My answer to Do internal medicine residency programs in the US require US clinical experience by an IMG?
Answer by Sia Kumar:
Thank you for A2A.
They do require it more times than not. Much more needed to fetch you residency interviews than in matching.
If you can put yourself in the shoes of the person sending out residency interview invites.
You have two candidates- both IMGs, both having USMLE scores in range of 240–250s, both having YOG withing 3 years, both having strong academics in past. What do you think will be the deciding factor? USCE derived LOR>>>> than your country experience and its LOR. He is not aware how your nation’s healthcare works. It will put him in a risky position, thus he goes for the safer option.
Now imagine not 2 candidates , but your competition with thousands of such candidates. Would you take that risk?
May be USCE was not that much needed in the 80–90s, but now its imperative I would say. There are always exception to any rule, taking that risk is your choice. Goodluck!