SDN Members don't see this ad. (About Ads) Hi everyone, I'm in a bit of a dilemma because while I would absolutely love to pursue derm, always have, I don't have the numbers. Well I don't have the step 1 numbers. I haven't taken step 2 yet. I have a good number of publications in another field, none in derm. And I haven't had the guts to approach anyone in the derm dept at my school out of fear of being laughed at; I know my classmates that are trying to do derm have amazing numbers. I also know that away rotations help but I'm not going to be able to do any before november/december with the way my schedule is laid out. At what point does one give up? Are there other ways of getting in - like doing a year of internal med internship and then applying, would that be an appropriate strategy? How about taking a year off btw third and fourth year to do research? How about graduating and then taking a year off to do a fellowship? Any thoughts?