Yes, unless you are an FMG, then there is no guarantee. I knew one of the fellows there who was an FMG - did 2 years and didn't match into the program or anywhere else ( I don't know his other stats). I had considered this position last year when it opened up but decided not to apply (I am an FMG). You basically work at the level of a PGY-1, mostly in neuro-ophth.