Hello urology gurus. I'm a 2nd year med student at a mid-tier Med school. It's taken me more time than expected to get into the flow of how to succeed in med school. Because of "C's" in first two years of course work (with possible exception of this final semester) I will most likely be in the bottom half of the class rankings (though I'm not sure how 3rd and 4th year impact rankings). I'm Registered to take Step 1 this summer. I'm sold on Uro. What things are most important for me to do now to off-set poor early showing and put myself in position to be a strong applicant for uro residency? How important are grades really? Thanks for your help.