SDN Members don't see this ad. (About Ads) Coming from a caribb med school, I know how important the Step 1 is for me. I need to do extremely well to land into a competitive residency. However, at my current age of 28, I've been losing a lot of hair. I've become extremely self-concious due to this. Leaving the island and coming back home, I study at my alma mater's library, since I can't study at home. This past week, I was talking to a pretty girl, and I could just tell she was staring at my hairline the entire time. Another reason, why I also wouldn't want to study at home - I'd probably be looking in the mirror 24/7 and just getting upset over this. Anybody else on the forum have personal issues that stopped them from getting effective studying in. My exam is in the middle of November, and I still have a lot of ground to cover.