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i am currently a second year med student, and lets just say the first two years of med school have been a struggle. lots of passes and not much else. i am still undecided about what i want to do (or what i will be able to do with my grades) but the cards module has by far been my favorite module in both years. it is one of the few things that i have really liked so far. so my question is how important are med school grades in the process? can someone with just passes in the first two years still land a cards fellowship? thanks.