This is why you avoid Carribean Med Schools

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No its not the end of the world, but thats also not a guaranteed path. The match gets harder every year, especially on anyone who isn't an MS4 med student. Not saying its impossible, but its certainly not something you could count on.

Yes, but you can also apply for and obtain open PGY-2 positions out of the match. Who would programs rather have if they need to fill a position during the year, their pick of the prelim litter or an IM attending? There's an anesthesiologist at our program who is board certified in Ob-gyn and fellowship trained in maternal fetal medicine and anesthesia-critical care...

Never mind that you could work as a hospitalist or whatever while you're applying.
 
Sure but one would be applying out of the match and there are far fewer spots and thus chances than by going through the match. No one is guaranteed a PGy-2 spot just because they already hold board credentials.

Yes but there's also no risk. You'd be sitting making attending $ instead of doing prelim after prelim.
 
I think it's important to provide some perspective to the pre-meds looking at this thread...

a passing score on step 1 is 188

248 is a SPECTACULAR score ...this person scored higher than the VAST majority of US MD students

The average step 1 score for anesthesia is in the low 220s!

A US MD student with a STEP 1 score of 248 applying to anesthesia would have - without a doubt - matched into anesthesia and would NOT have had to apply to any IM programs as a backup

i feel sorry for the person who originally posted this thread on valuemd ....this is a perfect example of why going to the caribbean is a horrible idea ...you are just putting yourself at an extreme disadvantage and even if you excel it is likely you will be disappointed with the outcome.

the high dropout rates of caribbean schools are well publicized but it doesn't surprise me one bit that someone who wasn't qualified to be in med school couldn't cut it. This story however shows you that just by going to the caribbean you have shut many doors before you even start the journey and working hard will not make up for having the stink of a caribbean school on you.
 
to add to my previous post now that i read a bit further in the valuemd thread...

this person applied to SEVENTY....70!!....SEVENTY!!! anesthesia programs and only got NINE interviews with a 248 on STEP 1

😱😱😱😱😱😱😱😱
 
I have 2 friends that scrambled this year, one trying to match to ENT and one to gas. ENT friend scrambled into a prelim surgery year [a 1 year commitment] and plans to reapply for ENT. Gas friend is doing MBA.

For everyone that will match in the future, it's better to list a 1 year program and try to reapply than to end up in a 4 year program of something you hate because medicare will pay for 1 residency now. Not matching and scrambling sucks, you go to an office in your administration, someone gives you some contact info, and then you and friends start cold calling programs like a crazy person.

As to the OP specifically, yes grades and step scores are set in stone. However since the OP is from a carribean med school, maybe they didn't have enough clinical exposure to gas and ICU [gas residents put in a lot of ICU time which not everyone realizes] which they could have theoretically gotten through TY electives were they not matched to IM. Anyone not matching needs to talk to a mentor that can really give them the T as to what shortcomings exist and how to fix them.
 
The problem is step scores from Carib students are devalued a lot due to the nature of their degree and the fact that they can take a nearly infinite amount of time to study for the boards. Actually the highest step 1 score I've ever seen was from a Carib applicant that came across one the desk of one of our faculty members (PD of rads), it was a 290 and they still didn't get an interview.

I think it's important to provide some perspective to the pre-meds looking at this thread...

a passing score on step 1 is 188

248 is a SPECTACULAR score ...this person scored higher than the VAST majority of US MD students

The average step 1 score for anesthesia is in the low 220s!

A US MD student with a STEP 1 score of 248 applying to anesthesia would have - without a doubt - matched into anesthesia and would NOT have had to apply to any IM programs as a backup

i feel sorry for the person who originally posted this thread on valuemd ....this is a perfect example of why going to the caribbean is a horrible idea ...you are just putting yourself at an extreme disadvantage and even if you excel it is likely you will be disappointed with the outcome.

the high dropout rates of caribbean schools are well publicized but it doesn't surprise me one bit that someone who wasn't qualified to be in med school couldn't cut it. This story however shows you that just by going to the caribbean you have shut many doors before you even start the journey and working hard will not make up for having the stink of a caribbean school on you.
 
The problem is step scores from Carib students are devalued a lot due to the nature of their degree and the fact that they can take a nearly infinite amount of time to study for the boards. Actually the highest step 1 score I've ever seen was from a Carib applicant that came across one the desk of one of our faculty members (PD of rads), it was a 290 and they still didn't get an interview.

wow that's staggering!

as i was saying ...you'll always have the stink of the caribbean school on you and you can never work hard enough to get some to see past it
 
to add to my previous post now that i read a bit further in the valuemd thread...

this person applied to SEVENTY....70!!....SEVENTY!!! anesthesia programs and only got NINE interviews with a 248 on STEP 1

😱😱😱😱😱😱😱😱

This. That's the kicker in that valuemd thread. Not a lot of love for that 248-bomb.
 
hey guys my sister goes to a caribbean medical school and i dont know many details, but my mom told me she failed something and has to redo a semester.

is she pretty much done 🙁
 
hey guys my sister goes to a caribbean medical school and i dont know many details, but my mom told me she failed something and has to redo a semester.

is she pretty much done 🙁

If she wanted to do ROAD/NS/ENT or something. I would say "done," if she's comfortable pursuing FM/IM, would be too strong. Disadvantaged? Absolutely.
 
Great numbers, 9 interviews and no match? Maybe this has nothing to do with the Caribbean.

I was wondering if I was the only person thinking this.
Less likely than you think. Many programs will rank all of their US MD applicants before anyone else, regardless. When future applicants are looking at a program, they notice how many foreign grads there are, trust me.

Besides, 9 interviews is not close to a "lock." Look at the acceptance curves, and you'll see that for most specialties, 9-10 interviews is around a 90% acceptance rate, but that's still a lot of people not matching.
 
I would make no generalization from this one individuals problem.many carib grads match into anesthesiology this year and in the past.There are various reasons someone with 9 interviews may fail to match,yes there are even US grads who have run into similar situations.
 
I would make no generalization from this one individuals problem.many carib grads match into anesthesiology this year and in the past.There are various reasons someone with 9 interviews may fail to match,yes there are even US grads who have run into similar situations.

I think your definition of "many" and my definition of "many" might be slightly different.
 
ok so to be clear what we're talking about here:

53 US IMGs matched into gas in 2010 (a figure beaten soundly by the osteos, btw) 53/1300+

if the 2011 figure is available, i haven't been able to find it.

charting outcomes from 2009 says that of independent applicants (basically anyone who isn't US LCME MS4) to gas with step I 241-250, 21/27 matched. of those with 9 continguous ranks, 8/14 matched.

this says to me that there's something else going on here. some kind of problem with either LORs or the clinical experience. poor interview skills seem less likely seeing as IM programs had no problem with this applicant.

i'm still learning about all this stuff, so someone shoot me down if i'm way off here. but regardless, i agree with skinMD that "the stink of the caribbean" is not easily overcome.
 
If she wanted to do ROAD/NS/ENT or something. I would say "done," if she's comfortable pursuing FM/IM, would be too strong. Disadvantaged? Absolutely.

she definitely does want to do IM or FM.
she isn't a very good test taker either..

any advice?
 
she definitely does want to do IM or FM.
she isn't a very good test taker either..

any advice?

Become better at taking tests and pass the Steps. Then apply to a lot of programs. Same way she got into medical school.

EDIT: This is above my paygrade, though. You might want to point her to the Allo forum(s).
 
Why did you have to mention Captain Douchers name? I am surprised they have not been in here yet bashing the DO world and thumping his chest because Carib. is the way to go. On a thought though he sounds like a great pre-med adviser :idea:

LOL. Fraud is worse than that troll Etzio
 
charting outcomes from 2009 says that of independent applicants (basically anyone who isn't US LCME MS4) to gas with step I 241-250, 21/27 matched. of those with 9 continguous ranks, 8/14 matched.

this says to me that there's something else going on here. some kind of problem with either LORs or the clinical experience. poor interview skills seem less likely seeing as IM programs had no problem with this applicant.

i disagree...

from a quick glance of pages 25 and 28 of charting outcomes you'll see that for anesthesia..

US MD:
ranked 9 programs - ~98% matched
step 1 score ~248 - ~100% matched

Internationals:
ranked 9 programs - <70% matched
step 1 score ~248 - <70% matched

it is way more likely that the PDs just had a bias against this applicant because they are caribbean student....a US MD student with similar stats is basically guaranteed an anesthesia spot SOMEWHERE ...also keep in mind that this person practically applied everywhere whereas a US MD student would have been successful applying to a fraction of those programs
 
i disagree...

from a quick glance of pages 25 and 28 of charting outcomes you'll see that for anesthesia..

US MD:
ranked 9 programs - ~98% matched
step 1 score ~248 - ~100% matched

Internationals:
ranked 9 programs - <70% matched
step 1 score ~248 - <70% matched

it is way more likely that the PDs just had a bias against this applicant because they are caribbean student....a US MD student with similar stats is basically guaranteed an anesthesia spot SOMEWHERE ...also keep in mind that this person practically applied everywhere whereas a US MD student would have been successful applying to a fraction of those programs

no no, we are in agreement. i'm not saying that the bias doesn't exist, the numbers make that plain. what i am saying is that this person had a reasonable expectation of matching gas based on what we know (strong scores, strong basic science grades, decent number of interviews), even though they came out of a Carib school. that they didn't heightens the suspicion that something else was less than perfect - which it probably needed to be. a lukewarm letter or uneven clerkship grades could easily have done that.
 
There doesn't have to be an explanation like a lousy letter, although there could be.

The fact of the matter is, the IM program saw this student as a more desirable applicant than the 9 gas programs did, and the gas programs had fewer spots

The gas programs might have even ranked the person, just not very favorably compared to the relatively few number of spots they had to fill.

(Edited due to naivete)
 
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If your 10th choice ranks you much better than your first 9 did, that's where you're going. That's how the algorithm works.

No, the match is biased in favor of the students. Whichever program you rank highest which has an open spot, you will match there. If your #10 ranks you #1, and your #1 ranks you #50/90 and they go to applicant 70 to fill their program, you will match at your #1 program.

Regardless, I'd be happy to match IM with that Step coming from a Carib school.
 
No, the match is biased in favor of the students. Whichever program you rank highest which has an open spot, you will match there. If your #10 ranks you #1, and your #1 ranks you #50/90 and they go to applicant 70 to fill their program, you will match at your #1 program.

Regardless, I'd be happy to match IM with that Step coming from a Carib school.

Fair enough. I am operating on the assumption that programs can rank more students than they have spots. In your example the gas programs might have ranked this guy 50/60 but they only go to 10 (or whatever).

Edit: I guess the issue is that the gas programs filled too quickly.
 
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Fair enough. I am operating on the assumption that programs can rank more students than they have spots. In your example the gas programs might have ranked this guy 50/60 but they only go to 10 (or whatever).

Edit: I guess the issue is that the gas programs filled too quickly.

hmm don't know much about it but it definitely makes sense they would rank more. if they interview someone and rank them, but the interviewee doesn't rank them at all, they would be screwed if they didn't rank more than the number of spots!
 
Yeah there's just more spots in IM. That guy should be thankful he matched, lots of US grads who scrambled would love a decent IM spot. A good Uni IM program is a very successful outcome for a Caribbean grad IMO. Exceptional ones will get into optho or something here and there.

This is the pre-allo forum and I don't know how experienced a lot of posters here are, but Step 1 is ONE test. Yes, it's important to do well and until you get to MS3 you'll be convinced it's the most important thing in the world, but there's a lot more to an application and the poster didn't give us many details. Not a lot of cool extra-curriculars on the islands if I had to guess, any US grad has done at least a weekend of Habitat for Humanity or something during med school. The guy might not interview particularly well, maybe not done a lot of anesthesia or not had a great letter of rec for it. It is often hard to get quality clinical rotations coming from Carib schools. When PD's select a US grad, it's because they know that person has actually been in an academic environment in a US teaching hospital, not some glorified shadowing gig at a community hospital that the Carib school paid off. So the letters of rec mean more.

An AMG is probably a more consistent product. We all know there are great Carib grads, but I think the bias - fair or not - is because PD's see them as more of a gamble. The PD's could try to research the quality of the hospitals and attendings where that person rotated, but hey they're busy and they've got lots of qualified US grads. It's just easier. The same argument goes for an AMG who failed Step 1 the first time or didn't match the first time - there could be good reasons - but they're going to get fewer interviews because PD's at good programs have plenty of applicants without a question mark hanging over their head. So why bother?

I feel for the guy, with the grades and Step 1 it sounds like he worked hard and did his best with the hand he was dealt. He should be happy to have a job though, ending up in primary care instead of a specialty residency is something anyone going to the Carib should be comfortable with. Not having a job at all is a very realistic prospect too.

I agree with the main sentiment of the thread - Carib should be a last resort. After post-bacs, DO rejections. People are just impatient. I have a couple of good friends entering US MD schools in their late 20s, it's not uncommon. There were two people in my class in their 40s. It's a marathon not a sprint.
 
Lolz. I love this whole Caribbean joke. I donot and will never knock anyone's hope for trying to become a better person, but this joke is just too darn funny. In fact, I have applied the concept to other institutions as well. To illustrate, I was in my ap stats class the other day when some asian chick (who is always challenging the teacher to some obscure aspect of our work) flamed this kid for being stupid. Fortunately, this kid retorted and soon I chimed in saying that I hope she does not end up in a Caribbean pharmacy school because she failed College Statistics and Logic. Weall lold, then we serious'd.
 
double post...srry
 
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Lolz. I love this whole Caribbean joke. I donot and will never knock anyone's hope for trying to become a better person, but this joke is just too darn funny. In fact, I have applied the concept to other institutions as well. To illustrate, I was in my ap stats class the other day when some asian chick (who is always challenging the teacher to some obscure aspect of our work) flamed this kid for being stupid. Fortunately, this kid retorted and soon I chimed in saying that I hope she does not end up in a Caribbean pharmacy school because she failed College Statistics and Logic. Weall lold, then we serious'd.

You sure are dropping the word "Asian" around the threads today. Back off, my man.
 
Lolz. I love this whole Caribbean joke. I donot and will never knock anyone's hope for trying to become a better person, but this joke is just too darn funny. In fact, I have applied the concept to other institutions as well. To illustrate, I was in my ap stats class the other day when some asian chick (who is always challenging the teacher to some obscure aspect of our work) flamed this kid for being stupid. Fortunately, this kid retorted and soon I chimed in saying that I hope she does not end up in a Caribbean pharmacy school because she failed College Statistics and Logic. Weall lold, then we serious'd.

shouldn't you be studying for the ACT
 
Lolz. I love this whole Caribbean joke. I donot and will never knock anyone's hope for trying to become a better person, but this joke is just too darn funny. In fact, I have applied the concept to other institutions as well. To illustrate, I was in my ap stats class the other day when some asian chick (who is always challenging the teacher to some obscure aspect of our work) flamed this kid for being stupid. Fortunately, this kid retorted and soon I chimed in saying that I hope she does not end up in a Caribbean pharmacy school because she failed College Statistics and Logic. Weall lold, then we serious'd.

hsdn ------------------------->
 
shouldn't you be studying for the ACT

I'm done with that smart one...check my thread.


You sure are dropping the word "Asian" around the threads today. Back off, my man.

Oh, yeah. Deoes it offend you. I do not think I am offending anyone, so I think I am fine Pons.
 
I'm done with that smart one...check my thread.




Oh, yeah. Deoes it offend you. I do not think I am offending anyone, so I think I am fine Pons.

it was a joke bro. you can't talk crap about people trying to get into medical school when you haven't even been accepted to college yet LOL
 
it was a joke bro. you can't talk crap about people trying to get into medical school when you haven't even been accepted to college yet LOL

What do you mean 'haven't been accepted to college yet'? Iam a HS senior and have been accepted by many universities, including Rice and Cornell. I would stop talking as if you know me, because evidently YOU DON'T! 😡
 
What do you mean 'haven't been accepted to college yet'? Iam a HS senior and have been accepted by many universities, including Rice and Cornell. I would stop talking as if you know me, because evidently YOU DON'T! 😡

That's impressive. I always make it a point to ask my physicians where they went to undergrad. Oh wait... 🙂

Seriously - congrats. But lighten up.
 
What do you mean 'haven't been accepted to college yet'? Iam a HS senior and have been accepted by many universities, including Rice and Cornell. I would stop talking as if you know me, because evidently YOU DON'T! 😡

Well, sure, Rice and Cornell are pretty intimidating. Any normal person would be intimidated by Rice and Cornell. I imagine that your parents are intimidated by Rice and Cornell, especially when they write that first tuition check next August. Hell, their bank will be intimidated by Rice and Cornell!
 
Well, sure, Rice and Cornell are pretty intimidating. Any normal person would be intimidated by Rice and Cornell. I imagine that your parents are intimidated by Rice and Cornell, especially when they write that first tuition check next August. Hell, their bank will be intimidated by Rice and Cornell!

Yes. They are very intimidated by the amount, but I have a couple of scholarships and URM status...so I am set. My parents, however, insist on doing community college then transferring to a state school or out of state. I keep trying to explain the implications to them, but you know parents....🙄
 
Fair enough. I am operating on the assumption that programs can rank more students than they have spots. In your example the gas programs might have ranked this guy 50/60 but they only go to 10 (or whatever).

Edit: I guess the issue is that the gas programs filled too quickly.
They have to. There's no program or specialty so competitive that they could get away with that and still fill all their spots every year. I have heard a story or two of a few highly, highly competitive programs in a surgical subspecialty like urology or plastics that only interviews <10 people per year, but even still, they rank more applicants than they have spots. Programs usually rank 5-20x as many applicants as they have spots.
 
Yes. They are very intimidated by the amount, but I have a couple of scholarships and URM status...so I am set. My parents, however, insist on doing community college then transferring to a state school or out of state. I keep trying to explain the implications to them, but you know parents....🙄


Dude. Slow down a bit, yo.
 
Lolz. I love this whole Caribbean joke. I donot and will never knock anyone's hope for trying to become a better person, but this joke is just too darn funny. In fact, I have applied the concept to other institutions as well. To illustrate, I was in my ap stats class the other day when some asian chick (who is always challenging the teacher to some obscure aspect of our work) flamed this kid for being stupid. Fortunately, this kid retorted and soon I chimed in saying that I hope she does not end up in a Caribbean pharmacy school because she failed College Statistics and Logic. Weall lold, then we serious'd.

Uh oh, someone got out of the cage again.
 
Rice and Cornell, those are some really awesome places for undergrad... Don't strain yourself patting yourself on the back until at least a year into college. Hopefully you won't change your mind and start considering Carib schools once your end of first year grades come out :meanie:.
 
That's impressive. I always make it a point to ask my physicians where they went to undergrad. Oh wait... 🙂

Seriously - congrats. But lighten up.

Phew you do that too. Thank god I thought I was the only one. My conversations for my physicals go.

Me: Before we start this procedure doc I just want to know where you went to undergrad.
Doc:MD we went through this before when you broke your bones and tore your ligaments do we really need to discuss this again.
Me: Yes, why are you avoiding the question are you a robot?
 
Rice and Cornell, those are some really awesome places for undergrad... Don't strain yourself patting yourself on the back until at least a year into college. Hopefully you won't change your mind and start considering Carib schools once your end of first year grades come out :meanie:.

Ha..ha....very funny..
 
wow that's staggering!
as i was saying ...you'll always have the stink of the caribbean school on you and you can never work hard enough to get some to see past it
Can I say that's a bias in America? 🙁
How about people who go to Europe, such as England, France and Germany, for med school?
 
The NRMP puts out reams of data: here is the advance data for 2011

http://www.nrmp.org/data/2011Adv%20Data%20Tbl.pdf

I crunched some numbers on 2010 data using allopathic anesthesia as the example residency. These are based on gross data totals, that is any one who participated in the match for ANY TYPE of specialty. These have also been adjusted to report as per thousand population (standard demographic reporting style)

US MD: 42 per 1000 matched
US DO: 39 per 1000 matched (does not note AOA anesthesia match)
US Citizen IMG MD: 11 per 1000 matched
Non US Citizen IMG MD: 0.7 per 1000 matched

Without any consideration to USMLE score comparison or other factors on a gross data basis, for anesthesia, US MD and US DO are about the same in match rates. US Citizens who are IMGs match at a rate between 1/4 and 1/3 of the US-based school graduates. And non-citizens barely match.

This data is completely useless.

Using your methods, here are some other specialties:

ENT

US MD: 16 per 1000 matched
US DO: 0.5 per 1000 matched
US Citizen IMG MD: 0.27 per 1000 matched

ORTHO

US MD: 37 per 1000 matched
US DO: 1.5 per 1000 matched
US Citizen IMG MD: 0.81 per 1000 matched

GENERAL SURGERY

US MD: 55 per 1000 matched
US DO: 10 per 1000 matched
US Citizen IMG MD: 13 per 1000 matched

___________
The reason why your data doesn't say anything is because US MD's are filling more competitive specialties, so using their # of 1000 doesn't mean much.

What can you pull away from data like this?
 
While you guys are arguing, someone show me the Carib # per 1000 matched for FM and IM.

You two seem to know where it's at and that link is a hot mess.
 
to add to my previous post now that i read a bit further in the valuemd thread...

this person applied to SEVENTY....70!!....SEVENTY!!! anesthesia programs and only got NINE interviews with a 248 on STEP 1

😱😱😱😱😱😱😱😱

And I still blame the applicant. Should have applied to many more programs and gone on more anesthesia interviews. Only 9 interviews for anesthesia as an applicant from Ross = not smart. Need many more than that.

If you go to a Carib school, you should apply to almost EVERY program if you want to specialize.
 
And I still blame the applicant. Should have applied to many more programs and gone on more anesthesia interviews. Only 9 interviews for anesthesia as an applicant from Ross = not smart. Need many more than that.

If you go to a Carib school, you should apply to almost EVERY program if you want to specialize.

It sounds like this person only GOT 9 interviews out of 70 applications. The only interviews this person didn't go to were IM interviews.
 
Whether the data is reported at 42 per 1000 or 4.2%, its is simply used as a quantitative comparison of match rates. As the original poster's issue was matching into anesthesia, comparison of rates or percentages was in order. These are not absolute numbers but standard demographic techniques to adjust population sizes and show rates of populations for comparison. On that basis it clearly showed the disadvantage that US Citizens IMGs have as I have stated in my previous conclusion.

"Without any consideration to USMLE score comparison or other factors on a gross data basis, for anesthesia, US MD and US DO are about the same in match rates. US Citizens who are IMGs match at a rate between 1/4 and 1/3 of the US-based school graduates. And non-citizens barely match."

Sorry, I don't follow why you think this data is useless. Please elaborate

You are looking at % filled by degree in each specialty. You are not looking at the match rate. A match rate would be better described by, "How many apply and how many are successful or not." You are just looking at the successful applicants and then cutting up the pie based on that. The reason why I said it doesn't mean anything, is US Allo grads "Pie" is filled up with many other competitive specialties, while the US IMG and US DO obviously are filled up with different specialties.

Your data doesn't pay any attention to those who DIDN'T match Anesthesia from each group. Which is what match rate really means.

Example of why your data doesn't provide any useful information.

Of 1000 MD's, 40 apply for Gas and 37 match.
Of 1000 DO's, 50 apply for Gas and 35 match.

Now...
Of 1000 US IMG's, 10 apply for gas and 8 match.

Or wait...
Of 1000 US IMG's, 200 apply for gas and 8 match.

Your comparison is a demographic that tells nothing about match rates. % filled just tells us how much demand a specialty has and little else.

True match rates from 2011 across all specialties:

US MD: 94%
US DO: 71%
US IMG: 50%
 
While you guys are arguing, someone show me the Carib # per 1000 matched for FM and IM.

You two seem to know where it's at and that link is a hot mess.

Just extrapolating data from NRMP's match data (2010), anywho:

IM

US MD: 170 per 1000 matched
US DO: 146 per 1000 matched
US Citizen IMG MD: 124 per 1000 matched

FM

US MD: 73 per 1000 matched
US DO: 135 per 1000 matched
US Citizen IMG MD: 118 per 1000 matched

____________________

And here are the rest:

ENT

US MD: 16 per 1000 matched
US DO: 0.5 per 1000 matched
US Citizen IMG MD: 0.27 per 1000 matched

ORTHO

US MD: 37 per 1000 matched
US DO: 1.5 per 1000 matched
US Citizen IMG MD: 0.81 per 1000 matched

GENERAL SURGERY

US MD: 55 per 1000 matched
US DO: 10 per 1000 matched
US Citizen IMG MD: 13 per 1000 matched

Again, what meaningful conclusion can you pull from this? It'a a demographic. It doesn't tell us anything about success or quality of the applicants, just where they wound up.

Could one conclude it's better to be a US IMG than a US DO for general surgery now? I don't think so. Or maybe you will be twice as successful matching FM with a DO than an MD degree?
 
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