I'm trying to determine how difficult it will be to get a residency position in Internal Medicine. I am beginning my final year at University College Dublin. I've typically been in the top 10-15% of my class and my USMLE Step 1 score was 84. I am concerned about my ability to get quality letters of recommendation, none of which will come from an elective undertaken in the U.S. Also, I do not have any research experience and have little interest in doing research. Does anyone have insight into what emphasis is placed on Board Scores vs. Letters of Recommendation in the Residency application process.