If one does not get matched and one is a citizen (or a green card holder), s/he really must have a lower than average USMLE score and/or GPA in med school. Or s

If one does not get matched and one is a citizen (or a green card holder), s/he really must have a lower than average USMLE score and/or GPA in med school. Or s/he made a mistake in shooting for too high of a program (e.g., trying to get into UPenn/JHU program when one's score isn't that good). Foreign medical graduates who scores above 65-70th percentile have no problem getting into residency programs (I've made a comment above with more details as to how I know all this). For a green card holder, you just need to get ~60th percentile of the USMLE score (which translates to about 240+ in step 2 CK and step 3 USMLE scores). All I wanted to say is that the bar isn't too high for a US citizen to get into a residency. That doesn't mean though that the path to get into residency is easy. It is extremely convoluted and requires a lot of persistence and planning. That's where (along the way) people fall through the cracks.