Which IM programs could I get in and what my chances at Cardiology afterwards?

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Nutoamerica

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Hey Guys,
I am a 3rd year DO medical student looking for help/advices on IM residency and subspecialty. I have a 217 on my USMLE STEP 1 and bottom 3rd class ranking. Where and what programs would be my best bets for IM and land me into Cardiology pretty solid? Your responses are highly appreciated and please be brutally honest!

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Not to get you down, but it is going to be very difficult - not impossible, but very difficult. Unfortunately many of the top IM programs are not DO friendly, and where you do residency will be one of the most important factors in the cards match - which is exceedingly competitive. There are many MD applicants from respectable IM programs who do not match. That being said you're planning early, and if you can do extraordinarily well in research with say 2-3 first author publications in great journals by the time you apply, matching in cards will be possile.
 
Not sure what the exact chances for a DO in this situation would be. I would tend to agree with the above comment.

The Step 1 score is all right...not going to be helpful but wouldn't keep you out at all. In fact, a lot of cardiology programs don't even look at the Step scores...I mean some don't ask/require that they be sent at all.
Your best chance may be a DO cardiology fellowship...don't they have their own?

The problem is as described above...the higher tier IM allopathic residencies have plenty of applicants so they aren't necessarily looking for DO's to fill their spots, and some don't really take DO's much, or at all. Plus some of these type IM residencies might have step score screening where they mostly or only look at people who got 220 or 230 on the Step I. And if you aren't coming from one of those upper tier IM residencies, then getting an allo cards fellowship spot is going to be harder...plus then it will be harder b/c you are a DO...and harder b/c you don't have a the high step score (not that yours is bad...it's just not high enough to make you stand out among cards applicants).

If you do a allopathic residency, would that make you ineligible for DO cardiology fellowships? If it would, I'd think twice about matching into an allopathic medicine program unless you are very willing to consider other allopathic specialties. I know several people who started out wanting cards but switched to things like endocrine (can still be a lipid/cholesterol specialist, for example) or renal or pulm/critical care.
 
oh man...
Does that mean if I get into some programs that are university associated, does help?
And as far as research, how and where do I start? Thank you!
 
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