I disagree a little with this. I to went to a carib school, didn't do well down there at all and had a few major slip ups, my step1 was slightly under 230, step2 slightly over 230. I too matched in anesthesia at a University program one of my top choices. I haven't met a single person from my school who applied to anesthesia and didn't match into it. one guy even had 1 interview for anesthesia and ended up matching. Also there were plenty of anesthesia spots open for the scramble, as you know.
Just because mostly US grads matched into this specialty doesn't mean it was competitive it just means that not too many IMGs want to go into it. Anesthesia has only recently became a popular field, but in the past close to 50% of their residencies were unfilled and if anyone couldn't get into any other residency they would go into anesthesia. When compared to other specialties with the same average step scores anesthesia had 3 times more open spots for the scramble than any of them, heck they had about the same number of open spots for the scramble as IM.
It's awesome that you were able to eventually get a spot in the specialty you wanted and that you were able to take a year off med school is AMAZING, and it's true that not too many people can say that they got into the specialty of their choice, but saying anesthesia is very competitive just isn't true. And if someone wants to get into IM, Peds, FP, Psych, Pathology, or Neuro it's even easier. people from carib schools with sub 200 step scores match into those specialties every year.
I do agree that if anyone is considering going to the carib to only go to one of the big 4.
and med school everywhere is very hard.. it's just that people with lower scores have slightly more opportunities if they came from a US school.
you matched at detroit medical center right?...that has lost its affiliation with wayne state univ...they will be hiring new staff, etc...
they sent out that email in regards to that back in feb...not that it matters, but detroit wayne state is a very IMG friendly anesthesia program.
anesthesia did infact have a lot of spots available for scramble, but that does not indicate its lack of competitiveness. first of all, spots were available for a variety of reasons. mainly, the programs sought very qualified appplicants and did not have extensive rank order lists. there are two personal evidences that support this:
1) darkmansaad didnt match despite having ridiculous scores. i know he applied to top tier programs, but he was way ahead of the average...by about 20 pts.
2) the program i interviewed at, told me that they will rank me top 20 after i went for a second visit. while on the interview, i asked the residentabout historical ranking of applicants, and at what number do they fill up their roster. i.e. for 10 spots in that program, the program who ranked even an applicant #30 would get a spot granted that #30 ranked that program #1 choice. i didnt match - go figure.
the above is speculation, but i am quite certain that when the actual data comes out, it will support the above theories. the program i eventually scrambled into, also said that this the first year they have had to scramble...because they wanted applicants which were wanted by other programs. programs out competed themselves, and because of their wish to want the top candidates only, a lot of programs went unfilled.
SUNY downstate had 11 spots for anestehsia left...that was a MAJOR f**k up. i have no idea how that happened...that will have to be investigated. because no way in hell you receieve thousands of applications, and cant fill your 15 spots.
as for other specialties...it IS infact easier...however, you have to realize that 44% of IMGs and only 47% of US IMGs matched!
that is an astonishing number.
meaning that if it was between me and you for anesthesia, and both of us had same scores, GPA, letters...you would match and i wouldnt, merely based on stats! and lets remember, i dont know of any programs that offer pre-matching in anesthesia! IM, FP, psych, PEDs routinely offer pre matches...so that % is removed, and we are talking about the 44% on match day...
these stats are horrifying and it will get worse every year.
lastly, avg. step 1 for anesthesia is much higher than EM and surgery...agree that its not the same as rads...i wont even go into derm and optho and orthop...those are frankly unattainable.