I don't have any firm answers for you, but I will say I believe you may need to retake your USMLEs since they expire after 7 years. However, that could work in your favor because you could improve a lot.Hello everyone,
I am an IMG whose situation is a little different from the majority.
I graduated medical school more than 20 years ago, practiced as a surgeon(subspecialty) in my home country and came here to the US 10 years ago , did a few surgical fellowships in my subspecialty and was employed in the midwest with no board certification.
I quit that job (which I enjoyed) mainly because of family pressure/ situation and decided to pursue a residency. I have just completed 2 years of a prelim general surgical residency.
I am now applying to anesthesia/FM/ IM. Realistically what do you think my chances are?
Step 1 203
Step 2 204
Both first attempt
CK/CS- first attempt.
All three Steps were taken more than 15 years back when I needed them for a fellowship, I had not then thought I might actually move here.
I have a lot of publications but only in my subspecialty. I have good LORs but again only from surgeons.
Given all the strikes against me (older age, low scores, non-US IMG, no actual experience in anesthesia or IM or FM), I would sincerely appreciate any input (especially from any PDs/ faculty out there ) as to what my chances are and how best to maximize them.
At this point, I would gladly apply to any specialty which would take me.
Thanks in advance for your time.
Thanks for your reply, Bashwell. Unfortunately my ECFMG scores and certificate are permanently valid thus destroying any hope of bettering my scores. I used the same scores 2 years back to get into surgery residency.I don't have any firm answers for you, but I will say I believe you may need to retake your USMLEs since they expire after 7 years. However, that could work in your favor because you could improve a lot.
Just my opinion but since you said you would be glad to be in any specialty, if I were you, I would drop anesthesia and IM (unless you are willing to apply to the lower tier programs) and instead focus everything on FM (or possibly psychiatry). FM seems more open than anesthesia or IM to candidates with the red flags you have. Good luck!
That's difficult and I'm sorry to hear it all. Maybe @aProgDirector will have good advice to offer you?Thanks for your reply, Bashwell. Unfortunately my ECFMG scores and certificate are permanently valid thus destroying any hope of bettering my scores. I used the same scores 2 years back to get into surgery residency.
Also the only hope I have of getting a spot is to apply to lower tier programs, but my question is if even those will give me an interview.
I am also applying to Psychiatry but it seems a stretch to explain the jump from surgery to psych.
I read that many FM programs are asking for scores above 210 and I see from the forums that many US grads are applying.
All of these make me doubt if I will land any interviews.
I don't think that's true--I think you have to take them within 7 years to complete the series, else you have to start over. But I don't know how residencies are going to feel about someone who took standardized tests 15 years ago and didn't do that great on them at the time--a lot has changed in the last 15 years.I believe you may need to retake your USMLEs since they expire after 7 years.
I think if you start any type of clinical training, your scores become permanently valid.I don't think that's true--I think you have to take them within 7 years to complete the series, else you have to start over. But I don't know how residencies are going to feel about someone who took standardized tests 15 years ago and didn't do that great on them at the time--a lot has changed in the last 15 years.
Why not general surgery? Sounds like you may be a good applicant for that field. Your scores appear lower due to recent "score inflation".Thank you for your reply.
I passed my Step 3 many years ago within 7 years from the first 2 steps.
My institution (not current since July) is a small community hospital. I did approach the IM PD. They get over 5000 applications for IM, mostly IMGs with high scores (that is what he told me) so while he told me to apply, he said he would have to consider me based on overall merit . I am hopeful I will get a interview there. Beyond that, who knows?
I do have good LORs, and a sympathetic faculty so that might help. But he did say that none of my past training would really matter because all of it was in a surgical specialty.
I must clarify that I was previously in a surgical field but not a general surgical subspecialty. It is quite difficult to get a job with no Boards. That one time was a fluke and I was just out of fellowship. I have been a junior general surgery resident for the past 2 years, so am out of touch with my own branch. So while I am keeping all avenues open, I really would like to get a BC in any specialty at all, just because I would then have an unrestricted license and obviously more opportunities would be open to me.
Thanks, yes I am applying to all the reserved for Physician spots as well.In anesthesia, we get plenty of people that cross over from GS.
that in itself isnt going to hurt you in our field. scores are, but if you have strong letters from your PD and surgeon colleagues, it might be over come.
the problem is explaining why anesthesia. you have practically set a life in GS, therefore youd need to confuse us why you want to be on the other side of the curtain now.
completing GS prelim also allows you to apply to Reserved spots in anesthesia (people that finished a prior residency or prelim). you can also apply to categorical (repeat intern year) or advanced (would have to wait a yr before starting). my best guess is youd have most luck for reserved spots.
If you've passed step 3, then you can't retake the USMLE. So your scores are your scores.[QUOTE="img-2017, post: 19296613, member: 877802"I passed my Step 3 many years ago within 7 years from the first 2 steps.
Thank you.I simply don't see any explanation of interest in Anesthesiology or FM beyond wanting to complete a residency, to be frank. A program would have to take a huge risk with such a long time since graduation, and there are so many other applicants that it's going to be hard for things beyond surgical prelim. Without a compelling reason or LORs supporting your entry into these fields I don't see a very good likelihood.