Waitlist: https://research.metaanalysisacademy.com/rha-le-spot-en-post In MetaCast #35, we host Giang Son Arrighini, a final-year medical student at the University of Bologna whose journey reflects what’s possible when global perspective, initiative, and strategic execution come together. With a multicultural background spanning Italy, Brazil, and Vietnam, Giang has built a unique path toward a career in the United States, combining research, international exposure, and intentional networking to strengthen his application as an IMG. In this episode, we explore the steps that shaped his trajectory, including how he went from no prior research experience to multiple publications in a short period of time, and how one of those projects led directly to a clinical rotation at Beth Israel Deaconess Medical Center, part of Harvard Medical School. We also discuss how he approaches building collaborations, creating opportunities through research, and standing out during U.S. rotations by focusing not only on performance, but on relationships and contribution to the team. The conversation highlights the essential components of a competitive residency application for international students, including research productivity, clinical exposure, letters of recommendation, and long-term career vision. Giang also shares insights into the differences between medical training in Italy and the United States, the value of teaching and mentorship, and how adopting an ambitious, long-term mindset can open doors that initially seem out of reach.