Ok, Never thought that this would be me, but it looks like the ranges on Step I are larger than ever as of late and I came up on the short end. Studied hard for 4 weeks, did BRS phys and path, Ridiculously simple neuro, anatomy and micro, all 1100 Robbins Review book questions, 1st Aid once through but I used it all of 2nd year, Lippincott pharm, and flew through Kaplan at home for phys and biochem as well as High Yield Behavioral. I did the Kaplan CD and was scoring 50% so I put off the test for a week literally freaked out knowing that this was borderline, did more questions and still--50% on Kaplan, 55% on the USMLE CD. On the test it seemed like I had a million 'quote' behavioral questions and I got nearly every one wrong while practicing, this scared me before and during the test. I didn't feel that path was hit hard on my test at all. I didn't know the biochem but knew that would be my weakness. At my school we are starting rotations at the end of August, so now what? Obviously I can't start until at least October. My score of 166 is not good, and data shows (in 1st Aid) that I have a not so hot chance of passing the second time around. Would a full year off to study/do research help at all? Since I failed once I assume that I will be at the very bottom of the barrel come residency time, but how bad is it really? Will it be hard to find a residency period? I was looking into specialties before, that is now gone. If a family med spot will take me in Iowa, I'm there. Will a strong score the second time around help much or should I just pass? I did well my first two years, no fails, some honors, had a decent MCAT and ACT score so I assumed that the USMLE would not be that bad. Any and all advice is very appreciated at this point!