I remember watching both spud webb and muggsy bogues play...and all those on that list are men, but i get it...
I have written about my credentials and interview season before, but essentially there were things that i knew were out of my reach as a US -IMG...First I knew going to by going to a Caribbean school that it was my last chance to become a doctor...I applied 3 cycles to the US schools (MD and then later MD and a, at the time, new DO school( for their charter class) and waited listed all 3 years (accepted to the DO) and short of getting a Ph.D, there was not much i could do to change my application - my UG GPA was crap (2.7 ) and my G GPA was great (3.8), but that UG GPA still sways programs, my MCAT > 30 (which at the time was over the 28 needed to get into med school) and had pulled out all the connections (including the past president of a med school) i could to help me. I made sure I picked an off shore school that had a good track record (SGU) and busted my butt to be at the top of my class (a great GPA from an off shore school doesn't help that much, but a mediocre or bad GPA hurts a lot...P may = MD, but doesn't mean you get a residency spot) and made sure that I got competitive Step scores, at least a SD above the mean and the Step 2 CS was higher than Step I (Kaplan course, and lots of World questions) and then looked to see what I was interested in, and what i could realistically achieve...my Master's is in reproductive biology so REI was what I came into med school thinking I would do...but I also found radiology and pathology interesting as well. I researched the options, did electives early in my 4th year to see whether my perceptions met reality...I found out that REI was an uber competitive fellowship for ob/gyn and that of the some 60+ spots out there, very few went to I/FMGs and doing a rotation in gen endocrinology let me know that i liked general endo just as much. Speaking to residents and PDs in IM and radiology, i found out that my application was competitive for university IM programs but only for community radiology programs....and I'm an academic at heart and that I personally wanted to be at a university . I was realistic in knowing that i needed to apply to a lot of programs to get at least 15 IVS (at the time, NRMP data showed that to have a 95% chance of matching, you needed 15 programs on the ROL) so applied to (at the time a lot) 60 programs and hoping i would get a 20-25% return...got and went to 20 interviews- ranked 18, but went to EVERY interview i received and the 2 that i ultimately did not rank where places that i truly would have rather scrambled (pre SOAP) than match at (one was that bad, the other on the west coast and just did not want to live out that far), but would have ranked if i didn't have the luxury of having at least 15 to rank. And sure I applied to reach schools and most very politely sent me rejections (MGH was sent on very nice stationary
), but i expected the rejections.
Fellowship was easier, since residency and how you perform plays a bigger role in the selection process, but where you end up for residency can make a difference on how easy or how hard it is to develop an impressive CV. The good thing for me was that the more competitive fellowships (GI, Cards, Hem/Onc) were not of interest for me, so getting an Endocrine fellowship was not so difficult...there are a lot of I/FMGs in leadership so more willing to give a chance to another I/FMG.
And the comparison is more like you have stage IV cancer, and hospice is an option for you that will give you some peace and dignity as you are dying with the chance to see your loved ones in your terms...of course there is chemo that extend your life by a few days...some people will take chemo, but others will choose hospice...but the information needs to be given to them so they know they have a choice. Here it seems that no one wants to hear that hospice is a choice.
I'm not saying you don't take the 1 in 10,000 or 1 in a million chance, but you need to realize that realistically you are buying a lotto ticket when applying with a sub par or incomplete application when it comes to getting a residency spot...it was hard 10 years ago, its even harder now...though next year with the merged ACGME/AOA match will be an interesting one for I/FMGs.