Older IMG Graduates with Modest Scores: Where to Apply

If you graduated in 2021 or earlier, need a visa and scored 235 or lower on Step 2 CK, here is how the field narrows and which programs are still worth your applications.

Why this group needs a different search

Graduates who finished medical school five or more years ago face two filters at once: graduation-year limits and score expectations. Add a visa need and many programs drop out. This guide applies the filters in order so you can see where the list ends up. We use 2021 as the example, which is five years before the application year, with graduation in June and applications in September (5.3 years later).

The filter, step by step

Share of all programs left after each filter
  • All programs with requirement data (5,329)100%
  • Open to 2021 graduates (3,196)60%
  • ... and sponsor a J-1 or H-1B (2,294)43%
  • ... and report IMG interview scores (364)6.8%
  • ... and IMG 25th percentile of 235 or lower (124)2.3%
How many programs remain after each filter
FilterPrograms leftShare of all programs
All programs with requirement data5,329100%
Open to 2021 graduates3,19660%
and sponsor a J-1 or H-1B2,29443%
and report IMG interview scores3646.8%
and IMG 25th percentile of 235 or lower1242.3%
Open means no graduation limit is listed, or the limit allows a 2021 graduate. A program counts toward the last step when its IMG 25th percentile is 235 or lower, which means a quarter or more of the IMGs it invited scored 235 or below.

The score step only counts programs that report IMG scores, so it understates the real list: a program that does not report scores may be open to you too. Use it as the place to start, and widen from there.

Which specialties have the most programs left

Specialties with at least 10 programs open to 2021 graduates are listed, sorted by the number that also sponsor a visa and have an IMG 25th percentile of 235 or lower.

Programs that meet every filter

These 10 programs are open to 2021 graduates, sponsor a visa and have an IMG 25th percentile of 235 or lower. They are ordered by IMG share, highest first.

Open to 2021 graduates, with a visa and IMG 25th percentile of 235 or lower
ProgramSpecialtyStateGraduation limitIMG 25th percentileIMG shareVisa
Icahn School of Medicine at Mount Sinai/NYC Health and Hospitals (Elmhurst) ProgramPediatricsNYNone listed235100%J-1
Catholic Health ProgramPediatricsNYNone listed227100%J-1
Catholic Health/St Joseph Hospital ProgramFamily MedicineNYNone listed233100%J-1
Doctors Hospital at Renaissance, Ltd. ProgramNeurologyTXNone listed229100%J-1
Larkin Community Hospital ProgramFamily MedicineFL10 years224100%J-1
Larkin Community Hospital ProgramInternal MedicineFLNone listed235100%J-1
Larkin Community Hospital ProgramNeurologyFLNone listed225100%J-1
Louisiana State University (Shreveport) ProgramNeurologyLA10 years234100%J-1
New York Medical College (Metropolitan) ProgramPediatricsNYNone listed234100%J-1, H-1B
Old Dominion University ProgramNeurologyVANone listed235100%J-1

How to use this

Sources

  • ResidencyPrograms.io program data for the current application cycle, from Residency Explorer (AAMC) and program-reported requirements, refreshed November 4, 2026.
  • Residency Explorer: AAMC.

Run this filter with your own numbers

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