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I'm an MS3 in the Midwest (Kansas) and hoping to do an EM residency in the Northeast or in California. Anyone on the interview trail or in residency want to comment on how difficult it is to secure a residency in either of these areas? I know that a lot of Northeast and California schools are fairly regiospecific when it comes to other residencies such as surgery, i.e. you have a much better shot if you went to med school in that area rather than say, Kansas. Point being, will I need to have crazy numbers (grades, USMLE) to get parolled out of this part of the country??