SDN Members don't see this ad. (About Ads) so long story short, i failed an osce. at our school if you fail any part of the rotation (evaluation, shelf, osce), you fail the entire entire rotation. i happened to get honors on my evaluation and my shelf score is still tbd but judging by whats written in our clerkship manual, the highest grade i can get now is pass after remediation. so how much will this impact me when i apply to residency? i'm looking to apply for EM. i have a good step 1 score (>230) as well as numerous letters of rec (surgery, family, peds, etc.). ironically, i have a LOR from the preceptor of the rotation that I failed. i know generally step 1 scores + reputation of the school are the most important things residency directors look but not sure where failing a rotation falls. any help is appreciated, thanks.