I graduated from AUC and have completed 3 years of residency training. So I'm ECFMG certified and passed USMLE Step 1-3. I've been out of medicine (working in insurance) the last 9 years. I'm going to try to match into a training program 2024. I live by a local hospital that is not FMG friendly. I don't think they have any US students rotating currently. This hospital does have several residencies including two I'd be interested in applying to. I will need recent/new USCE to get 3 LORs. I hope to get a pre-match offer but don't expect it. My question: do people think doing 3-4 rotations at local hospital I'm talking about will be my best chance of getting a pre-match? Or, do people think I should do externships/observerships in 3-4 different places?