I thought this thread might be useful to all the MS3's out there that hope to match into EM. (I wasn't sure if this thread would belong in this forum so mods please feel free to move it if necessary.) I was just wondering what would be some things that a MS3 can do during their third and fourth year to improve their applications: (ie: which rotations to honor in, research vs. case reports, 4th year electives, LORs, Step II, etc.) On a personal note, I was hoping for a little tailored advice. I go to an allopathic school in the southeast. I got a 248 on my Step 1 and I'm in the top 3rd of my class, but not likely to get AOA. I have no medical research papers yet because I spent most of my summer between my first and second year working/shadowing at a hospital in a developing country and taking a medical spanish course (and doing a lot of hiking!). My current career counselor is the EM program director at my school, but I have not met with him in person yet. Any advice would be greatly appreciated!