The Residency Application | USMLE Wise Wiki
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The Residency Application

How to put together a competitive ERAS application as an IMG, step by step, and how to avoid the mistakes that quietly cost interviews.

Planning

Building the application

Choosing programs

Planning and logistics

Documents and red flags

MSPE, Transcripts and Medical School Documents for IMGs

How the MSPE, medical school transcript and ECFMG Status Report reach ERAS for IMGs, who uploads each one, and what to do if your school is slow.

5 min read

Gap Years on Your Application and How to Explain Them

How programs read gaps after graduation or during school, what ERAS actually asks, and how to explain a gap truthfully, briefly and with evidence of what you did next.

5 min read

Failed Exam Attempts: How They Affect Your Application

What a failed USMLE attempt means for your ERAS file, how programs screen on it, how to explain it truthfully, and which parts of your application can offset it.

5 min read

Years Since Graduation: Limits and How to Respond

How programs use time since graduation as a filter, how to find each program's limit, and what recent clinical activity can do to offset a long gap for older IMG graduates.

4 min read

Presenting Research on Your ERAS Application

How to enter research in the 2027 MyERAS Scholarly Work section, which three items to star, how to label status honestly, and how to discuss each entry.

5 min read

Application Strategy When Your Scores Are Not Ideal

A practical plan for IMGs with a low Step 2 CK, a late pass or weaker exam history: what programs filter on, what to strengthen, and how to build a realistic list.

4 min read

Preliminary and Transitional Year Applications

What preliminary and transitional year positions are, how advanced programs and supplemental rank lists work in the Match, and what IMGs should know about visas and risk.

6 min read

Applying to More Than One Specialty

How ERAS and the NRMP Match handle applying to two or more specialties: separate fees, documents and signals, but one rank list across specialties.

5 min read
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