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Old 03-06-2014
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Default Any hope after failing cs

Hello I got 218 in step 1 and have an attempt in cs. I ll be taking step 2 ck soon. I want honest opinion how difficult is it for an img in my position? Is there any hope or is it a halt in my dreams?
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Old 03-06-2014
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I think that you still have hope of matching. There are certainly IMGs who have matched with your stats. As you've figured though, you do have a hard road ahead.

You may want to consider a few things on your journey ahead:
-you've come a very long way already by finishing step 1. If you decide you don't want to continue, you should make sure that you have no regrets about this. If you decide to keep going, you should of course give it your best shot!

-there are certain things that can increase your chances apart from bare stats, and you should work on this. For instance, having good clinical experience, improving your English communication, obtaining excellent LORs and writing a compelling personal statement.

-Your chances for certain specialties are higher (eg. family med, psych) which is good if you like these fields.

-you may want to look at actual data put out by NRMP/ECFMG on outcome data of IMGs from the 2013 match. You can google this. It gives you actual stats on IMGs based on Step 1 score and number of CS attempts by specialty. Remember it's only from one year and numbers do fluctuate. Don't get too discouraged by the numbers. If you do look at the data, I hope you can use it as a motivator for you to do really well for the rest of your journey.

Good luck. I hope that helps.
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Last edited by StepsToResidency; 03-06-2014 at 02:40 AM. Reason: clarify
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Old 03-06-2014
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Thank you for the encouraging words "steps to residency". I am interested in pursuing Pediatrics.
My english skills are fine and I failed in ICE component (I cant believe it!)

I know its a difficult road....but I really want to do my residency abroad...
currently I am feeling hopeless though...
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Old 03-06-2014
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Quote:
Originally Posted by rimaj View Post
Thank you for the encouraging words "steps to residency". I am interested in pursuing Pediatrics.
My english skills are fine and I failed in ICE component (I cant believe it!)

I know its a difficult road....but I really want to do my residency abroad...
currently I am feeling hopeless though...

hey, do you mind telling us or sharing with us the mistakes you think you did in ur CS?? please.. im pretty scared about my cs.. which is somin up soon..
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Old 03-06-2014
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@Rimaj:

If your heart is set on doing a peds residency in the U.S., then you should go for it. As I said, it's going to be hard but you still do have a shot just based on your exam results. I hope you can let your exam experience strengthen you so that you can bounce back and do really well in the CS and CK. Other than that, you should focus on making yourself a stand-out applicant in areas outside of your exams too. I know that you're disappointed and feel hopeless right now, but once you're back on your feet, get going and work hard!
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Old 03-06-2014
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Thank you steps to residency.
I am a 2012 graduate. I know they prefer fresh graduates. But to do the things like research I ll need to set aside 1 year I think. So that means I have to aim for 2016 match. Is it still ok?

Also I heard once we fail cs our applications will get filtered out anyways. Does it mean none of the colleges will invite us for interviews?
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Old 03-06-2014
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I can share my own experience here. I graduated from medical school in 2007 and matched in psychiatry in the 2011 match (similar timeline to you). After medical school I continued to work in my home country, mainly in emergency medicine and psychiatry. By the time I interviewed I was supervising junior doctors in both emergency med and in psych. So my point is that I think that the year of graduation is okay (you're not too far out), as long as you are doing things that are helpful in making you a good candidate for residency programs, such as relevant clinical experience even in your home country.

Regarding your CS: I had a glance at the most recent data put out by NRMP. There's 2 data sets that are relevant for you.

One is the program director survey. For pediatrics, 18% of PDs who responded said that they don't use CS results to select candidates for interview. It unfortunately doesn't have data on failed CS attempts and how that impacts selection for interviews. But you should know that 19% of PDs "often" considered candidates who failed their Step 1 and 13% of PDs "often" considered those who failed their Step 2 (so you can perhaps extrapolate the data for Step 2 CS fails).

The IMG data shows clear data that you can be invited to interviews with a fail in Step 2 CS. It does show that your chances of eventually matching are reduced. There's data from the 2013 match divided into U.S. IMG (ie citizen or PR) and non-U.S. IMG.

For U.S. IMG candidates with two attempts at CS, 9 matched while 25 did not match. For non-U.S. IMGs, 19 matched and 80 did not.

There's services like Match A Resident and IMG Residency (I've never used them, I don't work for them and I'm not endorsing their services here) that provide lists of residencies that you qualify for based on your scores and attempts. It may be worthwhile for you to contact them to get a sense of how many programs you can apply for (hopefully they won't charge you for this information at this stage as they aren't providing the actual program names for you).
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Old 03-07-2014
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80! Thats a lot! I dont want to be in that lot...
steps to residency do u have skype or email id? I ll ask u my queries...
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Old 03-07-2014
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I'd be happy to try and help. I sent you a PM with my Skype ID.
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