Just curious and want to confirm:
I am under the notion that if a student does not do well on Step 1 then his/her chances at landing a residency aside from primary care are significantly lowered.
True?
I'm going to say true in both osteopathic and allopathic residencies. And keep in mind that this depends HEAVILY on the residency you're wanting to get into.
Derm, Ortho, Surgery, Radiology, Oto, Ophth, etc... all will require you to do very well on boards. Any applicant, DO or MD with a low board score probably can't match.
Neurology, Anesthes, Family Practice, Psych, ER, etc... yes, board scores matter, but a low, passing score (esp if you pass on the 1st try) is not the nail on the coffin like it is for the top tier residencies.
That said, it ALSO varies from residency to residency. Some residency directors will place a heavy emphasis on whether or not you rotated there and whether or not they know you already. Others don't care - what are your numbers.
I wish there were a true or untrue answer, but there's not. Too many factors.