Originally Posted by Sabio
I can figure that your colleague has very strong connection in the hospital where he's working. This allows for a great chance that they can take him as a resident once he pass the USMLE.
So I suggest that he continues his efforts until he passes and even with very low scores he can still make it into their residency program (if they have one) or in some other hospitals closely affiliated with his place of work.
Connections can skip all crendentials and can be very effective and getting interviews and even pre match.
Other than this path, I think that his chances in getting residency at other places are very low.
Totally agree with this advice.