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Given the high step 1 failure rate, especially at some very well known schools, how are programs planning to change their screenings? With double the failure rate for MDs and DOs, sticking to a “Step 1 Fail” filter will leave out thousands of applicants. Will programs adjust screenings based on step 2 and have different cut offs for those who failed step 1? For example: If you get below a 230 on Step 2, you can screened out, if you get between a 230-240 you only get screened out if you failed step 1, and if you get >240, then you can considered regardless of failing step 1.