It sounds like you just finished the 1st two years of medical school, just took Step 1, and you're about to start 3rd year clerkships.
Is this correct?
If this is the "case", you still have a long way to go to get into Derm. You must continue your excellence during your 3rd year clerkships. Of all the years in medical school, the 3rd year is the most closely scrutinized time in your medical student experience. It will impact your career options. You must HONOR at least half your 3rd year rotations, especially your Internal Medicine clerkship. You must HONOR your dermatology electives.
As for Derm research, get on the ball now. It may be hard to believe, but there are many Derm applicants with similar numbers to yours. How will you set yourself apart from them? Do something (ie, research, pubs, etc) to show your "genuine" interest in the field. Refer to the thread "Publishing in a Derm Journal?" for more details on publication opportunities.
http://forums.studentdoctor.net/showthread.php?t=209030
Also, be careful on your tone. From your little thread, you sound "arrogant" (which may or may not be the case. just an observation). Being confident is great, but arrogance is truly annoying. Clerkship grading has a major subjective component. Therefore, you must get along with the attendings, residents, and your peers. The person who grades you will observe you and your interactions with others. The grader will also usually ask for input from attendings, residents, and support staff who worked with you. So eyes are on you at all times. Confidence, being prepared, working hard, showing interest, and being a TEAM PLAYER are the keys to doing well in your clerkships. In medical school, I knew a few people who did outstanding during the 1st two years of medical school, but "bombed" their 3rd year because of their problematic personality. So be careful, smile, play nice, and study your as$ off.