Great board scores, an excellent academic record, and great letters of recommendations are no longer enough to get invited for an interview in a residency program. In addition, even if you are offered an interview at a highly competitive program or specialty you will still have to know how to lead a memorable and successful interview. For every 5 residency applicants there are about 2 to 3 residency positions available. These odds are slimmer if you are applying for a competitive specialty, even slimmer if you are a foreign medical school graduate, even slimmer if you have had academic difficulty or professionalism challenges. In this highly competitive environment, do you have what it takes to be noticed and ranked into the program of your choice? Getting into the Residency of you choice is and will become more challenging every year.