I know that these "what are my chances..." type posts can be somewhat annoying, so my apologies in advance. saying that, what are my chances of landing a EM residency from a european school with a good rep (if that matters) and 223 on step 1. I'm guessing not great now, so part 2 or my question is what can i do if anything to give me a realistic chance. I'm american so the immigration issues don't come into it. any advice or personal experiences would be greatly appreciated.