Rank programs in your genuine order of preference, not where you think you are most likely to match. Include only programs where you are willing to train, resolve nonnegotiable constraints, certify before the deadline, and keep a copy of the final list.
What to remember
- Use true preference order
- Do not rank an unacceptable program
- Separate evidence from interview-day emotion
- Understand linked or advanced positions
- Certify and verify on time
Start with nonnegotiables
Identify constraints that could make training impossible or unsafe: visa feasibility, location, family needs, program status, required linked positions, or material concerns. Resolve facts with official sources or the program.
Compare the training
- Clinical volume, breadth, autonomy, and supervision
- Resident culture and support
- Curriculum and career alignment
- Geography, cost, and support system
- Program stability and concerns
- How the program fits your actual goals
Use preference, not strategy myths
NRMP instructs applicants to rank programs in true preference order. Moving a less-preferred program upward because it seems more likely does not improve the outcome in the way applicants often imagine.
Complete the operational steps
Check program codes and tracks, build any supplemental lists correctly, certify the rank order list, confirm its status before the deadline, and save a personal copy. Do not wait for the final minutes.
Questions students ask
Should I rank a program that I would rather not attend?
Rank only programs where you are willing to accept a binding Match commitment. Seek advice if the choice is uncertain.
Should thank-you messages change my rank order?
Rank based on your preferences and verified program information. Treat informal statements cautiously and follow NRMP policies.
Primary references
Policy and format details were reviewed against these sources on August 8, 2026. Always verify a rule before making an application or scheduling decision.
NRMP matching algorithmOfficial source ↗NRMP Residency ApplicantsOfficial source ↗