My question is generally about those specialties which require a transitional year in IM: I know that most FMGs end up in internal medicine or family practice residencies. In my case, Oncolgy requires a 3-year residency in IM anyways, followed by a 3 year fellowship in Oncology.

I wonder if the bias against being an FMG will somewhat lessen come fellowship time, since at that point, I will be coming directly from an IM residency in the USA. Or will I still have a hard time getting a fellowship since I graduated from a caribbean school

I hope that what school I attended doesn't factor heavily. I think that as long as one does very well in their IM residency (in the USA), that should be more important....?