I have been following this thread and it seems the view is IMGs just match to IM, GP, Inf Dis, Psych, Path...etc....etc....etc. It is very possible and it is frequent that Foreign Medical Graduates match to the top residencies in the US, of course, this may depend on what Foreign Medical School the person graduates from. I'm currently a M2 in the Royal College of Surgeons Ireland and out of our recent graduating class aimed to go to the US, all (30+) but two matched with the Match program and the two that didn't matched in the scramble (one in Surg at Mayo)...all accounted for they matched anywhere from University of Washington in Peds to University of Florida in Emergency Medicine, several surgery, radiology etc. Though it's more difficult to land these spots it isn't impossible.