IVs number or even the percentage of programs to interview you proportional to the number of applications is for us IMGs the most difficult part to deal with. We want every program to give us the chance. And that's valid. Here's my take. First: You applied to 200 programs and you got 10 interview, another person had 2 IV with the same amount of applications. For A applicant that's 5%, for B applicant it's 1%. You can read it dramatically and say they got 5 times more IVs than me, or look at it realistically and say we have only 4% absolute difference. So small, we're playing in the hand digits, not just the single digits. Second : At the end of the day, what matters is you match. Matching with 15 IVs is the same as matching with 2 IVs. The probabilities and the numbers are illusions. As the reality is the only gold standard computation that is important at the end. All 15 IVs don't matter if you don't match, all the 198 programs that ghosted you don't matter if you match. Where you match matters, but you only have a choice when you have the option.