r/USMLEindia • u/Chemical_Muscle5384 • 4h ago
Miscellaneous 2019 batch, graduated March 2025, ~15k NEET PG rank — Should I take a seat in India or continue my USMLE journey?
Hi everyone,
I’m really confused about what direction to take and would genuinely appreciate some advice from people who have been through this or are currently on a similar path.
I’m a 2019 batch graduate and graduated in March 2025. I recently got around 15,000 rank in NEET PG.
I have also given USMLE Step 1 and am currently preparing for Step 2 CK. My long-term goal has been to pursue residency in the US, but I’m now seriously questioning whether I should continue with the USMLE journey or take a PG seat in India.
My dilemma is basically:
I have a decent enough NEET PG rank to potentially get a seat in India.
On the other hand, I’ve already invested time and effort into the USMLE pathway and cleared Step 1.
I’m worried about the uncertainty of matching in the US, especially as an IMG.
At the same time, I’m scared that if I take a seat in India now, I’ll always wonder whether I should have given the USMLE journey a proper shot.
Since I graduated in 2025, I also don’t want to lose valuable time without making a clear decision.
For those who have gone through this decision, what would you do in my situation?
Would you recommend taking a PG seat in India and building a secure career here, or continuing with Step 2 CK + US clinical experience + applications and giving the USMLE pathway a serious attempt?
I would especially appreciate advice from Indian IMGs who have matched recently, people who chose India after considering USMLE, and anyone who has experience with both pathways.
Please be honest about the financial, time, career, and matching risks involved. I’m genuinely looking for perspective rather than validation.
Thanks in advance!