University based residency programs?

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I have heard on SD that residencies programs at universities are lower? Is this true?

If I am understanding the question correctly:

That is a broad generalization that is not true. Sure, some University-based residencies are not competitive, and most spots are filled by IMGs, but others are impossible to get into without having done research, getting high Step I scores (and maybe AOA), getting multiple Honors-designations on third year clerkships, and receiving great letters of recommendation (even for primary-care spots).
 
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