Equally important, almost all training slots filled by IMGs are in teaching hospitals in large urban areas that have traditionally served large numbers of minorities, uninsured, and low-income patients. It is a bit easier for US-IMGs compared to non-US IMGs. The latter, for example, who usually are on J-1 Visas (with 80% of these physicians actually staying in the US) are compelled to practice in designated rural or inner city physician shortage areas in order to have the "2-year return" requirement for J-1 visa waived. Both the initial training location and the subsequent service locations of IMGs frequently put them in minority communities where other doctors are scarce. In essence IMGs provide primary care to poor and underserved populations, with many inner-city hospitals in the U.S. relying almost exclusively on IMGs to provide services to America's poor.
It is true that the average national annual salaries for Internal Medicine is some $160K and $145 for Family Practice as opposed to $340K for Cardiology and $350K for Radiology -- after all, this is the reason why US med grads with huge student loans take up these specialties, while IMGs with much less or nil loans do not mind taking up primary care. Typically Primary Care pays in Houston, TX around $150K, in Miami and New York and L.A. $170K. [...]
I tend to believe USMLE scores do not matter that much, provided you get a passing score (185 I believe) -- just like the case is with state bar exams.
-What was the hardest part of 1L (that maybe you didn't think was going to be hard, but was?) The time it takes away from your life-What was the easiest (or least hard)? Sitting in class during lectures-really wasn't bad at all-Study groups -- good/bad? depends on you and who your group is-Anything that really surprised you that you didn't expect? The pickiness of some professors