Sorry to say, the answer to your question depends on whether you will attend a US school or study outside the states. Its unfortunate, but you're viewed as 2 different species!! US or IMG. US school, the sky is the limit, you will get many opportunities even if board scores are mediocre. IMG, say good-bye to rads, derm, ortho, ophth. etc. From day one, there's not much chance you will get those spots even if you rock the boards..too many built in hurdles. So if you want to be a dermatologist, please ace the MCAT and go US. For me, I studied in Europe and now will start my IM residency this July. It worked for me (actually was interviewed at a couple of top 25 med schools) took a community spot anyway...and a friend who I attended school with, wants to do derm, is doing Phd work at a US med school, even though he knows his chances are still slim for derm match, because he's IMG. This is NOT a us vs, them post. Just want you to know the realities of which path you choose. Either one will produce good doctors. GL 👍