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Hello. MS3 applying for a competitive surgical specialty with mid 240 step 1, honors in surgery and one other field (2/4 so far out of all my rotations) and papers in this specialty field. Realizing I am a middle of the road or below average applicant for this field, I have decided to apply with a backup in either radiology or general surgery. I have found out that specifics of 4th year coursework will go on my transcript which is seen by the programs that I apply to. I am planning on doing 2 or 3 aways in this surgical specialty, and the entire first part of 4th year will be dominated by this specialty. Obviously the backup plan will question this and look poorly on it. My question is, how big of a problem is this, do programs have access to this when they are considering you, or is it only used to verify required coursework before matriculation?
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