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  1. #1
    joetheclaw is offline Newbie 510 points
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    General Surgery !

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    Hello ,
    I am an IMG from Egypt ... I just passed USMLE step one with a score of 186/76 . Quite bad !!
    I was wondering about my ability to find General Surgey program anywhere in the US . Even if it was in the middle of the desert...
    could somebody please give an advice about what I should do ?

  2. #2
    bball is offline Newbie
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    General Surgery

    Then you have to do well on your Step 2 scores. Some of the program directors I've spoken to have said that step 2 is their main indicator on how well you will do on the abscite (surgery exam). And of course, surgery prelim is an option. As I recently found out, it's not a definite road...you could prelim for 3 years (the max)...and never get in.

    So the best way, would be to do well on step 2...if not, prelim...if not, consider another specialty.

    Good Luck

  3. #3
    joetheclaw is offline Newbie 510 points
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    thanks man ...
    you said all what i needed to know !

  4. #4
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    AUCMD2006 is offline Ultimate Member 6129 points
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    brutal honesty: you are basically out of the running for a catagorical surgery spot. as an img you needed to beat the acg score by a decent margin. i have met imgs with 230's to 250's on both who were still pre lims..2 actually had done surgery back home and had publications.

    best of luck to you...apply to a wide variety of programs you may luck out but be prepared to do primary care, obgyn, peds, psych

    as a side note do not EVER take a prelim spot. all those are free slave labor for the hospital and the number of pre lims that make the transition is dismal. if you decide to take a prelim spot make sure you ask how many of their prelims do they take every year into catagorical spots..most programs make no guarantees as to who they take, and the few that save a spot for a prelim are usually horrible places to be at because you have 2-4 pre-lims fighting each other for 1 spot the following year.

    also doing a pre-lim year or even 2 does not mean you start residency from year 2 or 3..most of the people who make it to catagorical after pre lim start out as year 1 so you will loose 1 or 2 years.

    sorry but basically with that score, even a great step 2 rebound may not be enough so be sure to apply to a ton of programs and have a back up specialty in mind
    AUCMD2006
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  5. #5
    joetheclaw is offline Newbie 510 points
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    Thanks for your care ...
    I don't know ... I guess truth makes one a little disappointed !!

  6. #6
    Clinical Director is offline Junior Member 510 points
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    I would just like to let you know that Residency Programs do look at more than just USMLE scores. It is true that in Surgery they are more important than other specialties, so honestly I would recommend keeping your options open as far as specialties. Family Medicine is a great specialty which does allow for minor surgeries. The probability of matching is much higher. Nevertheless, if you are determined to go for surgery I would highly recommend getting U.S. clinical experience in surgery. This will allow you to build a network with other surgeons who can then vouch for you and your abilities. There are 8 factors that are required by residency directors:
    1. USMLE scores and Attempts
    2. U.S. “hands-on” clinical experience and Acculturation – up to one academic year (36 weeks)
    3. Activities since medical school Graduation
    4. 3 to 5 Recent Letters of Recommendation from licensed U.S. physicians (< 12 months old), documenting your clinical experience in the U.S.
    5. U.S. Immigration Status
    6. ECFMG Certification
    7. Passing score on USMLE Step 3, if taken
    8. Interviewskills and English Competency
    So as you can see there are other factors which are considered other than USMLE scores. My advice would be don’t give up hope completely, but keep your options open as well.
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