Hello folks, I am a current M3 and have been very interested in ENT for a while. Things haven't been going well for me academic-wise, and I seek your advice on whether I still have a shot at pursuing an ENT residency anywhere in the US, or if I should quit and decide on another specialty. To make things short, during my pre-clinical years I only managed to honor 1 course but ended up failing another course. I had to retake the final for that class and passed it, but now that failed class is on my record. To make things worse, I took Step 1 a little over a month ago, and found out that I failed by a couple points. Obviously, I will have to retake Step 1 in a couple months and re-evaluate my studying and the events going on in my life in general. On the other hand, I have invested so much time and effort into ENT that I feel like it is all going to waste if I switch paths. My med school's ENT program is generally regarded as one of the more coveted programs and they screen applicants at a 240 Step 1 score. There are a lot of big wigs here and I'm on good terms with all of them. I have also published 2 first author basic science papers and I am co-author on 3 other papers all with my home ENT program. With my pre-clinical grades and Step 1 score, I have really low confidence in my ENT interest and am thinking about switching, but I just have no idea what to do now. Realistically, do I still have a shot at any ENT program in the country? If I should switch paths, are there any specialties that you guys recommend looking into? I would like to do something procedural, but many of them are very competitive. Any advice appreciated. Thanks.