For an IMG, will there need to be some sacrifices done in order to get a residency at all? For me the situation is so that the peticular residencies, or specialties if I should say, I'm interested in, are the most competitive. These include ENT, ortho surgery and derm (derm mostly for good hours&money tho ). Is there any way match for example in ENT? Sure I could get my PhD done first and then come to the US but is that good at all? Or should I match for ENT over here and get two years training to have better chances of matching?