Chances as an IMG for this years match?

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danvasta

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I graduated med school overseas last year. My scores are as follows
Step 1 :234
Step 2: 255
I have about 4 months of USCE in the form of electives at an Ivy league university. 1 month of observership at Tufts during which I got an opportunity to work in a molecular oncology lab and I plan on doing so for the next few months at least (through interview season). I have no prior research experience besides this as in no papers published but I am working on a case report (not research but still) with one of the physicians here, but no publications yet. I want to do hem/onc eventually as a fellowship so I want to match into a really good university based program. I know needing a visa and the fact that I am an IMG may play against me. All my letters are from US physicians again from these top universities and I know they are strong. What are my chances of matching into a really good university program? As an IMG should I be shooting for the lower tier community programs and am I being realistic?

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