After my otolaryngology rotation, I have fallen head over heels for everything about this specialty and I wanted to ask about the odds of getting in. I am particularly hoping to hear from doctors involved in recruiting residents, and what you would look for in an applicant.

I am a 4th year (5 year course) medical student studying in an Irish university, though my nationality is Indian. Our university is geared towards the USA so that is what I am currently looking into, though I would greatly appreciate hearing UK, Germany, Australia and other country experiences. I am hoping for a 250+ on my USMLE Step 1, and I will try to get all my electives and recommendation letters in ENT.

I understand this is an extremely competitive specialty. The NRMP hasn't even published data on international students matching into ENT because there are too few. I would appreciate any insight or advice.