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


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  #1  
Old 02-28-2013
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Help Best SOAP strategy for old grad not needing visa?

Hi everyone. My new husband is an IMG from India and I am trying to help him with this process, but I am new to all of this so I appreciate any advice. This is his fifth attempt at the match and he is really discouraged.

He is an old grad (YOG 2003) and has an MSPH from the US. His scores are 89/86/77/pass. He has been doing research for the last few years and has done quite well and gotten some publications and a good US LOR. He is trying for IM/FM. He did a short observership a few years ago. I just sponsored his green card so he has an EAD now (GC pending).

The first year in the match he got 6 IVs (5 in IM, 1 in FM) but no match--then nothing at all until this year when we got married and I was able to get him one IV in IM through connections.

I think there is a high chance he will end up in SOAP and I am trying to prepare. What is our best strategy for SOAP? Should he focus on IM instead of FM, since to me his application seems better suited to IM (and when he got IVs they were mostly in IM, not FM)? Should he try for prelim positions in hopes of getting USCE? Should he look for unfilled programs that do not sponsor visas?

I am not a doctor, so again all of this is new to me. I just hate seeing my husband sad and disheartened, and I would like to learn as much as I can about the match process and do as much as I can to help him. Any advice you can give me about either the SOAP or our general situation is appreciated. Thank you.
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Old 02-28-2013
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I got this official mail from NRMP
"join twitter March 5th from 3-4 p.m. eastern time NRMP and participate in the chat about SOAP at #ERASandNRMP. And remember, you can always find the NRMP on Twitter @TheNRMP." .
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Old 02-28-2013
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In SOAP usu PDs prefer to take candidates that they have interviewed, but if you have some connections then it is a different story, you still can be picked up.
Keep trying, once your husband gets green card it will be a lot more easier as many programs give Ivs to GC holders, but will like to suggest that he keeps getting USCE's to show he is in touch with medicine.
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Old 02-28-2013
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Quote:
Originally Posted by doc.mav View Post
In SOAP usu PDs prefer to take candidates that they have interviewed,but if you have some connections then it is a different story,you still can be picked up.
Keep trying,once your husband gets green card it will be a lot more easier as many programs give Ivs to GC holders,but will like to suggest that he keeps getting USCE's to show he is in touch with medicine.
Thanks doc.mav! I appreciate it! That is a good point about the USCE.
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Old 02-28-2013
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Quote:
Originally Posted by doc.mav View Post
In SOAP usu PDs prefer to take candidates that they have interviewed,but if you have some connections then it is a different story,you still can be picked up.
Keep trying,once your husband gets green card it will be a lot more easier as many programs give Ivs to GC holders,but will like to suggest that he keeps getting USCE's to show he is in touch with medicine.
I believe if the candidate ended up unmatched and the program ended up unfilled it means the PDs did not rank that candidate at all which means that they do not consider him as a resident in the program. So I think that the PDs will prefer to take someone with good credentials whom they did not interview.
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Old 02-28-2013
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Quote:
Originally Posted by koriaga View Post
I believe if the candidate ended up unmatched and the program ended up unfilled it means the PDs did not rank that candidate at all which means that they do not consider him as a resident in the program. So I think that the PDs will prefer to take someone with good credentials whom they did not interview.
theoretically thats possible,but in reality most(if not all) programs pick from people they interviewed rather someone they don't know(unless in rare case program has decided not to rank anyone as they did not feel the candidtaes were fit enough,in that case they are looking for some thing exceptional and extraordinary).
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Old 03-01-2013
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Default 6 IV and didn't match

Quote:
Originally Posted by doctorswife View Post
Hi everyone. My new husband is an IMG from India and I am trying to help him with this process, but I am new to all of this so I appreciate any advice. This is his fifth attempt at the match and he is really discouraged.

He is an old grad (YOG 2003) and has an MSPH from the US. His scores are 89/86/77/pass. He has been doing research for the last few years and has done quite well and gotten some publications and a good US LOR. He is trying for IM/FM. He did a short observership a few years ago. I just sponsored his green card so he has an EAD now (GC pending).

The first year in the match he got 6 IVs (5 in IM, 1 in FM) but no match--then nothing at all until this year when we got married and I was able to get him one IV in IM through connections.

I think there is a high chance he will end up in SOAP and I am trying to prepare. What is our best strategy for SOAP? Should he focus on IM instead of FM, since to me his application seems better suited to IM (and when he got IVs they were mostly in IM, not FM)? Should he try for prelim positions in hopes of getting USCE? Should he look for unfilled programs that do not sponsor visas?

I am not a doctor, so again all of this is new to me. I just hate seeing my husband sad and disheartened, and I would like to learn as much as I can about the match process and do as much as I can to help him. Any advice you can give me about either the SOAP or our general situation is appreciated. Thank you.
That s scaring
What was his profile when he applied that time?
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Old 03-01-2013
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Quote:
Originally Posted by doc.mav View Post
theoretically thats possible,but in reality most(if not all) programs pick from people they interviewed rather someone they don't know(unless in rare case program has decided not to rank anyone as they did not feel the candidtaes were fit enough,in that case they are looking for some thing exceptional and extraordinary).
Hmm. This is interesting...in our case my husband only had one IV so if they do not rank him then we can SOAP that place again, and we are only using up one of the SOAP slots, so it isn't a big deal.

I was looking at last year's list of unfilled programs and unless I am wrong it seems like you get 45 slots in SOAP but there aren't that many IM positions unfilled anyway, so maybe we will just do all the available IM slots and whatever is left over we can do some kind of prelim slots (?).

I am not sure my husband has much shot in FM...his main LOR is IM-specific and his research is IM-oriented too. Maybe we should not waste SOAP slots applying in FM. I am not sure.
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Old 03-01-2013
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Originally Posted by alanine40 View Post
That s scaring
What was his profile when he applied that time?
The time he got interviews? I think it was 2008 so he was five years post graduation. He had finished the MSPH and observership; he had not taken Step III and did not have a GC.

Last edited by doctorswife; 03-01-2013 at 08:56 AM.
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Old 03-12-2013
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No match.

Anyway it wasn't an issue deciding where to apply in SOAP. As a 2003 grad, there are a lot fewer than 45 programs in SOAP that he was eligible for.



Maybe he'll try again next year in pathology. And then maybe it's time to quit.

Congrats to all who matched.
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Old 03-12-2013
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The reason your husband got only 1 invite from family medicine is because program directors look for 6 months clinical experience in family medicine to show that you are commited to the feild. This is because IMGs are using Family medicine as a backup plan if IM fails. This is the new trend. I think he should also consider psychiatry that also needs USCE. Good luck and dont give up.
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Old 03-13-2013
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Quote:
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The reason your husband got only 1 invite from family medicine is because program directors look for 6 months clinical experience in family medicine to show that you are commited to the feild. This is because IMGs are using Family medicine as a backup plan if IM fails. This is the new trend. I think he should also consider psychiatry that also needs USCE. Good luck and dont give up.
Thanks Water. Unfortunately he hates psychiatry (and while I am sure he'd make a great GP, I don't think he'd make a good psychiatrist.) I think (?) his best bet next year may be pathology, since he's been doing research in diseases for several years, and maybe they don't care as much about USCE. He may be able to find a pathology observership at the university where he is a researcher.

He tells me nothing but connections will help him much at this point, because with thousands of people applying, his YOG will get him knocked out of consideration before anyone even takes a look at his actual CV. I hope he's wrong.
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  #13  
Old 03-13-2013
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For Free Evidence Based Answers try FutureDocsTV - YouTube

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Old 03-13-2013
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Does taking Step 3 really increase your chances of match a lot? A lot of programs don't want you to take it before residency. Cause a low Step 3 can also decrease your chances for match.

SOAP doesn't seem to be going too well for me. So need to figure out what to do next to match in 2014.
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Old 03-13-2013
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Quote:
Originally Posted by drpepper4u View Post
Does taking Step 3 really increase your chances of match a lot? A lot of programs don't want you to take it before residency. Cause a low Step 3 can also decrease your chances for match.

SOAP doesn't seem to be going too well for me. So need to figure out what to do next to match in 2014.
Hi Dr. Pepper. You might get more responses, and more informed responses, if you start a new thread. I'm not a doctor and really don't know much about this process.

I think a high Step 3 helps. Based only on my husband I think a low Step 3 pass does not do too much; he got similar numbers of interviews the year before and the year after passing Step 3.

What really seems to have hurt him was crossing 5 years from graduation--since that year the IVs stopped.

But as I said, I'm not a doctor myself so I think you should post a new thread with this question so people who know more can answer you.

Good luck!
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Old 03-13-2013
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You are welcome.........Also others correct me if Im wrong but the pathology residency is more competitive than family medicine residency, because pathology has an emphasis on the step 1 score.This is because pathology is a subject in step 1 and it is required for residents to understand the subject.So a high step 1 score is needed in my opinion.
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Old 03-14-2013
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Quote:
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You are welcome.........Also others correct me if Im wrong but the pathology residency is more competitive than family medicine residency, because pathology has an emphasis on the step 1 score.This is because pathology is a subject in step 1 and it is required for residents to understand the subject.So a high step 1 score is needed in my opinion.
You are probably right that path is overall more competitive in terms of scores. That said, he has relevant research, observership opportunities, and some connections in pathology, which he does not have in IM or FM...so...let us see.

I was a professor once; our job application process was very similar to this, but less organized (no NRMP, so you had to send 300 applications yourself). At the end, the job I finally got (which 200 other people had applied for) was so bad that I left after a year anyway. I thought I was done with all that...this is like reliving history!
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Old 03-17-2014
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Hi everyone. Just wanted to update this thread and let you know that my husband finally matched this year in pathology, after years and years of trying.

Congratulations to all who matched, and best of luck to those who did not.
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Old 03-17-2014
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Congratulations to you and your husband ! You guys really deserve it!
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Old 03-17-2014
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Great story of perseverance. Congratulations for sticking with it.

And tell your husband congratulations as well. Awesome news!
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