Hi all, I have completed four clinical rotations by now and done poorly on each of the shelf (below average on all). I have tried to improve and learn from each but nothing seems to work for me. I feel like my scores are not representative of my medical knowledge in the subject as I have never felt that stupid on the wards. I have also been noted to have good clinical skills and a good foundation for medical knowledge on most of my evals but have not honored any due to poor scores. On my last eval I received a very good eval from the director but he noted a sentence regarding my poor ability to perform well on standardized tests. I am concerned that the poor scores and comments such as this may hurt me as far as residency is concerned. Its not that I want to do anything all that competitive, i am interested in IM at an average univ program and curious to know how shelf scores play a role in gaining residency at such places. Is there any thing that I can try to do at this point; my step I score was a little above average and I intend to work hard for step II to make up for poor shelf.