Help! PDs and aPDs advice appreciated especially...

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nouyt

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Help! I am a fourth-year med student who applied into this year's match for both neurology and radiology (have an interest in INR). I had mediocre grades (repeated two courses in second year due to a death in the family), a national average Step 1 score, honors in related electives, strong letters of recommendation and a 1.5 pp long list of publications (include several oral presentations) from a research year-off last year. I decided to take Step 2CK early in September to try to offset my Step 1.

What proceeded to happen resulted in my nightmarish fourth-year because I decided to take the exam while trying to finish some of my research projects from last year. Instead of blowing the exam out of the water, I ended up failing 2CK and had to retake the exam during my first month of interviewing (horrible experience). I passed on my second attempt, but ended up with a lower score than Step 1.

Despite the low Step 1 (because at this point I had my Step 2CK score manually held), I got several interviews in both fields. During the interviews, I made no mention of my failed exam because I had hoped to get a much higher score to try to compensate for the series of bad events.

Now, my question is as I write to programs about my level of interest, I wonder: should I bring up the failed attempt and score to directly address the issue and present it in the best light possible, or should I rather just leave it alone and just include in the email, " If you have any questions or concerns, please do not hestitate to contact me?"

I know a failed step 2CK is a major red flag (I suspect that it'll
bump me from the ROLs of some of my interviewed programs; I've accepted it). But, I don't know if I should address it directly or let sleeping dogs lie. I worry that by keeping quiet that when programs see the failed 2CK score, they'll jump to their conclusions about my academic ability.

Any help provided would be greatly appreciated, especially from any former members of rank committees or PDs.
 
It's very late in the season. If programs have not asked about your Step 2, I would not bring it up. A step 2 failure will hurt you badly in rads for sure, and for competitive neuro programs. If a program matches you and then is unhappy about your Step 2, they are still committed to you. Whether they will treat you well or not probably depends more on how you do than on your score.
 
Help! I am a fourth-year med student who applied into this year's match for both neurology and radiology (have an interest in INR). I had mediocre grades (repeated two courses in second year due to a death in the family), a national average Step 1 score, honors in related electives, strong letters of recommendation and a 1.5 pp long list of publications (include several oral presentations) from a research year-off last year. I decided to take Step 2CK early in September to try to offset my Step 1.

What proceeded to happen resulted in my nightmarish fourth-year because I decided to take the exam while trying to finish some of my research projects from last year. Instead of blowing the exam out of the water, I ended up failing 2CK and had to retake the exam during my first month of interviewing (horrible experience). I passed on my second attempt, but ended up with a lower score than Step 1.

Despite the low Step 1 (because at this point I had my Step 2CK score manually held), I got several interviews in both fields. During the interviews, I made no mention of my failed exam because I had hoped to get a much higher score to try to compensate for the series of bad events.

Now, my question is as I write to programs about my level of interest, I wonder: should I bring up the failed attempt and score to directly address the issue and present it in the best light possible, or should I rather just leave it alone and just include in the email, " If you have any questions or concerns, please do not hestitate to contact me?"

I know a failed step 2CK is a major red flag (I suspect that it'll
bump me from the ROLs of some of my interviewed programs; I've accepted it). But, I don't know if I should address it directly or let sleeping dogs lie. I worry that by keeping quiet that when programs see the failed 2CK score, they'll jump to their conclusions about my academic ability.

Any help provided would be greatly appreciated, especially from any former members of rank committees or PDs.

I would suppose that if the PD sees the failing score now, then they would also see the passing score? I think if ERAS allows you the option to withhold the Step 2 CK score through the match then do so. You will be able to match in neurology somehwere with your record including Step 2 CK failure . . . the question is what is the best route from Neurology into INR. I think there are only a couple INR fellowships that accept neurologists, and that this field is heavily dominated by radiology folks, at least currently. I would guess that the research would help a lot, but failing two medical school classes and Step 2 CK shows a pattern of not studying enough or underestimating what you need to do to pass, I guess at least in a PD's eyes, . . . I am not sure how competitive radiology is and whether you would match in that, only way to find out is to apply or what for the match.
 
Help! I am a fourth-year med student who applied into this year's match for both neurology and radiology (have an interest in INR). I had mediocre grades (repeated two courses in second year due to a death in the family), a national average Step 1 score, honors in related electives, strong letters of recommendation and a 1.5 pp long list of publications (include several oral presentations) from a research year-off last year. I decided to take Step 2CK early in September to try to offset my Step 1.

What proceeded to happen resulted in my nightmarish fourth-year because I decided to take the exam while trying to finish some of my research projects from last year. Instead of blowing the exam out of the water, I ended up failing 2CK and had to retake the exam during my first month of interviewing (horrible experience). I passed on my second attempt, but ended up with a lower score than Step 1.

Despite the low Step 1 (because at this point I had my Step 2CK score manually held), I got several interviews in both fields. During the interviews, I made no mention of my failed exam because I had hoped to get a much higher score to try to compensate for the series of bad events.

Now, my question is as I write to programs about my level of interest, I wonder: should I bring up the failed attempt and score to directly address the issue and present it in the best light possible, or should I rather just leave it alone and just include in the email, " If you have any questions or concerns, please do not hestitate to contact me?"

I know a failed step 2CK is a major red flag (I suspect that it'll
bump me from the ROLs of some of my interviewed programs; I've accepted it). But, I don't know if I should address it directly or let sleeping dogs lie. I worry that by keeping quiet that when programs see the failed 2CK score, they'll jump to their conclusions about my academic ability.

Any help provided would be greatly appreciated, especially from any former members of rank committees or PDs.


If you never released the score then why in the world would you email a PD and say 'oh by the way, i failed step2, really enjoyed your program! Hope to see you in July!'

The only reason to say anything would be if you got an email from a program and they specifically asked for step2 b/c they were about to start ranking applicants.
 
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