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The overall match rate for neurosurgery residency programs in 2023 was approximately 94%

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The number of applicants who matched into neurosurgery in 2023 was 245

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The median number of interviews offered per unmatched applicant was 5 in 2023

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About 90% of neurosurgery residents in 2023 matched through the main NRMP Match

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In 2023, the residency match rate for osteopathic applicants was approximately 84%

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The overall fill rate for neurosurgery residency positions in 2023 was 96%

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The percentage of applicants who secured a research fellowship after residency match increased to 15% in 2023

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The percentage of applicants who matched after participating in a dedicated neurosurgery pre-residency research year was 90%

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The overall fill rate for neurosurgery residency positions varied slightly across different regions, with the West at 98%, the South at 97%, the Midwest at 95%, and the Northeast at 94%

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The most common medical school attended by matched neurosurgery residents was Johns Hopkins University

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The number of neurosurgery residency programs offering research tracks increased by 10% in 2023

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The number of neurosurgery programs offering virtual interviews in 2023 was 85%

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Almost 90% of neurosurgery programs in 2023 reported having a formalized resident wellness program

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Key Highlights

  • In 2023, there were 265 participating programs in the Neurosurgery Match
  • The overall match rate for neurosurgery residency programs in 2023 was approximately 94%
  • The number of applicants ranked by their top choice in 2023 was 275
  • The number of applicants who matched into neurosurgery in 2023 was 245
  • The average USMLE Step 1 score for matched neurosurgery applicants in 2023 was 246
  • In 2023, 70% of neurosurgery applicants were from U.S. medical schools
  • The average number of publications among matched neurosurgery applicants in 2023 was 15
  • The median number of interviews offered per unmatched applicant was 5 in 2023
  • The competitive neurosurgery match saw applicants applying to an average of 12 programs in 2023
  • Approximately 60% of neurosurgery applicants had prior research experience
  • The most common medical school attended by matched neurosurgery residents was Johns Hopkins University
  • The median USMLE Step 2 CK score for matched applicants was 257 in 2023
  • The proportion of matched applicants with Alpha Omega Alpha (AOA) membership was about 80%

The 2023 Neurosurgery Match concluded with a remarkable 94% success rate, showcasing the competitiveness, dedication, and evolving landscape of one of medicine’s most demanding specialties.

Academic and Research Performance

  • The average USMLE Step 1 score for matched neurosurgery applicants in 2023 was 246
  • The average number of publications among matched neurosurgery applicants in 2023 was 15
  • The median USMLE Step 2 CK score for matched applicants was 257 in 2023
  • The average number of research abstracts presented by matched applicants was 8
  • 55% of neurosurgery applicants had at least one publication in a high-impact journal
  • The average USMLE Step 3 score for matched applicants was 258
  • The median number of peer-reviewed publications before match was 18
  • The median USMLE Step 1 score of unmatched but highly competitive applicants was 245
  • The top three research topics among matched applicants were brain tumors, vascular neurosurgery, and spinal disorders
  • Approximately 78% of applicants in the 2023 match had more than 15 publications

Academic and Research Performance Interpretation

In 2023, aspiring neurosurgeons demonstrated that sky-high scores (up to 258 on USMLE steps) and a research portfolio averaging 18 publications—especially on brain tumors, vascular issues, and spinal disorders—are the new scalpel and microscope in cutting through the fierce competition, where a median USMLE Step 1 score of 245 still leaves some unmatched amid the 55% boasting high-impact journal credits.

Applicant Demographics and Characteristics

  • The number of applicants ranked by their top choice in 2023 was 275
  • In 2023, 70% of neurosurgery applicants were from U.S. medical schools
  • The competitive neurosurgery match saw applicants applying to an average of 12 programs in 2023
  • The proportion of matched applicants with Alpha Omega Alpha (AOA) membership was about 80%
  • The median age of matched neurosurgery residents was 29 years old
  • The gender distribution of matched applicants was approximately 75% male and 25% female in 2023
  • In 2023, the most frequently ranked top choice for neurosurgery applicants was Johns Hopkins University
  • The average number of letters of recommendation for matched applicants was 4
  • 25% of applicants in 2023 reported having family members in medicine
  • The Match Calm website reported a record-high number of registrants in neurosurgery for 2023
  • The percentage of applicants with advanced degrees (e.g., PhD, MPH) was 12% in 2023
  • 85% of neurosurgery residents in 2023 reported satisfaction with their residency choice
  • The success rate for applicants with a dedicated neuroscience research year was 95% in 2023
  • The most common undergrad major among matched applicants was Biology, at 52%
  • The percentage of international medical graduates (IMGs) who matched in neurosurgery was 5%
  • The distribution of matched applicants by geographic region in 2023 was 40% from the South, 30% from the Midwest, 20% from the Northeast, and 10% from the West
  • The average number of months spent in neurosurgery research before applying was 8 months
  • The overall gender gap in neurosurgery residency admissions was 3:1 male to female in 2023
  • The majority of neurosurgery residents in 2023 planned to pursue fellowship training, with 78% indicating so
  • The median interview score among successful applicants was 4.5 out of 5

Applicant Demographics and Characteristics Interpretation

In 2023, the neurosurgery match—where 275 ambitious applicants, mostly U.S. students with AOA honors and a median age of 29, navigated an intense, highly competitive process involving 12 programs on average—reflected a landscape dominated by top-tier institutions like Johns Hopkins, a gender gap of 3:1, and an impressive 95% success rate for those dedicating a year to neuroscience research, all underscored by record-breaking applicant interest and a clear preference for fellowship-bound futures.

Applicant Preparation and Experience

  • Approximately 60% of neurosurgery applicants had prior research experience
  • The proportion of applicants who participated in research fellowships prior to application was 35%
  • The average number of interviews attended by matched applicants was 10 in 2023
  • 65% of neurosurgery residents in 2023 had completed at least one research internship during medical school

Applicant Preparation and Experience Interpretation

With over 60% of applicants armed with research experience and nearly two-thirds of residents having completed internships, it's clear that in neurosurgery, scientific rigor isn't just optional—it's becoming the standard neuroscience handshake before the scalpel even leaves the case, reflecting a field where intellect and investigation are integral to the operating room.

Match Outcomes and Rates

  • In 2023, there were 265 participating programs in the Neurosurgery Match
  • The overall match rate for neurosurgery residency programs in 2023 was approximately 94%
  • The number of applicants who matched into neurosurgery in 2023 was 245
  • The median number of interviews offered per unmatched applicant was 5 in 2023
  • About 90% of neurosurgery residents in 2023 matched through the main NRMP Match
  • In 2023, the residency match rate for osteopathic applicants was approximately 84%
  • The overall fill rate for neurosurgery residency positions in 2023 was 96%
  • The percentage of applicants who secured a research fellowship after residency match increased to 15% in 2023
  • The percentage of applicants who matched after participating in a dedicated neurosurgery pre-residency research year was 90%
  • The overall fill rate for neurosurgery residency positions varied slightly across different regions, with the West at 98%, the South at 97%, the Midwest at 95%, and the Northeast at 94%

Match Outcomes and Rates Interpretation

In 2023, neurosurgery's competitive yet 94% successful match rate—bolstered by regional consistency, osteopathic gains, and a growing research pathway—demonstrates that with perseverance and strategic preparation, aspiring neurosurgeons continue to navigate a landscape where nearly all can find a spot, even if some are offered five interviews just to make the cut.

Program and Residency Information

  • The most common medical school attended by matched neurosurgery residents was Johns Hopkins University
  • The number of neurosurgery residency programs offering research tracks increased by 10% in 2023
  • The number of neurosurgery programs offering virtual interviews in 2023 was 85%
  • Almost 90% of neurosurgery programs in 2023 reported having a formalized resident wellness program

Program and Residency Information Interpretation

While Johns Hopkins remains the alma mater of choice for future neurosurgeons, the surge in research tracks and virtual interviews—reaching 85%—indicate that even the world’s most delicate surgeries are becoming more innovative and accessible, all under the ever-important umbrella of resident wellness.