How competitive is Psychiatry among US medical students? What kind of USMLE Step 1 scores do you need to be competitive? (For example, you need at least a USMLE Step 1 score of 220 to apply to most ER programs if you want to get an interview). How difficult is it for USIMG to get a Psychiatry residency position(anywhere), if the applicant has mediocre grades? (i.e. USMLE Step 1 < 80, 3rd year gpa= 3.0, and good but not stellar letters of recommendation) Any feedback would be appreciated.