hey all,
i'm considering radiology and am ofcourse wondering about my chances. if a step 1 score is between 220 and 230, where do i stand? what can i do to improve my chances? also, how much weight do 3rd year grades (nbme shelfs) have? are they weighted more or less than the step 1 score? can i improve my chances with a good step 2 score? i just have so many questions. thanks.
Take a deep breath first and visualize matching. 220-230 is a respectable score, that combined with other factors should give you a good chance to match.
1) Step 1 is the most important initial factor, and plays an important, slightly less significant role in matching. The reason for this is that there are so many applications that step 1 is one of few characteristics that programs can easily use to reduce an enourmous pile into a slightly less enourmous pile. A improved step two can be of help if the program considers either the actual number and/or the improvement compared to step 1. It is not a substitute for a strong step one, but still helpful in many cases. Taking it early is probably going to be beneficial if you are in the 220-230 range simply because there are lots more people with that score that 230-240, so it can help distinguish you from the crowd.
2) Grades are important to help determine both if you are consistent, active student and if you are social and easy to work with. They help confirm that you are human being rather than a women's sanitary product, a hardware store purchase, or whatever other vernacular expression you choose to use. Remember, since the clerkship grades are not standardized, they are a little more difficult for programs to interpret, so they are relatively less important then the steps, but still very important.
3) Away rotations may help for programs that might be a stretch for you go get into. However, this is a function of your personality-interact well and you'll be remembered well. You can also do reseach (rads>=non rads), which may give you a discussion point during your interviews. Finally, you may even do rotations that can help you secure additional strong LoRs, if you feel you don't already have them. An example might be medicine SubI.
4) Other demonstrated factors probably can't be manipulated at this point (i.e. AOA status).
5) Apply early and intelligently by having a well written personal statement with specifics on yourself, including why you are applying to radiology (reasons are good, real life examples and details are better), what makes you a good candidate, and what your career plans are. Practice your interviews with friends/family/whomever the school has hired so that you can get your message across on interviews while appearing professional and a human being. Make sure you choose the programs you apply to with a rationale (i.e. region, family/personal connections in the area, having a strong department in a radiology field you want (i.e. if you like neuroradiology or IR, make sure you apply and mention it as a reason for application), and be generous in the number of applications, including programs that previous applicants from your school have matched at. Good luck!