SDN Members don't see this ad. (About Ads) Hello everyone, I earned a 446 on the COMLEX 1 and Failed the USMLE Step 1. What are my realistic options for residency? If I take and do really well on USMLE Step 2 will any allopathic doors open up for me? Kindly, please don't say Family Practice because I know that. I would appreciate some real feedback and maybe some stores of people in similar situations. Also, would this failure on the USMLE Step 1 affect me in the future for jobs and fellowships? Thank you.