As an IMG, Do my local University's grades matter? Even with high USMLE scores?

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As an IMG, do my grades from my local University make any difference as long as I score high in the USMLE exams??

It matters in the sense that if you fail, it could hurt you.
But residency programs dont spend a lot of time on scores from international medical schools because the grading systems are different everywhere and it is kind of difficult to gauge how a number one student in your medical school even compares to a number 20 student on some other continent.

USMLE scores is the only thing homogeneous to IMGs so you need to do very well in that
 
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