Any IMG’s matching to good programs? This was my second year following the match and i see how difficult it is for even qualified imgs with research and all to break the ceiling to match to good programs like Texas or Boston and states like California etc. they shun us like lepers. I don't how i will reconcile with this treatment and possibly work in these very same places in the future, if an opportunity arises.
An IMG here, I had USMLE attempts and a very long story … I matched into a program that I never dreamed that they will even look at my application!
I would have to disagree with what you said here, I was reviewing the Cardiology match thread last year and I remember seeing that you matched somewhere that you didn’t like and I got surprised when I saw that you were participating in this cycle!
While I dont know what is your story and can not make any assumptions… but what I can say from my personal experience is that yes the system would favor AMGs over IMGs when it comes to desired fields in desired places, I don’t think by no means it is related to program leaders biases but look at it in this way:
AMGs are more likely to go for residency in university programs, university programs usually have in-house fellowships which means better opportunities for networking and being involved in research projects
AMG gets introduced to the concepts of researches and conferences before they even start their residency so they are by default way ahead in terms of distance crossed before applying to fellowship
They get more chance to prove themselves for well connected people within the field who can write strong LORs and make phone calls
Also bigger programs would rather have trainees coming from bigger residencies ( easier to know their track records in terms of performance and achievements as well as less cultural challenges when compared to IMGs) … to get into a big residency usually you have to go to a US medschool which can mean about 500k in debt ( which most of non Caribbean schools IMGs dont have to worry about)
So while the path for AMGs may offer “more” opportunities it definitely comes with a price!!
On the other hand: IMGs are likely to go to community programs for residency, most of these programs barely have 1 inhouse cardiologist who isnt well connected beyond the local healthcare network and usually will have more clinical than academic duties ( academic projects requires higher volume which may not be offered in most of the community programs), which will impact who will write your LORs and LORs are very very important for peds cardiology fellowship regardless of where you went for med school
Add to that the fact that it isn’t easy to know much about foreign graduates prior to their US residency and that really makes difference
Not to mention the hassle of going through the visa process and home sickness in a pretty busy and critical fellowship
As a foreign graduate who is on a visa, I really think that the key for all of us is to understand what we are signing up for and how program leaders take their decision and take the idea of everyone being against IMGs out of our minds because this isnt the case…. If a foreign graduate really want to make it into one of the big programs, they should be willing to pay the price and work on fulfilling the points that I mentioned above, that may mean waking up before 4 AM on multiple days, getting used to be rejected on multiple occasions and showing up, doing away rotations which will cost you extra money and possibly vacation days! willing to do extra work and being put on spot ( people will test you) and getting comfortable with it and last but not the least is being ready identify opportunities and take them!
At the end I want to say that it isn’t about the program as much as its about you, you can get the best out of your program and become a great physician wherever you go, It looks like you got an opportunity in a medium program ( that you arent very happy with) but now it is up to you to get the best out of the opportunity you got!
Congratulations to all and best of luck to all of us