To Dragonfly99:
Need suggestion from you. I am an IMG, trained IM in a good uni affiliated community program (graduated 6/2011) -- people have gone to cardiology from my programs. Have 3/4 abstracts in JACC, 2 original papers in JACC as 2nd author, another paper under peer review in JACC. Currently working in a high impact multi-center study, with a potential for publication in a very high impact journal. Currently doing Masters of Science in Clinical Research from a top public health school in the country; have no visa issue. I have great letters from my PD, my letter writers are decently known in their sub-specialy in and outside the country. I have great USMLE scores (99,94, but 80 only in step 3). I do not think I have anything "bad" in my application. Applied to cardiology this year to tons of programs of varying degree of competitiveness. Only got 2 interviews, but that too only after my letter writer wrote to these two programs. Statistically, my chance of matching this time is not great. I have devoted my life to cardiology, and I cannot abandon cardiology that easily. One problem I can think of in my application is that my application was geared towards academic programs, which are very competitive. On the other hand most programs that take IMG are not that academic, and so they may not have invited me. My specific question to you --- what should be my back up plan. Out of different options such as echo fellowship, heart failure fellowship, cardiac imaging research, cardiac imaging fellowship (I mean clinical) or some post-doc research training. Out of these, the most appealing idea for me is cardiac imaging clinical training with extensive research (hopefully also incorporating ECHO). Because I think this will be the most dynamic field in cardiology. My research experience so far is related to intervention cardiology. But, I am not sure if I will do that for rest of my life. Likewise I do not know about EP -- likely I will be more interested in general cardiology and CV imaging, but I will eventually find this out some time after my clinical cardiology training. Please advice what should I seek, and especially what will make me more competitive when I apply next year? Also what could the problem have been with my application this year. Thank you.