Best plan for old IMG?

#1

Hi, I am an old graduate (in 2015) who’s gonna apply for 2022/2023 match.
I have been working as a general doctor for 4 yrs w/o residency training in my home country, and just started studying for usmle.
I’d like to apply for pathology residency in the US.

Which one is the best plan to get a even better chance for me ;
(Assume with average usmle scores like 230-240)

  1. General doctor for 6yrs in home country + 1 yr research in the US -> apply for pathology program in the US (YOG 8)
  2. General doctor for 6yrs in home country + 1 yr PhD in the US -> apply for pathology program in the US (YOG 8)
  3. Home country residency in pathology -> apply for pathology program in the US (YOG 10)
  4. Home country residency in FM or preventive medicine -> apply for pathology program in the US (YOG 9)

Which one is the best plan for me now?