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Old 08-28-2011
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Unhappy totally depressed ...completly broken

hi ,
it's my first time to write at this forum ...i hope it will never be the last time
i did step 1 but my score is the worst ever 76 /189...i think if i failed it would be better
i am going to have my green card
i need to ask some questions ..i really need ur help (need to here all of u )
1-is it the end of my dream (to be a doctor of internal medicine from usa)??

2-is there is any chance to have residancy and what are these that accept my low score??(is there is real stories of low score and matched?)

3-i m ready to take any number of externship(us experince )..but i need to know will it compensate the low score in step one ?

4-i did kaplan ,,usmle world,,i did them hard,,also take notes from usmle world ,reviewing first aid ,,but i never did well in the exam(i did all of my best but low score drive me crazy ) ...need to know my mistakes(i know one of them that i did not do anatomy well and the exam was full of anatomy and embryology) ...if i repeat it in step 2 ..dose the bad score will also repeat ?(really i am confused..and sad)

5-i did my first semester in diagnostic radiology in my home country and some friends told me to complete my master then do fellowship from usa ... what do u think about this option it easy ...dose fellowships need usmle ??

i need realistic advice ...thank u so much for reading my post ..hope all of happiness to all of u
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Old 08-29-2011
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i am nt sure if u'd get d residency or not bt i believe its never d end..ur a US citizen or are goin to be one soon, dat mite help actually..dont lose hope, a briliant CV and a great score in step 2 can change d scenario.
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Old 09-01-2011
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Default Welcome to the Forums :), Its too early to throw in the towel, your journey has just begun!

Good Day Adam,

It is very understandable how you must feel at the moment but you must understand that you can only lick your wounds for so long. With that being said, no one said that this would be an easy journey, but you can make it a rewarding one if you stay positive! Now lets begin to address your questions:

1) It is obviously not the end of your dreams and there is definitely hope for you to become a licensed IM Physician in the U.S. Then again, it is totally up to you to take the necessary action to improve your overall competitiveness by continuing to study for your remaining exams, scoring well, obtaining excellent LORs from doing USCE, and networking to make substantial connections. If you begin to do all of this, you will then see that your committed efforts will indeed pay off in the end!

2) It is still very probable that you will be able to secure a residency position, being that USMLE scores are not the only factors considered on a residency application, and excellent scores alone are not a guarantee for success in securing a residency position. According to the Selection Criteria for Residency (a National Program Directors survey), the top five selection criteria for residency were (1) grades in required clerkships, (2) United States Medical Licensing Examination (USMLE) Step 1 score, (3) grades in senior electives in specialty, (4) number of honors grades, and (5) USMLE Step 2 Clinical Knowledge (CK) score. Along with this survey, I have also been able to witness first hand how USMLE scores do not solely justify whether an applicant is successful in obtaining a residency position. The lowest USMLE score of one of our successful students who matched in 2011 was a 76, hence it can be done!

3)As mentioned in the previous answer, the number one Selection Criteria residency programs look for are “grades in required clerkships”. Being that you are an IMG, you will want to gain as much U.S. “hands-on” clinical experience as possible. In doing so, you will not only enhance your knowledge of U.S. healthcare, but you will also increase the competitiveness of your residency application. One recommendation to you would be to see how competitive your application is right now by using an online self-assessment tool called the Butterfly Calculation.

4) I would recommend to continue to study hard and also increase your efforts. These exams are indeed very difficult and people have different approaches as to how to prepare for them. I suggest finding out what works best for you and also using this forum to help find out what your colleagues believed was the best method for them.

5) Here is where some IMG’s typically get steered into the wrong direction, and unfortunately this is usually caused by misinformation from their colleagues. As opposed to beginning a MPH program right away, I would first recommend gaining U.S. hands on clinical experiences, so that you are able to solicit for LOR’s, obtain Clinical Evaluations and create a complete and competitive residency application. Then, if you have time and your heart is really set on it, at that point you should pursue a MPH. Your main goal is to obtain a residency position and become a Licensed Physician, and in doing you would want to keep gaps in your CV to a minimum. Nevertheless, I believe you can come to the conclusion that obtaining a Master’s degree may sound good, but in all honesty it will only prolong the journey.

The road to success is never a smooth one, there will be some bumps on the road! Adam, I wish you the best of luck in all your future endeavors. If you have any further questions regarding hands on clinical experience or the competitive index, feel free to private message me.

Approved: SG
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adam (09-05-2011), doctorindistress (06-05-2012)



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