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Chin up, work hard , you dug yourself into a hole. Figure out what motivates you and tap into that to do better on step 2 and on rotations.
EM, IM are still in the cards, The fellowships may not be. You will may have to sacrifice location for fellowship training opportunities at an IM program or vice versa.
 
Yea EM and IM on the east coast are totally still in reach. Neuro and Anes are a bit more of a stretch but still doable for sure.

Remember for most specialities you can do them if you choose, you just may have to sacrifice location or other program specific attributes.
 
Guys are Neuro and Anesthesia really that far of a reach?? The charting outcomes say that it's a 95% match rate with my score
I'm willing to apply incredibly broadly
 
metroidlonder said:
Guys are Neuro and Anesthesia really that far of a reach?? The charting outcomes say that it's a 95% match rate with my score
I'm willing to apply incredibly broadly
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currently any US senior with a pulse and a step 1 score 210+ is in good shape applying to neuro or anastheisa. Your initial post made it seem like you were not flexible in terms of location. If location is flexible you should be able to match into any of those fields.
 
libertyyne said:
currently any US senior with a pulse and a step 1 score 210+ is in good shape applying to neuro or anastheisa. Your initial post made it seem like you were not flexible in terms of location. If location is flexible you should be able to match into any of those fields.
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He’s probably saying broadly in terms of tier 1 and 2 cities.
 
sargon2123 said:
He’s probably saying broadly in terms of tier 1 and 2 cities.
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I dont know what you mean by Tiered cities. No normal person ever calls them that, Furthermore its a weird thing to say considering metro areas are important in the US compared to cities themselves.
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metroidlonder said:
I'm a US MD student at a low tier school in the northeast. I got a 222 on Step 1 despite getting a 240 on Uworld 2. I guess I deserved it since I only did 50% of uworld. I'll try to do better on step 2.
I'm in the bottom 1/3 of my class for sure because of my poor work ethic during my first two years. Didn't do research in med school and did some research in undergrad I didn't get published for.
As of now, what are my prospects? I'm really only considering EM, IM + fellowship (cardio/GI??), anesthesia, or maybe neurology.
I don't care about the "clout" of a program. I just want to go to a nice city or suburb on the east coast. I'm hoping for Long Island, central NJ/near NYC, and Maryland/Virginia near DC.
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The above should give you a rough specialty guide.
 
IM and neurology are still a sure shot for you. EM and Anesthesia are still very doable but will require a bit more work on your end. You need to decide if the latter two are what you want to do quickly because for EM you'll need to do aways in early MS4 and for anesthesia you may want to get plugged in with research and start networking for good letters of recommendation.
 
Do you guys think I could possibly match in metro areas around Atlanta, DC, Philly, or NYC

I don’t need to live in a city but i would like to be in a decently populated suburb at least
 
metroidlonder said:
Do you guys think I could possibly match in metro areas around Atlanta, DC, Philly, or NYC

I don’t need to live in a city but i would like to be in a decently populated suburb at least
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There are 5,000 residency programs, and three of the four specialties you mention above are not competitive. Get solid clinical grades, a decent Step 2 CK score, pass CS, shine at an away or two, and you'll land on your feet.

When I saw the title of this thread I was expecting a Step 1 of <205. I have someone with a sub-200 score right now who would shoot a puppy for a 222. So get a grip.
 
From what I understand grades aren’t super important unless you’ve failed classes/had to remediate (unless you’re AOA of course). Knew someone the year above me that was bottom 1/3rd but matched at a great program because they crushed step. Also a 222 isn’t a bad score. I know SDN makes it look like you need a 250 to be competitive, but I would say your score is actually solid. I was expecting you to have like a sub 200 or something. I would try to do much better on Step 2 though (at least a 240). Maybe taking some time off to do research if you want something more competitive. FM, IM, Peds, are all options. EM might still be in play if you have the clinical skills to get a good SLOE. You’ll be fine.
 
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You should do fine in those fields if you apply broadly. Your score is fine, only slightly below average but nothing to freak out over.

I would apply to a some rural programs just in case - see how many interviews you get. When people don't match who should have matched, it's usually because they applied to fields out of their reach or were way too restrictive with geography when they applied. Don't make that mistake when you're applying - applying is relatively cheap. Once you see how many interviews you get, you can decide which programs you actually want to interview at. But without knowing the rest of your app, I think you should be fine and you should be OK getting a residency in a decently populated area.
 
After thinking it over I think I really want to do EM. I've already started studying for step 2 and will spread out my studying over the course of the year as opposed to cramming it all in in 3.5 weeks as i did for step 1.

Do you guys have any advice on what I should do specifically for EM? And examples of decent areas/programs that might take candidates like me?

Is there a way to look at average step scores for each program?
 
metroidlonder said:
Do you guys have any advice on what I should do specifically for EM? And examples of decent areas/programs that might take candidates like me?
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Have you started M3 or are you finishing M3? The short answer is to talk to the specialty advisor(s) at your school. If the AAMC gets its residency exploration tool up and running that should be helpful.

metroidlonder said:
Is there a way to look at average step scores for each program?
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Not for individual programs, but Charting Outcomes for 2018 showed that 346 people with a Step 1's of 221-230 applied and 321 (92.8%) matched. Your score is mid-range, no low, so CTFO.
 
Med Ed said:
Have you started M3 or are you finishing M3? The short answer is to talk to the specialty advisor(s) at your school. If the AAMC gets its residency exploration tool up and running that should be helpful.



Not for individual programs, but Charting Outcomes for 2018 showed that 346 people with a Step 1's of 221-230 applied and 321 (92.8%) matched. Your score is mid-range, no low, so CTFO.
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Just FYI, the tool is live...just crashing frequently.
 
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