Step 1 is a factor, but in this application cycle, not the factor. A friend applied with all steps < 50th percentile, step 1 around 22nd percentile from a low tier anesthesia program. ITEs at 50th and 75th. Not much crazy as far as connections or research. Applied broadly coast to coast with the exception of a few places they absolutely couldn’t fathom living.
12 interviews, matched number two.
They didn’t get any huge name places, or the crazy interventional shops, but landed at a place with medium training that will get them ready for a career in the field.