Hey everyone, this is my first post on SDN. I am interested in osteoptathic internal medicine residency programs in PA, NY, and NJ. I have solid grades from my 1st two years of medical school and mostly honors and high passes for my third year clerkship grades. I have well written LOR's from physicians that I have spent a good deal of time with. What has been causing me anxiety as of late is the disparity between my COMLEX Step 1 and 2 scores. I scored a 568 on Step I, which I was satisfied with, however I recently received a Step II CE score of 512. This is a substantial disparity, in my opinion. As a rule, most of my classmates' scores have increased between these two exams, yet mine have decreased. My main question is, what will osteopathic internal medicine residency programs think of this disparity? Is this a grave issue? Thank you for your help and your advice.