Is Step 1 or Step 2 more important for IM residency programs? I got a very mediocre score on Step 1 (barely passed) but did better on Step 2 (229/89). Will this improvement be good enough to help me Match at the more competitive programs (even though I'm not in the upper 90s)? What scores have helped you secure interviews or matches at "top-tier" (Harvard, Mayo, Johns Hopkins) medicine programs? How about "middle-tier"? Has anyone been in the same situation?