First Look: AY 2025 Match

Matched Candidates in Nephrology Were Up 13% in AY 2025

Key Takeaways from the AY 2025 Nephrology Match

A total of 362 candidates matched into nephrology in the appointment year (AY) 2025 Match, up 13% from last year. Data released today by the National Resident Matching Program (NRMP) revealed:

• A total of 103 out of 178 nephrology training tracks in the AY 2025 Match filled (58%), with 73% of the 496 fellowship positions offered claimed on Match Day.

• 131 international medical graduates (IMGs) obtained nephrology positions, more than in AY 2024. IMGs comprised 36% of nephrology trainees this year.

• Matched allopathic candidates were up 9% to 89 residents in AY 2025; 74 DOs entered nephrology as well as 68 US-IMGs who comprised 19% of all matched fellows for AY 2025.

Match Results in Detail

Fellows

Of 367 candidates preferring nephrology 343 obtained a nephrology fellowship position in AY 2025. Allopathic residents entering nephrology increased 9% from AY 2024, with IMGs up 12%, DOs up 40%, and US-IMGs down 1% (see Table 1). The ratio of nephrology candidates declined to 0.74 candidates/position.

Table 1: Nephrology Candidate Trends AY 2019–AY 2025*

*Note: Total Applicants for AY 2025 not reported on Match Day.
Source: NRMP.

More US MDs and More IMGs Matched into Nephrology in AY 2025

93% of Candidates Preferring Nephrology Matched in AY 2025

The Ratio of Candidates to Nephrology Positions Inched Up to 0.74

Nephrology Training Tracks

In AY 2025, 178 nephrology training tracks (e.g., Clinical, Research, or Critical Care–Nephrology) were offered in the nephrology Match, of which 58% filled all of their available slots. There were 496 positions offered for AY 2025, an increase of 2% over AY 2024 (see Table 2).

Table 2: Trends—Nephrology Match Training Tracks AY 2019–AY 2025

Source: NRMP.

Proportion of Filled Training Tracks Increased in AY 2025

103 Training Tracks Filled All Fellowship Positions

73% of Fellowship Positions Filled, Up 11%

More Positions Were Offered This Year, 134 of Which Were Unfilled

Predicting Match Outcomes Using July ERAS Data

There is a moderately strong linear relationship between the number of nephrology candidates in July with that year’s total matched fellows (ordinary least squares, R²=0.9). The model is limited by a low level of information, with data available only from the AY 2014 cycle onward. Yet the model makes some intuitive sense given that candidates applying to nephrology fellowships in July are committed to pursuing the specialty. In AY 2025, there were 360 candidates in July, with the model predicting 341 matched fellows, 21 fewer than this year’s final total of 362.

Linear Regression of ERAS Nephrology Candidates in July with Matched Fellows