It's so annoying that FMGs complain about having it so much harder. Well, you should have worked harder in college, for this very reason. Or not given up so easily. Plenty of people in my class did some kind of post-bac, or masters program. Further more, it's known that the caribbean schools tailor their curriculum to the usmle and get all the time they need to take step 1. You didn't have to learn every bs detail that some random phd wanted you to know...you learned what was relevant, to get your high step 1, which on rounds is obvious. We have to learn all this irrelevant basic science crap and get 4 weeks to study. We have multiple commitments in our schedule, not just step 1. I've seen FMGs at the hospital....they come in when they feel like from 9-12...that's their clinical rotation. PDs know this. We have to put in a days work plus study for shelf exams. The difference between an FMG and an AMG is time management skills which really go back to the college days. You guys are obsessed with the steps bc that's all you do, that's all you know, but there's more to medical school than that...multiple graded commitments that had to be balanced with no second chances. I think that FMGs from other countries that were doctors in their own country, obviously are not the same. They actually did a study that showed that patients did better under the care of foreign grads who were born and raised in another country and came here afterword, followed by us allopathic grads, followed by us citizen FMGs. It makes sense, if you have the drive to redo residency, you're probably a smart and motivated person. There are obviously exceptions to every rule. But your argument that we get better residencies "simply" bc we go to us medical schools, is an understatement! That is exactly why!! Bc we were able to get solid scores while managing all the bs tests and clinical experiences that started from day 1. Btw the average steps of a matched us applicant are 226/235, so don't kid yourself into thinking our scores are so low. Those scores are without a usmle driven curriculum. I think DOs really have it the hardest, taking both exams. From what I saw on the interview trail- I think DOs, don't get the credit they deserve. I think in their case, they have to have higher step scores when going for allo residencies, but I really feel that their scores are equal. They go through the same curriculum as us, with emphasis on a completely different test- comlex, and then they take the steps on their own. I think that is very admirable.