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I'm a current first year at a DO school and we have a P/F curriculum but are divided into tiers (Tier 1 90-100, Tier 2 80-90, 70-80). I am currently at an 88% average (so tier 2) and am hoping to match competitively in IM. How much will this hinder me and overall, how much does the pre-clinical grades stage play a role in matching? Any advice would be much appreciated.