How much I wish IMGs were considered for Ortho...
As a Caribbean IMG with respectable board scores 252/261 I received 0/78 interview invitations. I am a US citizen, have good LORs, and did my ortho rotation and sub-i at a program with ACGME approved ortho residency, but I received no interview offers. Ortho is competitive enough there are enough great AMG applicants that there is no need to look at IMGs.
I honestly don't think higher board scores would have helped. I tried calling in a few favors and working a few connections, but it didnt matter. I however didn't publish in ortho, which could be the missing piece but the fact that I didnt get a single interviews makes me think it wouldn't have mattered.
Ortho is an awesome field. I will stay jealous of all the orthopods throughout my medical career, but i got to know when to cut my losses. As for me, I am going to IM and going to work as hard as i can to get into a fellowship that is procedural. An ERCP isn't as cool as an ORIF but I will have to find a way to make peace with it.
So, unless your application is several orders of magnitude stronger then mine, An IMG going into Ortho now-a-days just doesn't happen.