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IMG Residency Match Forum International Medical Graduates (IMGs) discussing the residency matching process.


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Old 11-15-2014
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Default 240+ Scores---Why only Internal Medicine

To all those with scores above 240 on both steps, some with above 250+, is there a reason why all of you are applying only to Internal Medicine.

If Internal Medicine is what you are truly interested, then it makes sense.

Just saying if you have interests in other more competitive specialties, and are applying to Internal Medicine because you think you might not be competitive enough, you might be wrong.

Why not apply to more competitive specialties? Your scores will definitely meet the initial cut-offs!

You can and should apply to multiples specialties! You never know who might be interested in you!
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Originally Posted by tbd123321 View Post
To all those with scores above 240 on both steps, some with above 250+, is there a reason why all of you are applying only to Internal Medicine.

If Internal Medicine is what you are truly interested, then it makes sense.

Just saying if you have interests in other more competitive specialties, and are applying to Internal Medicine because you think you might not be competitive enough, you might be wrong.

Why not apply to more competitive specialties? Your scores will definitely meet the initial cut-offs!

You can and should apply to multiples specialties! You never know who might be interested in you!
Because the only way you can go into fields like cardiology, pulmonary/critical care, oncology, nephrology, rheumatology, endocrinology, infectious disease and GI medicine is having first completed an internal medicine residency. You can also use your internal medicine training to become a hospitalist or for primary care. You can even pursue additional training to involve surgical procedures; for example rather than going into surgery and then completing a fellowship in vascular surgery, you can become an interventional cardiologist. In my opinion, no other residency offers as many options.
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Originally Posted by Bully Ball View Post
Because the only way you can go into fields like cardiology, pulmonary/critical care, oncology, nephrology, rheumatology, endocrinology, infectious disease and GI medicine is having first completed an internal medicine residency. You can also use your internal medicine training to become a hospitalist or for primary care. You can even pursue additional training to involve surgical procedures; for example rather than going into surgery and then completing a fellowship in vascular surgery, you can become an interventional cardiologist. In my opinion, no other residency offers as many options.
I think he/she meant surgery, dermatology, ophthalmology, radiology, etc when talking about more competitive specialities. Most of these specialities excluding surgery require completion of a transitional year residency,which in itself is quite competitive.
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Originally Posted by Durisetister View Post
I think he/she meant surgery, dermatology, ophthalmology, radiology, etc when talking about more competitive specialities. Most of these specialities excluding surgery require completion of a transitional year residency,which in itself is quite competitive.
Yeah, exactly. If you have a 250+, especially on Step 1, why restrict yourself to Internal Medicine, just because everyone else says that you won't get anything else.

You will not know unless you try, and someone with a 250 on step 1 will definitely get looked at no matter what the specialty!

Just suggesting that people could consider broadening their horizon!

It must be nice for all the community hospital IM programs to see scores of 260 and 270 in their applicants! Luckier still are the patients who get to be seen by such high performing individuals!
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Originally Posted by tbd123321 View Post
Yeah, exactly. If you have a 250+, especially on Step 1, why restrict yourself to Internal Medicine, just because everyone else says that you won't get anything else.

You will not know unless you try, and someone with a 250 on step 1 will definitely get looked at no matter what the specialty!

Just suggesting that people could consider broadening their horizon!

It must be nice for all the community hospital IM programs to see scores of 260 and 270 in their applicants! Luckier still are the patients who get to be seen by such high performing individuals!
Yep, makes perfect sense. Unless you are absolutely sure internal medicine is the thing you want to do, people with stellar scores could definitely try for more competitive specialities.
As a medical student, whenever I mentioned I'd be pursuing US residency, the knee jerk response I and probably a lot of others receive is whether I'm going for IM or Peds. And yes, these are the specialities that take in majority of IMGs, but with really good scores one could apply to the competitive specialities.
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Old 11-15-2014
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normally though when i hear people want to apply for radio, optho, or more competitive specialties, i usually hear they want to apply to those specific specialties.. but w/ IM/Peds as backups. With people who want to apply for IM/Peds, even with their stellar scores, tended to focus on going for better programs.. rarely saw them switching their minds just because their scores were high.
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