When applying for residency, it is important to carefully select which programs to send applications to. The key is to only apply to programs where you have a good chance of getting an interview. This is especially important when you are an international medical graduate (IMG). IMGs should do thorough research to discover the IMG friendly residency programs in the subspecialty they desire. In addition to establishing IMG friendly residency programs, it is also important to consider the score cutoffs for each program. With so many applicants applying for residency spots, program directors often use a cut off system to filter out applicants who they believe are underqualified.
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This makes the process of selecting interviewees more manageable for them. In this post, I will go through how I used FREIDA to build my residency application list and used it to only apply to residency programs who would not filter me out based off my USMLE scores or where I went to school. At the end of the post, I will also provide a place to sign up for a FREE link to my list of preferred residencies that I built when applying. The first step in the process is to build a list of potential residency programs. Your list will vary depending on your USMLE scores, which subspecialties you want to apply to, and which areas of the country you want to emphasize. I built my list from the programs listed in ERAS. By doing this, you ensure you have the most up-to-date information on which residencies are still in the match.
I placed all the names in a spreadsheet to keep track of them. Using a spreadsheet format also allows for specific name searching or alphabetical arrangement. It is important to note the name of the program director as well as the name of the coordinator and any contact information for each program. This can be found in the basic information tab when you click on the program’s entry.
When communicating with programs, addressing the director directly and by name shows attention to detail and conveys interest. Be careful here, however. Be sure to verify the name of the program director either on ERAS or on the residency website as this position can change yearly and addressing a previous program director may not reflect well. It is also handy to have all the program names and contact emails in a spreadsheet for future use. When I applied, I used this email list to send emails to programs I applied to.
I believe I got extra interviews because I sent letters of introduction after I applied. More information can be found in. One of the main goals in compiling this list is to find IMG friendly residency programs. Unfortunately, this bit of information is not often found in FRIEDA.
To make things more difficult, programs often will not explicitly say whether or not they consider IMG applicants. Because of this, a bit of digging is required. One of the best ways to tell if a program is IMG friendly is to look at the education history of both the residents and faculty. This information can often be found on the residency program’s website.
If several of their current residents or faculty members are from international schools, it is safe to assume that a program is IMG friendly. If the faculty and residents are all from U.S. Medical schools or all from the same school, it may be wise to submit your application elsewhere. Another important parameter to note is the average USMLE score of the program’s current residents. This can be found either in FREIDA directly or on the residency’s website. Some programs may state that they have no minimum cut off for considering an applicant.
While this may be true, if you are looking at a university program which has not accepted in IMG in the last several years and have an average USMLE score 20 points higher than yours, your chances are likely slim. Your effort and money are better spent applying to programs which will consider your application. If your score is more than 15 points below the average score the program lists, there is a chance you may be filtered out before your application is even seen. Applying to these programs will likely not result in an interview invitation. I hope that this article helped with your residency application process and allowed you to choose programs where you have the best chances of getting interviews and matching. The process is long and hard, but there is the potential to save a lot of effort, money, and heartache by applying smartly. To help my readers get a jump start on the creation of their application lists, I have included a form below where you can sign up to download a FREE copy of my original excel sheets for internal medicine and family medicine as well as access to my residency toolbox.