A transformative year for GME recruitment: How the process has changed forever The 2020-2021 GME recruitment season was transformative. While it was full of new and old challenges for stakeholders, the impact of the first-ever entirely virtual recruitment season will be substantial and long-lasting. Before COVID-19, the long-standing process of in-person interviews was considered “sacred” by many. But this system was simply not possible during a global pandemic. In the transition to virtual interviews, applicants saved significant time and expense but the canceling of away rotations, difficulty scheduling USMLE exams, and a delayed start of the application season brought novelty, anxiety, and frustration to an already stressful endeavor. Specifically, international medical graduates (IMGs) were faced with current and future VISA restrictions combined with an unclear ECFMG verification process, all of which presented additional challenges.