Strategy meets opportunity
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Getting into residency isn't everything;
From 3,000 to 90: Program directors Process of elimination
Due to this, program directors have no choice but to screen out a lot of people without even taking a peek inside their file. They go for the best, the best qualified and unfortunately scores are mainly the first port of call. However, having made prior contact with the program is a way to make sure that at least

The screening could be is arranged in piles, some might be revisited to take a second look or some might be revisited when a colleague asks the program director to take a look at your application, hence the importance of using your network to make contact.

For those who have applied before, sometimes when you do not hear from a program, you call them and within 48 hours you get an email referencing your application. Your application was probably screened out, but because of your persistent they took a look.

Some of the screening criteria used to eliminate applicants include:-

  • USMLE  scores
  • Are you an AMG US citizen
  • AMG non US citizen
  • IMG US citizen or permanent resident
  • IMG needs visa filing
  • Not more than 2-5 years after graduation
  • US clinical experience
  • Your letters of recommendation and deans letter
  • Multiple attempts
  • Your step 3 status

This list is neither exhaustive nor conclusive,  just to give you an idea of what a screening process might look like.
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As more and more applicants are applying for residency and programs see huge increases in the number of applications every year, they have to develop innovative ways of selecting and eliminating candidates.
Some put the information on their web site such as having a cut off for usmle scores or putting a cap on how long ago you graduated from medical school.

In some programs, the number of applicants has jumped from 300 candidates to about a 1000 or more. The program director will have to cut down this list to about 100 people or less to invite for interviews, and from the interviews cut it down to about 20 or 30 which they will go for the ranking with.
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