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Unfortunately, with a Step I score of 198 as an IMG, it is going to be difficult to match into a U.S. residency program.
The recent Charting Outcomes in the Match for International Medical Graduates may be of use to look at.
The internal medicine average Step I scores for matched applicants was listed as 236. For internal medicine, here are the summary (self-reported by applicants) statistics (pg. 109):
I do not know how much easier or harder it is to match into a combined internal medicine/neurology program.
If you really want to match in the USA, consider seeking out an advisor who knows the ins and outs of what you can do to off-set your low Step I score.
The recent Charting Outcomes in the Match for International Medical Graduates may be of use to look at.
The internal medicine average Step I scores for matched applicants was listed as 236. For internal medicine, here are the summary (self-reported by applicants) statistics (pg. 109):
I do not know how much easier or harder it is to match into a combined internal medicine/neurology program.
If you really want to match in the USA, consider seeking out an advisor who knows the ins and outs of what you can do to off-set your low Step I score.