As the saying goes, "long time lurker, first time poster." First off, I just wanted to thank you for all the posts about pathology!! They have been very insightful and entertaining. As I now consider myself a seasoned MIII, I especially enjoyed the anti-clinical medicine thread. In fact, I was wondering if anyone was interested in starting a movement to take the physical exam findings out of the "Objective" and place them in the "Subjective" portion of the SOAP note where they belong! I will reserve actual recruiting for this movement for a later date... At any rate, my question to the forum veterans is, "How important are clinical grades to matching at a competitive pathology program?" Here's my situation: I thoroughly enjoyed pathology as an M2 (could not put down Robbins), did one year of path research in med school (which confirmed my desire to pursue it as a career), did well on Step One (>240), attend a non-top 20 med school, and am HATING clinical medicine and will most likely only receive a "pass" for all my third year clerkships (my school does not have "high pass"). My written evals are good, just not stellar and not enough for "honors." I desperately want to pursue an academic career in pathology and understand that to do so, it would probably be in my best interest to train at a big name institution (MGH, Brigham, Johns Hopkins, UCSF, Stanford etc). So what do you think? Is it imperative that I honor at least one rotation to be a competitive applicant? Please tell me "no" because the thought of sustaining more fake enthusiasm for the rest of the year could put me over the edge PS I apologize if this has been answered already and thank you all for your input!!!