If I do not get into 3 year IM program, is a preliminary worth considering as a potential gateway to a 3 year program? I am willing to do the extra year. Virtually all the NYC metro programs have Freida profiles that show minimum of 225 boards. Very little interest in family medicine - don’t like peds or OB/GYN. Any advice on how to approach the 4th year. The latter largely takes the highest performing IMGs from around the world. I am obviously not a candidate for the former. Residency programs here are either elite academic (NYU, Columbia, etc) or community/public hospital (HHC). I need to stay in the NYC-metro area for residency. Ultimately, I want good training and opportunity to pursue fellowship in field of interest. Would love an academic residency program but likely impossible and that is fine. I was a biostatistician before med school and have a bunch of papers. I would like to pursue a career in academic medicine in nephrology or endo. I have several red flags - leave of absence old bad board scores. Our preclinical was P/F and I received High Pass on all 3rd year rotations, with exception of medicine and neurology where I received Honors. I am starting 4th year after taking and doing poorly on Boards (Step 1 218 Step 2 217).
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