SDN Members don't see this ad. (About Ads) I am a 3rd year med student and I am having the hard time of choosing a specialty. I used to be all about Peds, but now I am really looking at EM. Problem is, I didnt do well on Step I. My grades during the first 2 years were slightly above average, and I have only made honors 3rd year during Peds. Thing is, I worked in an ED during undergrad and loved it, and now EM is becoming more and more appealing to me. I LOVED surgery because of the procedures but hate the lifestyle, and I also want a Life after residency...there is so much about EM that appeals to me, but how can I get in just being average? My family have suggested to do an internship in anything I can, then reapply for EM after internship year. Is this wrong to do? Is there another way to get into EM without waisting a year? PLEASE HELP!!