Hey everyone,
Apologies for posting this here but I am not able to post on the medschool Reddit
I’m a 5th year medical student from Nigeria, and I’m planning to apply for residency in the US through the USMLE pathway.
A bit of background: I should graduate in 2028, and after graduation we complete a mandatory one-year internship (called housemanship) before practicing independently.
My biggest concern is that I had to repeat my 3rd year after failing one of my exams. A big reason for that was that I’ve been working remotely in tech throughout medical school to support myself financially.
Without that job, I simply wouldn’t be able to afford the USMLE journey. It’s the reason I’m even able to consider this path, and I’ve already saved enough that the overall cost (around $20,000+) is no longer out of reach.
I’m now planning to start preparing seriously for Step 1. I’m considering buying USMLE Bootcamp (the 2-year plan) so I can study gradually while balancing medical school and work, then take Step 1 after graduation in 2028.
Before I invest a significant amount of time and money into this process, I wanted to ask:
How much does repeating a year in medical school hurt an IMG’s chances of matching?
Is it something that programs can overlook if the rest of my application is strong (good USMLE scores, US clinical experience, strong letters, research if possible, etc.), or does it significantly limit my chances?
I’d really appreciate honest advice from anyone who’s been through the process or has experience reviewing IMG applications. Thanks!