Yaah is absolutely right. I didn't study for Step 1, and of course, my score was anything but optimal. During my 3rd year, I learned I really wanted to live in Chicago and knew I needed some form of damage control. I did a couple of away rotations and just worked my butt off. I ended up getting my first choice as a result. I highly recommend doing an away rotation, especially if you have a specific location you desire. Cannot stress that enough.