
ERAS Letters of Recommendation: 2027 Rules for IMGs
ERAS letters of recommendation for the 2027 Match: the new AAMC Letter Writer Portal, the four-letter rule and IMG letter strategy. Start requesting today.

MUDr. Amandeep Grewal
12. August 2026

Residency interview prep for IMGs starts long before the first invitation lands, and for the 2027 Match, that first wave of invitations is only weeks away. Programs begin reviewing MyERAS applications on 23 September 2026, and interview invitations for many specialties can follow within days. If you are applying from outside the United States, that compressed window carries extra weight: you may be deciding between a virtual and an in-person interview, adjusting to unfamiliar time zones, and working out whether a US visitor visa is even necessary. This guide explains how residency interviews actually work for the 2027 cycle, what the interview format landscape looks like after several post-pandemic seasons, how many interviews IMGs realistically need to match, and how to walk into interview season prepared rather than scrambling.
The 2027 ERAS season opened on 4 June 2026, MyERAS applications become submittable on 2 September 2026 at 9 a.m. ET, and programs begin reviewing submitted applications on 23 September 2026. From that date, interview invitations begin to flow, and several sources tracking the cycle note that some programs send invitations within days of the review-start date, so the first weeks of the season can move quickly for applicants who submit early. Most residency interviews for the 2027 cycle are expected to take place between October 2026 and January 2027, with programs finalising interview schedules ahead of the standard NRMP registration deadline of 29 January 2027 and Rank Order List certification on 3 March 2027, the same date the NRMP names as the IMG deadline to have met ECFMG verification requirements. Match Week runs 15 to 19 March 2027.
Because invitations can arrive quickly once review begins, the practical takeaway is to have your interview logistics settled well before 23 September: a quiet, well-lit space for virtual interviews, a plan for time-zone-friendly scheduling if you are applying from abroad, and professional attire ready regardless of format.

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For the 2027 cycle, expect mostly virtual interviews, though not universally. The AAMC's own guidance states plainly that it "recommends that residency and fellowship programs use a virtual interview format," citing cost, equity and environmental reasons, and notes that virtual interviewing reduces the time residency applicants spend away from clinical rotations, since travel for in-person interviews can consume a full day or more per program. At the same time, the AAMC is explicit that "every program has their own unique mission, goals, and context, and thus may take different approaches for sound reasons," so some programs and specialties continue to interview in person or offer a hybrid choice.
| Interview format | Why a program might choose it | What it means for you as an applicant |
|---|---|---|
| Virtual only | Wide, geographically dispersed applicant pool; lower cost and carbon footprint; scheduling flexibility | No travel cost or visa question for the interview itself; you need a reliable connection, a quiet space and comfort presenting on camera |
| Hybrid (your choice) | Program wants to offer flexibility while still welcoming applicants who can visit | You choose based on cost, timing and whether visiting the location or team in person would meaningfully change your ranking decision |
| In-person only | Program values in-person culture assessment; smaller or more local applicant pool | Factor in travel time, cost and, if you are outside the US, whether a visitor visa is required and how long it takes to obtain |
For applicants based abroad, the format question is not just a preference, it is a planning constraint. A virtual-only program removes the visa and travel-cost question entirely. A program that interviews only in person means budgeting for flights, accommodation and, depending on your passport, a US visitor visa application with its own processing time, so confirm a program's stated format as early as you can, ideally before you finalise your rank-order strategy from our guide to IMG-friendly residency programs.
The financial case for virtual interviewing is real and AAMC-documented. Per the AAMC's own guidance, "the costs associated with interviewing are an expensive aspect of the application process… these costs can range from hundreds to thousands of dollars." That burden falls hardest on applicants without deep financial reserves, which includes many IMGs coordinating interviews around an international flight, a full-time clinical schedule, or an elective placement abroad.
The time cost compounds the financial one. The AAMC's guidance on graduate medical education interviews cites a survey of applicants to plastic surgery residency programs in which over 70 percent missed seven or more days of medical school specifically to attend in-person interviews. One applicant quoted in the same AAMC guidance described interviewing "at two places on the same day (morning and afternoon)" once interviews moved online, cutting the time away from clinical rotations dramatically. If you are applying from outside the US, that calculation is starker still: a single in-person interview can mean an international flight, jet lag, and days away from an elective or clerkship that you are also relying on for reference letters and clinical experience. Ask a program directly about its interview format as soon as you receive an invitation, and factor the answer into how many programs you can realistically interview with.
There is no single magic number, and NRMP's own data avoids giving one. What the data does show clearly is that the number of programs an applicant ranks, which closely tracks the number of programs they interviewed with (since applicants generally only rank programs where they were interviewed), correlates strongly with matching.
The gap is stark: matched US IMGs ranked more than three times as many contiguous programs as unmatched US IMGs, and matched non-US IMGs ranked roughly two and a half times as many as unmatched non-US IMGs. NRMP is careful to note that IMGs who matched to their preferred specialty were also more likely to have higher USMLE Step 1 and Step 2 CK scores and to be US citizens, so ranking more programs is not a substitute for a competitive application, it works alongside one. The practical implication for interview prep is straightforward: build a program list wide enough, using the strategy in our IMG-friendly residency programs guide, that a normal rate of interview declines still leaves you with several interviews to convert into ranks.
Signals are one input into a program's initial screening and interview-selection process, not a guarantee. Our ERAS letters of recommendation and IMG-friendly residency programs guides cover signal mechanics and NRMP Program Director survey data on how signals shape screening and interview selection in more depth; the short version for interview prep is that once you are actually invited to interview, the signal has done its job and the conversation reverts to your application, your letters, your statement, and how you present yourself in the room or on the call.

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