How to compensate for Average/Low Step 1

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Jinterpol

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My step 1 wasn't what I expected at all.

Based on my Kaplan and especially UW percentages, I thought I was going to score anywhere between the low 230s to the mid 240s. During my exam, the first few blocks were just OK, but two of the middle blocks went so poorly that I probably would not have passed if the remainder had continued similarly. The last two blocks went very, very well. Ultimately, I got two points below average.

I am growing increasingly disinterested in primary care, and was getting excited about ophtho, rad, or anesthesia. I feel like I can only match into anesthesia now. And I'm more tired of hearing my friends tell me they scored HIGHER than their respective Qbank percentages would predict. I fee like ophtho is impossible. Rad is maybe doable, but I might have to do it in BFE community hospital. And I'm worried that I won't be satisfied with anesthesia.

I'm obvisouly really upset about this. The answer I keep going back to, is that I would like to switch careers entirely and do something where my hard work can actually materialize into acheiving goals instead of disappointment. But this isn't a viable option, isn't it?

I just don't know what to do except:

1). Hope to score better on Step 2 and take it relatively early.
2). Perhaps do some research. I spent some time as a tech prior to med school and now have a name on a publication and an abstract, and am a 1st author of another abstract. Overall, I'm not too excited about this either. Some kids get so lucky as to just walk onto a project for a summer and get their name on a few publications that they didn't even do much work for.
3). Marry some unsuspecting californian who is smarter than me and try to couples match.

How can I compensate for underperforming on Step 1? "Wowing" people during third year probably just isn't a skill I have. I'm just not that social, most of the time.
 
Don't worry, avg. is not bad, it could have been worse. Now look forward to the future and forget about the past, you can't change it. Take step 2 early and KILL IT! I mean shoot for a 240+ (which is far from killing by SDN standards but is a good score nonetheless).

Also, do research and get some publications. Additionally, make connections, talk to your PD and get to know faculty and bust your butt on 3rd year rotations...don't worry about 'wowing' them...if you try, you will just look like a tool. Just work hard, show enthusiasm, know your pts. well, be humble, and present well. Matching in rads and ophtho should be no problem assuming you are at an MD program.
 
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