Hello! I'm a 32 year old IMG from Italy. I finally got around to taking Steps 1 and 2 in the past year, both of which I passed on first attempts with respective scores of 243 and 249 (96 and 95). I am thinking of applying for an IM Residency beginning in 2003. I would deeply appreciate it if anybody could answer all or some of the following questions: 1) How important of a factor will my age be? 2) How important is it for me to obtain a Dean's Letter and a Transcript (since my graduating Med School isn't familiar with either concept)? 3) Granted that Letters of Recommendation are vital and granted that I should be able to receive one from an Italian Professor who is a true authority in his field (He's even included in the latest "Who's Who" for his work in Endocrinology), do I still need to look for Letters from American doctors ? 4) Are there any Residency programs which I might want to consider over IM programs because they might be more "IMG-friendly"? Thanks in advance for your patience!