Is there anybody knowledgeable on whether or not a US integrated plastics program would be interested in a FMG candidate with a Step 1 score in the high 250s range? My school has never placed a student into plastics directly, but a graduate a year ago was able to get neurosurgery at a reputable hospital albeit being the first to get such a residency. My school is also chartered by one of the big states and most of our graduates match successfully into programs there.
I guess I would like to know whether it's a complete shot in the dark or if there's enough of a chance to at least try and shoot for a match.
There are many factors that go in to a successful match. Currently the climate for matching to prs is extraordinarily competitive. It's probably not realistic for you to expect to match at this time given that you are attending a foreign medical school. That said, here are some pieces of the puzzle to consider:
-Are you an American attending a foriegn school, or are you a foreigner attending your home institution? What is the rep of your school? Is it a well-known European school, or is it a Caribbean school?
-Do you have any publications/research in the field?
-Do you know anyone in the field? Have you been to any meetings and met your future employers? Connections are huge and will be even more important for you coming from a foreign school.
-How well did you do in medical school? You should be at or near the top of your class.
-Do you have any US clnical experience?
There are other important factors in the match and maybe some of the other people on this site will chime in. Do you have a shot? Sure I guess. Nothing is impossible. It will be more difficult for you to match though than a US med student, and it is *very* hard to match even for the best US medical students.
There is a ton of interest in plastic surgery, as it is the coolest field in medicine, and unfortunately at this time in history it is exceedingly hard to get a spot. If plastics is the only field for you, and you are dead set on applying, get an advisor asap. Ideally find an attending at a program and have that person give you advice and guide you. And, have a backup plan you can live with.
A more realistic approach would be to match at the best general surgery program you can, do extremely well there, and then apply for an independent spot. Those posititons are just as hard to get, but you can spend the first few years of general surgery residency building your case/making connections/getting published/going to meetings/getting great inservice scores/great letters etc.