Originally Posted by JackADeli

Agreed, you will have some difficulties in getting into a US residency.

You need to really get a realistic plan. As noted, the path to specializing in head and neck is not general surgery. It is ENT. Yes, there are some general surgeons that focus in head & neck. They usually do some fellowship in surge-onc and such. Maybe a community surgeon does some, because they have for several decades. But, that is not a reasonable expectation on your part.

Your scenario (ignoring the current levels of competitiveness) is akin to saying ~ I want to focus my practice in child psychiatry but am hoping to do it through family medicine. Yes, FM has some psych and counseling just as general surgery has some head and neck. But neither are the right route to the stated career focus.

Planning to get into a general surgery residency.... presumably a second tier program given your scenario to parlay into head and neck is not very sound a plan. You need to focus your efforts in medical school now to maximize your chances to enter a residency actually in the field you want to practice.