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I am wondering if I should apply to a backup specialty (likely IM) or not. Step 1: 21x (just below 220 cutoff for many programs), Step 2 25x. I made significant improvements academically and honored most of my rotations throughout third year. I am also in a dual degree program. I have away rotations set up at a mix of academic and community hospitals, but I know my step 1 score might put me in trouble and am obviously trying to avoid the big SOAP. Any advice would be appreciated.