My step 1 score help/advice....anyone??

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Lords17

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So I got my step 1 score back and I am not very happy with it. Lets just say I barely passed by the skin of my teeth. I feel awful right now and almost feel like it would have been better to fail than to receive the score that I did. I was putting up well over 200s on the Uworld exams so this was kind of a shock to me. I kind of just want to crawl into a hole and never come out because basically my shot at any residency is blown. Does anyone have any suggestions as to what I should do now? Does anyone know of someone who did this as well and had it turn around on them and can give me some ray of hope?? Right now all I got is that if I do well in my rotations and on my step 2 then MAYBE I can have a shot, but then again this is just a hope of mine. Anything would be helpful because basically I am at a loss right now.
 
ANY residency? Are you a US allopathic student? If so, if you are not geographically restricted, there are definitely a decent number of specialties open to you.

Step 1 is done. You can't do anything about it. Get it out of your mind. It's like your MCAT score. (I know it matters, but as far as you're concerned, they're both things in the past that you have no control over).

Focus on your third year, rock your clerkships and work hard to do well on Step II to show that your step I was an aberration. Some specialties will look at Step II more than others, but doing well will help you.
 
So I got my step 1 score back and I am not very happy with it. Lets just say I barely passed by the skin of my teeth. I feel awful right now and almost feel like it would have been better to fail than to receive the score that I did. I was putting up well over 200s on the Uworld exams so this was kind of a shock to me. I kind of just want to crawl into a hole and never come out because basically my shot at any residency is blown. Does anyone have any suggestions as to what I should do now? Does anyone know of someone who did this as well and had it turn around on them and can give me some ray of hope?? Right now all I got is that if I do well in my rotations and on my step 2 then MAYBE I can have a shot, but then again this is just a hope of mine. Anything would be helpful because basically I am at a loss right now.

Nothing you can do about it now. Just pick yourself up and do well on step 2. Plenty of people improve from step 1 to step 2, just go look at the step 2 forums. It will be harder if you are img, but just worry about stuff you can control for now. Stay strong.
 
Nothing you can do about it now. Just pick yourself up and do well on step 2. Plenty of people improve from step 1 to step 2, just go look at the step 2 forums. It will be harder if you are img, but just worry about stuff you can control for now. Stay strong.

I like that thing, that one guy said, about trying PA school. I feel like we keep coming back to that.
 
A lot depends on whether your a US or foreign student obviously. My thoughts:

1) Step 1 is huge, but maybe not quite as huge as people make it out to be. So many other things matter and now you obviously need to focus on those.

2) Step 2: When you're a little more emotionally removed, reflect on what went wrong on Step 1 and don't repeat it. Plan your step 2 prep for the year and make sure you have some idea how you can be prepared to crush it. Questions throughout the year? Firecracker? Review course? Extra time off btw 3 and 4 to study?

3) Networking: your letters and phone calls are going to be huge. If you suck at networking, start not sucking at it asap. Once you know what you want to do, start getting to know all the people in that department and figure out who the power players are. Get involved. Be a good team player. Be kind to EVERYONE. Be the absolute best clinician you can possibly be. Ask people lots of questions about themselves and then shutup and listen - this is really the essence of networking. Be interested, and be interesting, but do it in that order. In the end, you definitely need stellar letters and maybe even a phone call or two from well known people to programs you're really interested in. I've seen some really low scores match some very competitive specialties, and this is often a deciding factor.
(on that note, there was a study in some journal [academic medicine maybe?] comparing the responses of PDs and applicants about what's most important in ranking applicants. The one thing that PDs mentioned as one of their top things was "personal knowledge of the applicant.")

4) Research. Get thy arse involved in some asap. Some good pubs can help.

5) Honor as many rotations as possible. Everyone knows that Step 1 tests a lot of crap that doesn't matter, so if you say an applicant with across the board honors, decent Step 2, good research, stellar letters about how they are the finest student in years, etc., it makes the low Step 1 score look like an outlier. If you show up to interview and are the most charming, interesting, and enjoyable person I've met and someone I wouldn't mind hanging out with during in-house call, then I don't really care that 2 years ago you didn't know how many ATP you get out of the Krebs cycle.

6) Accept reality. Standardized test scores are not how you're going to get where you want to be. I know that sucks, but it's probably true. The best case scenario is that test scores won't screw you too badly. Take this opportunity to focus on what you CAN do well and play to your strengths. Be careful not to spend so much time on a weakness that you don't fully develop your strengths. Find your strong area(s) and perfect them.
 
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