INVISTA NO SEU SUCESSO:
The shared experiences provide valuable lessons for international medical graduates (IMGs) navigating the residency application process. Key themes included strategic use of LOIs, leveraging observerships and research experiences, and focusing on fit with program missions. Applicants highlighted the importance of USMLE scores, particularly Step 2 CK, and emphasized the need to improve interview skills by practicing with Americans or utilizing professional services.
However, many expressed frustration over connection-based systems, where promises from mentors or peers often fell through, wasting valuable resources like program signals. Instead, applicants advised focusing on building genuine, long-term professional relationships. Persistent candidates also emphasized resilience, urging others to prepare for alternatives like SOAP or opportunities in underserved specialties.
Finally, emotional and mental well-being surfaced as a recurring concern. Many faced challenges with rejection, loneliness, and financial strain, but community support and proactive actions like studying for Step 3 or applying to new programs were recommended as coping strategies. The overall takeaway is clear: stay adaptable, strategic, and resilient.
Resources:
Letters of Intent (LOIs): Frequently used to secure interviews; some applicants received IVs directly after sending them.
Electives/Observerships: Particularly valuable in academic settings; applicants highlighted their roles, from administrative tasks to shadowing.
Step 3: Mentioned as a potential way to improve applications, though opinions on its necessity vary.
Scores:
Typical successful USMLE Step Scores: Range from 240s to 270s. High scores in Step 2 CK were noted as impactful.
Additional Exams: Strong OET scores or English proficiency evaluations.
Methods:
Networking: Establishing connections with faculty and alumni at target programs. Using LinkedIn and Reddit for program insights.
Application Strategy: Signal programs carefully; target those where the applicant's profile matches resident demographics.
Persistence: Reapplying with improved CVs, sending follow-up emails, and considering SOAP as a backup plan.
Opportunities:
New Programs: Monitoring ACGME-accredited programs for late openings.
Pre-match Offers: Weighing guaranteed residency spots against potential matches at preferred programs.
Research Roles: Securing research positions to bolster CVs, particularly in post-doc settings or clinical trials.
Tips & Tricks:
Interview Preparation: Mock interviews with native English speakers; improving conversational English and body language.
Cultural Awareness: Adjusting to U.S. norms in communication during interviews, especially on empathy and teamwork.
Program Fit: Emphasizing alignment with a program's mission and unique traits in applications.
Key Insights:
Red Flags: Candidates disclosed failed attempts or old graduation years but suggested emphasizing growth and persistence.
Emotional Challenges: Mental health struggles due to rejection and financial strain; applicants advised staying proactive and positive.
Post 1: Got my 2nd IV fm
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The user celebrates receiving their second interview invitation as a non-US International Medical Graduate (IMG) with red flags, such as an attempt on Step 2 CK and no Step 3 completed. They aim to inspire hope among applicants with similar challenges, reminding them that some programs are still reviewing applications.
The comments are overwhelmingly supportive and congratulatory, reflecting the solidarity within the IMG community. Users inquire about the user's red flags, program details, and specialty, showing curiosity about their success despite challenges. Some share best wishes for the interviews, and others highlight how this post provides encouragement for those struggling to secure interviews.
Post 2: So I've remained at 2 interviews only.
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The user is concerned about their chances of matching with only two competitive interviews in Internal Medicine. They seek advice on strategies to increase their odds, particularly through Letters of Interest (LOIs) and effective interview preparation.
The discussion emphasizes the importance of LOIs, with several users detailing their success in securing additional interviews via LOIs or cancellations. There is also advice on interview strategies and encouragement, noting that a match only requires one program to rank the applicant. The mixed responses to re-sending LOIs reflect varying opinions on persistence versus acceptance of outcomes. Some users recommend preparing for SOAP (Supplemental Offer and Acceptance Program) or reapplying next year, showcasing a mix of pragmatism and optimism.
Post 3: Cook county
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The user shares their frustration after sending a personalized Letter of Interest (LOI) to Cook County, only to receive an automated rejection email referencing the 2022 match cycle. The post highlights inefficiencies in communication from programs and the emotional toll on applicants.
The comments reveal a shared frustration among applicants about unresponsive programs and the wasted effort in crafting personalized LOIs. Some mention similar experiences with automated responses, outdated information, and rejection emails. A few users speculate on the resource limitations of programs like Cook County and advise cross-checking contact information. Others commiserate, pointing out the systemic lack of acknowledgment that IMG applicants often face.
Post 4: Non us img ent
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The user, a non-US IMG with a 2023 YOG, a Step 1 score of 263, and extensive ENT research experience, announces an upcoming ENT interview. They share this as a story of encouragement for others with similar aspirations despite the competitive nature of ENT residency.
The responses are a mix of admiration, curiosity, and encouragement. Users ask about the specifics of the applicant's CV, USCE (US Clinical Experience), and research credentials to learn what contributed to their success. The original poster highlights their ENT-related achievements, publications, and strong LORs, showcasing the level of effort required for such specialties. The community is inspired, with several expressing hope and gratitude for the motivational message.
Post 5: Step 3 visa rejection
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The user reports being denied a visa for their Step 3 exam due to alleged “immigrant intent” and discrepancies from a previous visa application. They express frustration over the consular officer’s rude demeanor and seek advice on rescheduling or obtaining a refund from FSMB.
The comments reflect shared experiences of visa denials for similar reasons, emphasizing how consular officers often suspect immigrant intent in Step 3 applicants. Users recommend strategies like reapplying from a different country, consulting a visa expert, or switching to an observership to strengthen their application. Others warn that recent rejections often lead to further denials, highlighting the risks of reapplication. A recurring theme is the need for legal advice, with some suggesting immigration lawyers to navigate complex issues. The overall sentiment underscores the unpredictability of visa processes and the emotional toll it takes on applicants.
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Post 6: In Person Interviews
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The user, an IMG with only two interview invitations, wonders if it’s worth traveling from India to the USA for one in-person interview. They share concerns about finances, effort, and the risks of skipping the opportunity.
Comments strongly encourage attending the in-person interview, emphasizing its impact on demonstrating dedication and improving the odds of matching. Many share stories of success after attending similar interviews, reinforcing the importance of making the most of every opportunity. Suggestions include confirming if virtual options exist and preparing thoroughly to maximize the chance of success. The consensus is that the investment in travel outweighs the risks of missing the chance and having to reapply next cycle.
Post 7: People who went unmatched with 10/10+ IV? What do you think went wrong
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The user questions why some applicants go unmatched despite attending 10 or more interviews, despite the NRMP citing a 90% match probability at that threshold. They suspect reasons like poor English fluency, bad interview skills, or cultural misunderstandings.
Responses identify several factors contributing to going unmatched, including poor soft skills, overconfidence, cultural mismatches, and lack of interpersonal engagement during interviews. Many highlight that social skills and team compatibility are crucial in the US residency system. Personal anecdotes describe IMGs struggling with language barriers, awkwardness in group settings, or failing to adapt to cultural norms. A recurring theme is the importance of mock interviews and feedback to improve interpersonal and situational responses. Programs value qualities like teachability and relatability, which applicants may overlook in favor of scores and achievements.
Post 8: Zero-IV gang, how are we doing?
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This post serves as a venting space for IMGs who received no interview invitations. The user asks about others’ mental health, coping mechanisms, and plans if they remain unmatched.
The comments reflect widespread stress, frustration, and uncertainty among applicants without interviews. Common issues include self-doubt, struggles with daily tasks, and feelings of worthlessness. Some share strategies like writing Letters of Interest (LOIs), finding unpaid research positions, or preparing for next year’s match. Encouragement and empathy dominate the discussion, with users reminding each other that this doesn’t define their worth and offering solidarity. A few commenters note the unpredictability of the process and suggest focusing on mental health and long-term goals.
Post 9: From the Other Side
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A recent graduate who has transitioned to the residency selection side shares key insights about avoiding mistakes in applications, such as generic or poorly written Letters of Recommendation (LORs), and the need to stand out through unique personal statements and connections.
The comments expand on the idea that scores are just a filter and the application’s personality matters most. Many contributors discuss the importance of tailoring applications to programs by showcasing relevant skills, values, or experiences, such as language skills or community service. Advice includes ensuring LORs are specific, strong, and specialty-oriented. Some share anecdotes of poorly written LORs or highlight how personal quirks can make an applicant memorable. The overall message stresses individuality, attention to detail, and strategic networking to stand out among similarly qualified peers.
Post 10: Should I Take the Offer?
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The user received a prematch offer from a program in a city they like but has also secured six other interviews, including at two dream programs. They are conflicted between accepting the guaranteed spot or taking the risk of matching.
The community offers balanced advice, weighing the certainty of the prematch against the potential to match at a preferred program. Many suggest that applicants with fewer than 10 interviews should take prematch offers, as matching is less certain. Contributors share personal stories of accepting or rejecting offers and the consequences for fellowship opportunities or lifestyle. Others highlight long-term career goals, program quality, and location preferences as critical factors. The user ultimately decides to accept the offer, citing relief and security over the uncertainty of matching.
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Post 11: A question to PDs lurking around here...
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The user asks Program Directors (PDs) and residency selection committee members how they evaluate candidates for interviews and rank lists, especially over a long interview season. They inquire about the use of scoring systems, note-taking, and how IMG applications are handled compared to US medical graduates.
Several PDs, APDs, and committee members respond with insights into their standardized scoring systems, which weigh factors like USMLE scores, medical school, English proficiency, and ties to the area. IMGs often face additional scrutiny, but respected schools or strong ties can mitigate this. Some programs explicitly prioritize signaling and consider applicant backgrounds like previous careers or unique interests to differentiate between similarly strong candidates. Others emphasize the subjectivity of interviews and adaptability to the program’s needs. The thread highlights both the structured and nuanced aspects of residency selection, offering IMGs a clearer understanding of how to stand out.
Post 12: Non-US IMG’s check-in, how many IV’s and stats?
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The post serves as a community check-in for non-US IMGs to share their interview statistics, including number of interviews, scores, research, and other qualifications. The user starts by listing their own stats: 7 interviews, 2 months of USCE, and a strong academic background.
Responses reveal a wide range of IMG outcomes, with interview numbers varying based on factors like scores, research, USCE experience, and visa status. Common themes include the value of strong US clinical experience, publications, and signals in boosting applications. Some users with lower scores and limited USCE still secured interviews, suggesting that networking or unique aspects of applications might compensate for deficits. The conversation reflects the competitive nature of IM residency, with some users expressing anxiety over limited interviews despite solid applications. It’s a useful post for gauging trends and benchmarks in the IMG community.
Post 13: I decided to start ranking my rejections 😂
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The user humorously shares their approach to dealing with rejection letters by ranking them for their tone and content. They share a sample rejection email written by ChatGPT, adding a touch of levity to an often difficult process.
The thread mixes humor with camaraderie, as other users joke about their rejection experiences. Some point out the irony of programs using tools like ChatGPT for form letters while urging applicants to avoid AI-generated content in applications. The post lightens the mood while subtly addressing frustrations with opaque and impersonal rejection processes. It underscores the importance of staying positive and finding humor in a stressful season.
Post 14: Anyone smitten with a program after interviewing?
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The user describes falling in love with a residency program after an interview and shares their excitement about the program’s culture and faculty. They express difficulty focusing on other interviews because their "heart is taken."
The comments reflect similar sentiments, with many users sharing how positive impressions of programs have influenced their ranking preferences. Key factors mentioned include supportive faculty, enthusiastic residents, and strong mentorship opportunities. Some users caution against becoming overly attached, reminding applicants to remain pragmatic since the match process is unpredictable. The thread captures the emotional highs and lows of residency applications while offering practical advice on balancing excitement with realism.
Post 15: My first IV ever, 15 minutes away!!!!
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The user excitedly shares their first-ever interview experience, which is close to home and in another language. They later update the thread, expressing joy over the supportive program environment and the overall experience.
Comments are overwhelmingly supportive, with users encouraging the applicant and celebrating their enthusiasm. Some suggest expressing interest through follow-up actions, like attending a second-look visit if feasible. The update about the positive program dynamics highlights the impact of a strong residency culture on applicant preferences. The thread is an uplifting snapshot of the early application season, celebrating small victories and encouraging confidence in a daunting process.
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Post 16: No interviews, feeling lost and depressed
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The user, a non-US IMG, shares their struggles with securing interviews despite applying to 130+ programs. They describe their financial and emotional challenges after investing heavily in Step 2, U.S. clinical experience, and travel expenses. With no interviews so far, they feel overwhelmed and isolated in a foreign country, battling fears of failure and mounting debts.
The comments offer a mix of support, practical advice, and empathy. Many suggest focusing on Step 3 preparation to improve chances during the season or SOAP. Others emphasize the importance of reaching out to programs, sending Letters of Interest (LOIs), and using resources like ResidencySwap to monitor potential openings. Emotional support is also prevalent, with several users sharing similar experiences and reminding the OP to stay resilient. Some caution against unnecessary financial risks, advising a backup plan for the next cycle. The thread reflects the emotional toll of the process and the importance of mental health support for struggling applicants.
Post 17: Connections
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The user warns against relying on connections for residency applications, sharing their experiences of being misled by supposed supporters who prioritized their own interests. Despite helping others with research and academic tasks, the promised recommendations didn’t materialize, leading to wasted signals and feelings of betrayal.
The comments emphasize the unpredictable nature of connections, with many users sharing their own stories of broken promises and exploitation. Advice includes avoiding dependence on connections, focusing on programs aligned with one’s profile, and making personal connections during observerships or rotations. Some highlight the ethical pitfalls of quid pro quo arrangements, urging applicants to establish relationships based on mutual respect and professionalism. The thread serves as both a cautionary tale and a source of solidarity for applicants navigating the often murky world of residency networking.