So I'm applying internal med and I just found out I'm in the 5th quntile(bottom 20th percentile). Pretty big blow considering I didn't think I was doing that bad. I got 3 C's first year, but have gotten all B's(mostly high B's, not that it matters) in 2nd and 3rd year. Basically, I generally get A's on my evals and mid to high B's on tests, which equals a B for the rotation. The only rotations I've gotten A's are the ones without shelfs. I got a 226 on step 1 and am expecting a higher score on step 2(took it August 31st). I thought I was an average IM applicant, but how big of a red flag is being in the bottom of the class. Also, I considering getting my letter writers who haven't submitted yet to add a paragraph about my knowledge base and grades to convince programs I'm not as dumb as my class percentile makes me look. Is this a good idea or could this back fire? Also, will I get questions about my grades on interviews? How important is quintile when programs start ranking?