IMG - need residency advice

[NeedHelpFiguringThisOut]

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I am an IMG (practitioner in Europe) with 5+ years out of graduation. I did not match this time or a prior round (where I did not have a step 2). During both matches, I applied solely to a ROAD field. I passed step 2 on the second attempt with a score in the high 230s. During soap and scramble, I broadened to include other specialties. Recently I received a primary care offer in the scramble but it is hours away from my spouse (who is on the east coast). Does it make sense for me to turn this opportunity down and try again next cycle in a geography closer to my husband?

 

[gutonc]

I am an IMG (practitioner in Europe) with 5+ years out of graduation. I did not match this time or a prior round (where I did not have a step 2). During both matches, I applied solely to a ROAD field. I passed step 2 on the second attempt with a score in the high 230s. During soap and scramble, I broadened to include other specialties. Recently I received a primary care offer in the scramble but it is hours away from my spouse (who is on the east coast). Does it make sense for me to turn this opportunity down and try again next cycle in a geography closer to my husband?

It does not make sense to do that. This is your shot. Take it or leave it. But recognize that by leaving it, you are likely leaving medicine in the US.

 

[NotAProgDirector]

I think you need to realistically assess your chances and goals. As an IMG 5+ years out, failed S2 with a passing score in the 230's, your chance of a ROAD spot was virtually zero. Both times. In fact your chances of less competitive fields isn't great either -- getting an IM or FM spot for example, especially if your prior experience as an IMG was in that ROAD field. So, you need to decide what's more important -- being co-located with your spouse, or being a physician in the US. If the former I can respect and understand that, and you can certainly apply more reasonably next year. But you should be prepared for the most likely outcome being no match at all, or a similar SOAP/Scramble in to a geographically separate location. Or, prioritize being a physician, take the spot, manage your relationship over long distance, and once training is complete you'll be able to do whatever you want. In most cases, the second option is the clear winner -- but only you can weigh these options against each other.