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OP I think nearly everything that needs to be said has been said. Your first priority should be getting this sealed and/or in a state where it does not have to be disclosed. Second priority, if the first is not bulletproof, is making personal connections. If I'm a PD choosing between two candidates, and one has a serious conviction, I'm choosing the non-convicted one, even if the convicted applicant has a 20+ point advantage on Step, more research, AOA, and better letters.
Think about liability. If that PD hires you, and you do something rash or mess up in some way, they have to answer for why they took you. It could cost them their position. If the PD hires a less qualified resident on paper without red flags and the same thing happens, it's rightly recognized as the cost of doing business.
The only way I'd take on that liability in that position is if I personally knew the applicant, felt 100% confident that they will not cause any problems, and had some reason to think that they would further enhance the program beyond what a normal applicant is capable of.
Solid academic = School dependent. At a T50 school as long as you put in an honest effort and check all the boxes you can get one of these residencies.
Think about liability. If that PD hires you, and you do something rash or mess up in some way, they have to answer for why they took you. It could cost them their position. If the PD hires a less qualified resident on paper without red flags and the same thing happens, it's rightly recognized as the cost of doing business.
The only way I'd take on that liability in that position is if I personally knew the applicant, felt 100% confident that they will not cause any problems, and had some reason to think that they would further enhance the program beyond what a normal applicant is capable of.
You should be less confident. Excelling in medical school is very different from undergrad.I am confident that I will be able to be ranked in the top decile and get AOA
Big 4 = As competitive as any other residency out there unless you already attend a T20 school.Where are academic IM residencies that feed into heme onc, cardiology, and other fellowships usually positioned on the competitiveness scale
Solid academic = School dependent. At a T50 school as long as you put in an honest effort and check all the boxes you can get one of these residencies.