Decisions, Decisions...

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aahigh

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I am going to be a med student grad of 2011. It seems these days that every time I fall asleep a month goes by and the real world or residency and a job gets that much closer. I suppose I really haven't taken the time to sit down and decide what to do with my post-grad life and now I'm feeling the pressure. I know there are several fields of medicine that just are not for me. For instance, I cannot see myself doing IM for 30+ years and running clinics to manage DM followed by HTN day in and day out.

My competitiveness as an applicant is also beginning to worry me. I have decent Step I score of 228/96. My grades in class are pretty average at mostly B's. I will say that overall I am a terrible test taker compared to the average MD student. I think my clinical performance far exceeds the scores I have achieved on paper i.e my knowledge is much greater than I can prove on a test. I have achieved high pass or honors on all clinical rotations thus far, and most of the comments on my Dean's letter are pretty flattering in my opinion.

I think the biggest factors going against me at this point are: 1. Not coming from a big name school 2. My age - as I will be 23 when I graduate in '11 (Some attendings outside my school seem to really dislike this or assume that I am "immature"). If I had to pick a residency this very second it would be a toss up between EM or Radiology with the intent of pursuing a VIR fellowship. I am however open to suggestions of other fields to check out. My only requirement in a career path is that it be a fast paced field and that my work seems to make a difference in patients lives. I will also say that thus far I am not a fan of surgery...of any kind.

I am a pretty good in the interview setting; my concern is getting to the interview stage via my paper representation. With these things in mind my question is how do I make my resume "sparkle"? What alternative specialties should I take a look at? Do I need to be more realistic about my options at this point? In other words are super competitive fields such as rads out of my reach?

I realize a higher Step I score would be optimal but unfortunately there are no "do-overs". Would taking Step II's early help my cause at all? I have no research or publications as there are limited opportunities at my school...any suggestions for a solution there? I do have a pretty strong extra-curricular history being in a fraternity for 4 years which allowed me to participate in multiple volunteer and charity events. Any suggestions on how I can improve my resume or how best to present my current achievments would be appreciated.

Thanks for your time and thought
 
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