SDN Members don't see this ad. (About Ads) For a prospective applicant (US Citizen), who did medical school at the Royal College of Surgeons in Ireland, had a USMLE Step 1 Score of 225, and had a publication in a major medical journal working with a faculty member at one of the top Northwest programs in the US for anesthesia, and excellent LORS, generally what are the chances for this kind of applicant? Is being a graduate from the Royal College of Surgeons in Ireland going to be regarded the same as being a graduate from any other foreign medical school? I heard anesthesia is becoming competitive for FMGS to obtain. Thank you.