Im a foreign med grad myself and I know a number of people who graduated on their first atempt with above 90 grades. One student I know personally scored a 98. Aother recent Indian graduate scored a 96 on Step 1 and a 99 Step 2.
I know students from Pakistan who aced their boards and got residency with ease.
The 1st time pass rate for FMG’s according to statistics is less then that of US students, but not considerably.
And much of the time its due to problems with English being a second language.
My experience is that at the end of the day, FMG’s are as qualified and knowledgeable as most US students.
In fact, I would go so far as to say that direct clinical experience of many of these foreign students is on par or better then most US students. Consider the fact that developing countries being as they are, allow students far greater direct contact with patients then at US hospitals.