I am more than halfway done with my rotations and have not gotten honors on any - high pass on 4 so far, including medicine and surgery. Starting to give up hope that I'll ever get honors on the remaining 2 (peds, ob/gyn). I have pages of rave reviews from rotations which may get on the dean's letter and at least 1 potentially great LOR. Step 1 score of 245. One research abstract, 2 posters, 1 conference presentation but no papers. I go to a top 30 school in the midwest. I was told to stop dreaming about top Medicine programs, ie. UCSF, because I didn't honor in Medicine. Would I still have a fighting chance if I honor 2 sub-Is and do great on an away rotation in my strongest subject (hem/onc) at UCSF? I've heard that away rotations don't count for much with UCSF, but what about doing great on an away? I'm not sure if I should be despairing or if I need a kick to the side of the face for worrying so much about this.