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Dear George
your friend has good chances but to cover his graduation date (which negatively affected some people in 2010 match), it is better to:

1-score high on step 3 (above 90 is ok, but above 95 in his case will make a difference)

2-apply very widely, ie apply to all the psychiatry programs he can, the IMG friendly lists are on my website.

3-although it is not a rule but his observerships better to be within the last 2 years (at least one of them)

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