SDN Members don't see this ad. About the ads. Hi, just a few questions if anyone can help. Do any residency programs in canada for internal medicine look at your USMLE scores? I know theres an option to enter them in Carms so if you have double 99s does that increase your chance of matching and if yes, by how much? How closely do residency programs look at MCCEE scores? Do they have cutoffs for interviews or if you score a 400 (99) does that boost your chances immediately? If you are applying to both Canada and the US match, and you only have the luxury of 2 electives which will get you 2 letters, does it hurt your chances in Canada if you have only 1 canadian letter and 1 US letter (from a reputable US university based hospital)? How much better would it be if you had 2 Canadian letters?