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gappa

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I am an international student wanting to become a physician scientist in US. I have decided to do a PhD before entering residency program. My question is:
1. How can a medical student with minimal experience in research enter into a good PhD program in US?
2. How to utilise PhD years effectively to increase chances of a competitive IM speciality or a PSTP?
If anyone has a different opinion on this choice, I am all ears.