For International Medical Graduates · Cohort opens spring 2026

The match isn't a lottery. It's a strategy.

Meridian is a research, USMLE tutoring, and application program built by US residents for international medical graduates. We don't sell hope. We build publishable research, defensible applications, and the network that turns IMGs into matched residents.

Built by US residents for IMGs NRD · NSQIP · NIS Database Access 1:1 USMLE Tutoring ICMJE-Compliant Authorship Transparent Outcomes Reporting Built by US residents for IMGs NRD · NSQIP · NIS Database Access 1:1 USMLE Tutoring ICMJE-Compliant Authorship Transparent Outcomes Reporting
The IMG Problem

The match is rigged against you. Not the way you think.

The data is unsentimental. IMGs match at lower rates not because programs reject foreign training — they reject thin applications. The fix isn't another USMLE retake alone. It's structural: scores, research, network, and a portfolio that survives a Friday-afternoon screening.

59%

Non-US IMG match rate

For PGY-1 categorical positions in the most recent NRMP Match — versus 93.5% for US MD seniors. The gap is research and application craft, not residency quality.

Source · NRMP Main Match
7+

Median publications of matched IMG applicants

In competitive specialties. Most unmatched IMGs report fewer than two. The portfolio gap is the matchable variable.

Source · NRMP Charting Outcomes
$11K

Average IMG application spend

Across application fees, observerships, courses, and consulting — much of it scattered across services that don't talk to each other and don't measure outcomes.

Source · ECFMG applicant survey
The Approach

Three pillars. One trajectory.

Most IMG services solve one piece — a personal statement here, a question bank there. Meridian is integrated and sequenced: scores, research, application, in the right order, with the right people.

01 · USMLE

Scores you can defend.

1:1 live tutoring with a US resident in your target specialty. Diagnostic-driven study plans. Weak-area intensives. Test-day strategy. Built around your timeline, not a one-size course.

  • 1:1 Step 1, Step 2 CK, Step 3 tutoring
  • Diagnostic + custom 30/60/90-day plan
  • Weak-area intensives and biostats blocks
  • Test-day pacing & strategy coaching
See USMLE services →
02 · Research

Publishable, not performative.

You join an active research project under a US PI on day one. Real datasets. Real manuscripts. Real submission. We don't promise authorship — we structure the work so you earn it.

  • Database access (NRD, NSQIP, NIS, MIMIC-IV)
  • Stata / R / Python training, with code review
  • Manuscript drafting under faculty supervision
  • Conference abstract submission support
See research tracks →
03 · Match

Your application as a portfolio.

Personal statement. CV. Program list. Interview prep. Rank order. We treat each piece as an engineering problem, with a deadline and a definition of done — not vibes.

  • Tiered application packages (3 levels)
  • Personal statement & ERAS CV editing
  • Mock interview blocks with feedback
  • Visa-aware program list construction
See match packages →
USMLE Tutoring

1:1 tutoring with someone who actually took it.

Not pre-recorded lectures. Not a question bank you can buy anywhere. Live, scheduled, accountable tutoring with a current US resident or recently-matched MD in your target specialty — built around your diagnostic, your weak areas, and your test date.

How USMLE tutoring works at Meridian

You start with a diagnostic — a structured assessment of your scores so far, your weak content areas, your test-taking pattern, and your timeline. From there, your tutor builds a study plan tailored to your test date and matches you to the right intensity tier.

Sessions are scheduled, recorded for your review, and tracked in a shared progress dashboard. We integrate with the resources you already use — UWorld, Anki, AMBOSS, FirstAid — rather than asking you to abandon them.

Tutoring is offered by current US residents and fellows who scored in the top quartile on their own Steps and have current insight into the exam — not multi-year-old material from someone who hasn't seen recent question patterns.

Book a USMLE diagnostic
USMLE Diagnostic
Diagnostic + study plan

90-min assessment + custom 30/60/90-day study plan, weak-area map, resource sequencing.

$249 · one-time
Step 1 / 2 CK / 3
1:1 hourly tutoring

Single-hour sessions with a matched tutor. Bring your own questions or follow our curriculum.

$149 / hour · packs of 5/10/20
Weak-Area Intensive
10-hour weak-area block

Focused tutoring on your two lowest-scoring content areas, with practice question review.

$1,249 · 10 hours
Biostats & Strategy
Test-day skills block

Four sessions on biostatistics, ethics questions, pacing, and a final mock-day debrief.

$549 · 4 sessions
Step 2 CK Sprint
8-week intensive coaching

Weekly 1:1, weekly progress check, full UWorld review, two NBME debriefs, exam day prep.

$1,899 · 8 weeks
Step 1 Pass-Plan
Pass-focused coaching

For applicants targeting a confident pass. Diagnostic, plan, weekly accountability, NBME calibration.

$1,299 · 12 weeks
The Research Program

The moat is the research.

This is what Meridian was built for. We run an active outcomes research program with US faculty oversight and direct database access. Fellows contribute meaningfully to ongoing studies — and graduate with publications a residency program can verify.

Not paper mills. Not co-authorship for sale.

The IMG market is full of services that promise "guaranteed publications" in predatory journals or sell author slots on manuscripts the applicant never touched. Programs notice. Reviewers notice. PDs talk.

Meridian is built on the opposite premise: real datasets, real supervision, real ICMJE-criteria authorship. Fellows learn statistical analysis, manuscript writing, and reviewer response — the skills that make an applicant a researcher, not just a name on a paper.

Output ranges from poster presentations at regional surgical societies to first-authored papers in indexed journals. The variance is real, and we report it transparently.

Join the next research cohort
Active Pipeline Live
Hospital ownership and cardiac surgery outcomes
National database · multi-year
3 fellows
Published
Volume thresholds in oncologic resection
National database · risk-adjusted
2 fellows
In review
Center volume and downstream cardiac intervention
Longitudinal · entropy balancing
4 fellows
In review
Insurance disparities in reconstructive surgery
National database · multivariable
2 fellows
Drafting
Aortic valve intervention strategies in older adults
7-year readmission · entropy balancing
3 fellows
Drafting
Foregut surgery volume standards
Spline analysis · multi-year
Open · 2 seats
Recruiting
Author Track
Six-month research engagement. The default research path.
$4,999one-time
  • Placement on an active research project
  • Stata / R training with code review
  • Manuscript-to-submission pipeline
  • ICMJE-compliant authorship pathway
  • Conference abstract submission support
  • Includes membership access
Concierge Research
Multi-project, full-cycle. Limited to 8 fellows per cycle.
$14,999full cycle
  • Up to two active research projects
  • Weekly 1:1 with senior resident or fellow
  • Direct PI introductions where appropriate
  • Priority on dataset access & topic selection
  • Includes Strategist match package
  • Dedicated post-Match support
Match Application Packages

Pick a package. Or build one.

Three tiers covering personal statement editing, ERAS CV editing, interview preparation, and match advising. Bundled, with the discount that comes from buying everything together. Want only one piece? Use à la carte below.

Foundation
For early-cycle IMGs building the base.
$499one-time
Single-cycle support
  • 1 personal statement edit (1 round)
  • 1 ERAS CV edit (1 round)
  • 1 hour of match advising
  • Match strategy guide & templates
  • 3 months membership access
Start with Foundation
Most chosen
Strategist
The core package. PS, CV, interview, advising.
$1,799one-time
Or 3 × $649 / month
  • 2 PS revisions with brainstorming session
  • 2 ERAS CV revisions
  • 2 hours of interview preparation
  • 2 hours of match advising
  • Letter of interest editing (1 round)
  • Specialty-specific program list
  • 6 months membership access
Apply for Strategist
Concierge
High-touch. The kitchen-sink option.
$3,999one-time
Or 6 × $749 / month
  • Unlimited PS revisions, no caps
  • Unlimited CV revisions, no caps
  • 4 hours of interview preparation
  • 4 hours of match advising
  • 1:1 WhatsApp access during cycle
  • LOI & LOR editing (3 rounds each)
  • Custom program list, weekly revisions
  • Rank order list strategy session
  • SOAP support if applicable
  • 12 months membership access
Apply for Concierge
Match + Research
Strategist package + Author research track.
$5,999bundled
Save $799 vs. separate
  • Everything in Strategist
  • Everything in Author research track
  • Single onboarding, single mentor
  • Coordinated timeline (research + apply)
  • 12 months membership access
Bundle & save

Installment plans available · Match Edit Guarantee on Concierge · Refunds prorated by service used

À La Carte Services

Buy only what you need.

If you don't want a package, buy individual services. Same editors, same advisors, same standards. Most fellows start with one of these and graduate into a package once they trust us.

Service
What's included
Price
Personal Statement Edit
One full round of editing — content, structure, voice. Includes a 30-min brainstorming call before the edit. Two-day turnaround.
$349
Order →
ERAS CV Edit
Full ERAS CV review and edit. Structure, content choice, narrative ordering, and language polish. One round of revisions included.
$299
Order →
Interview Preparation
1-hour mock interview with a current US resident in your target specialty, followed by structured written feedback within 48 hours.
$199 / hr
Book →
Match Advising
1-hour 1:1 session covering whatever you need — application strategy, program selection, visa, signaling, anything. No script.
$179 / hr
Book →
Letter of Recommendation Edit
Edit a draft LOR for clarity, structure, and impact. Useful when your letter writer asks you to "draft something for them to sign."
$149 / letter
Order →
Letter of Interest Edit
Targeted edits for a single program LOI. Includes program-specific positioning. 24-hour turnaround.
$99 / letter
Order →
Mock Interview Block
Three 1-hour mock interviews with three different residents. Specialty-matched, with consolidated feedback memo.
$549 / block
Book →
Program List Review
Submit your draft list, get back a categorized review (reach / fit / safety) with visa flags, IMG-friendliness scoring, and rebalance suggestions.
$249
Order →
Rank Order List Counseling
90-minute structured session, after interviews, working through your ROL with a current resident — geography, fit, training quality, gut.
$249
Book →
Research Methods Course (cohort)
6-week live cohort: study design, statistical analysis, manuscript writing, journal selection. Includes office hours. Capped at 30 fellows per cohort.
$399 / cohort
Enroll →
Find a Research Position (course)
Self-paced course on identifying, contacting, and securing a US research position — including outreach templates and PI contact strategy.
$199
Enroll →
Systematic Review & Meta-Analysis Course
Self-paced, project-based course. By the end you have a draft systematic review on a topic of your choice. Includes one 1:1 review session.
$349
Enroll →
New · Open enrollment

The Meridian Membership.

The lowest-cost way in. Community access, monthly group office hours, the full template library, recorded talks from matched residents, and discounts on every other service we sell. Built for IMGs early in their journey who want a real community without committing to a package yet.

$39/ month

Or $349 / year · cancel anytime

Join the membership

What's included

  • Private community of 400+ IMGs
  • Monthly group office hours with US residents
  • Template library: PS, CV, LOI, LOR, emails
  • Recorded talks from matched IMGs (specialty-tagged)
  • Match strategy guide & cheat sheets
  • USMLE study plan generator
  • 15% discount on à la carte services
  • Specialty channels: IM, FM, Surgery, Path, Anes, Psych
The Process

From application to match day.

Most fellows enter Meridian 12–18 months before their target match. The earlier the better — but the framework adapts. This is the canonical 12-month track.

Months 0–2
01

Diagnostic & placement

We audit your scores, experience, target specialty, and visa situation. You're matched to a research project, a tutor, a mentor, and a personalized study plan. Membership and curriculum begin.

Months 2–6
02

USMLE & research build

USMLE tutoring intensifies on a weekly cadence. You contribute to your research project, draft sections under PI supervision, and submit conference abstracts. CV and PS first drafts begin.

Months 6–9
03

Application & submit

Manuscript submission. ERAS application launch. Program list finalized with weekly revision. Personal statement final round. LOR strategy and request scripts.

Months 9–12
04

Interview & rank

Mock interview blocks. Per-program briefing memos. Post-interview thank-you scripts. Rank order list construction with mentor counseling. Match day debrief — and a manuscript in submission.

DA
Daanish Ahmad, MD
Founder & Research Director
U.S.-based PGY-4 general surgery resident, currently in dedicated academic research year focused on cardiac and thoracic surgery outcomes using national readmissions data. Active reviewer of preliminary surgery applications and routine participant in resident selection. Built Meridian after watching too many talented IMGs lose match cycles to the same fixable mistakes.
General Surgery Research Year Cardiac & Thoracic Outcomes NRD · NSQIP App Reviewer
Why Meridian exists

The IMG market is full of noise.

I've spent my research year publishing on hospital outcomes, debating clinical evidence in journal club, and reviewing applications for prelim surgery interviews. The pattern is consistent: the gap between matched and unmatched IMGs is rarely raw talent — it's research, network, and application craft.

The market is full of services that monetize that gap badly. Paper-mill journals. Generic personal statement edits. "Match consultants" who've never sat on a selection committee. The result is that IMGs pay more and match less.

"Meridian is the program I wish had existed when I was on the other side of the table."

Meridian is small, deliberate, and outcomes-tracked. We don't promise matches. We promise the work — and the people — that put you in the best position to earn one.

Outcomes

From the last cohort.

We publish full cohort outcomes annually — match rates, publication counts, USMLE delta, and refund volume. These three are illustrative; the full report is linked in our footer.

"
I came in with 0 publications and a Step 2 of 232. Six months later I had two abstracts at a national conference and a manuscript under review. My Step 2 retake hit 248. The mentorship was the thing — feedback that was actually about my application, not a template.
A
A.K., MBBS
Author + USMLE · cohort 02
Matched · IM
"
I'd already paid three other "consultants" before I found Meridian. None of them had ever sat in front of an interview panel. My mentor here had matched the year before. The advice was specific, dated, and right.
M
M.R., MD
Strategist package · cohort 02
Matched · Pathology
"
My PI actually read my code. That sounds basic. It is not basic. I learned more about Stata and survey-weighted regression in three months at Meridian than in two years of unsupervised "research" at home.
S
S.V., MD
Concierge research · cohort 02
Matched · Surgery
Questions

What people actually ask.

Direct answers to the questions that matter. If yours isn't here, the application form has space — we read every one.

Do you guarantee a match?
No. Anyone who guarantees a match is selling a fantasy or a refund clause. We guarantee the work, the mentorship, the research placement, and full transparency on outcomes. Match is a function of many variables, some of which we can't control.
Is co-authorship "guaranteed"?
Authorship requires meeting ICMJE criteria — substantial contribution, drafting or revising, final approval, accountability. We structure the work so a fellow who completes their assigned scope earns authorship. Fellows who don't complete the work do not.
Are USMLE tutoring sessions live or recorded?
All tutoring is live and 1:1. We record sessions for your review afterward, but every hour you buy is real-time with a matched tutor. We don't sell pre-recorded courses.
What specialties do you support?
Currently: Internal Medicine, General Surgery, Pathology, Anesthesia, Family Medicine, and Psychiatry. We're expanding to OB-GYN and Pediatrics in the next cohort. We don't take fellows in specialties we can't mentor competently.
Can I pay in installments?
Yes. Strategist and Concierge packages offer 3, 6, and 12-month installment plans through Affirm or Stripe. We also run a partial scholarship pool for fellows from low-GDP-per-capita countries — funded by Concierge tier revenue.
Do I need to be in the US?
No. Roughly 70% of our fellows complete the program from their home country. Research, USMLE tutoring, mentorship, and application work are all remote. Observerships and US clinical experience are arranged separately.
What if I'm not accepted?
We waitlist or decline applications that aren't a fit — usually because timeline, scores, or specialty don't match what we can deliver well. We tell you why, and we suggest alternatives. There's no application fee.
What's the refund policy?
Unused portions of any package are refundable on a prorated basis. Used services aren't. Tutoring is refundable up to 24 hours before the session. Membership is cancel-anytime. Application packages have a Match Edit Guarantee on Concierge tier.
Cohort 03 · 8 seats remaining

The next match cycle starts now.

Applications for the spring 2026 cohort close in three weeks. Tell us where you are, where you want to be, and we'll reply within 72 hours with a placement recommendation.

Book a free consultation Start your application