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frankly u need very good scores and you definiteley need current US clinical experience. no way around that. apply to programs who do not have a graduation cutoof there arent many but if you dont care about geography then u wull find enough that meet your criteria.
if you are going through all the trouble of preparing for exams and applying (very expensive also) I will strongly advice you to go the extra mile and get some USCE. i know its hard to get and u have kids but trust me it will help u a lot. After your CS get some USCE in some community hospital that is IMG freindly and takes old grads and IMPRESS the heck out of them. that way you can make contacts in that hospital and get good LORs from US docs which will help trememdously.
make sure u get good grades and no attempts (especially prepare for CS well, lot of old IMG srew this one up (me one of them:-) ) so study hard and get some USCE.
many programs filter out applications based on yr of graduation so dont apply to them
GL