Help!!

[confused77]

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im a final year FMG currently in the US doing an elective for 1 month. could someone please tell me how imp these electives are in your overall application. how many months should one have ( i have just one but at a very reputed place) considering the step1 score was very very low.. 189/77.
what else should i do to improve my overall chances??😕 please help.

 

[confused77]

anything at all would really help and i 'd appreciate it.