MechE said:
True, but I only know a handful of people in my class that share that view. Not so much in a "gunner" way, but in a personal-self expectation way. Our class average is typically way above average on most tests, and the end result may have a indirect, but significant impact on your future specialty choice.
There's people who will argue with me and say that 1st/2nd yr. grades are like #13 when it comes to a residency directors priority list, but the more important things may be a direct result. It all lies not in your grades, per se, but the attitude by which you came by those grades.
Step 1 scores most assuredly are correlated with 1st/2nd year grades.
3rd yr. rotation grades require a solid foundation of knowledge which, while theoretically don't require making good basic science grades, very likely correlate. If you don't know what you're talking about while your giving patient presentations, it can't look to impressive to your attending or residents. In addition, since part of your rotation grade is based on your shelf exam scores, why would those be any higher if your 1st/2nd yr. grades were not good?
LOR's may save you if you get them from someone that knows you very well outside of your curriculum. That may involve research, or whatever.
But the truth is, C=MD is only a great attitude to adopt if you're ok with mediocrity. If that's the case, I doubt your entire residency application is going to look much better.
This oughta p!ss some people off (and the usual disclaimer applies that many stellar med students choose to do the following fields, not just the bottom quartile), but if you're sure you want to do a low competitive field such as Fam. medicine, PM&R, peds, etc., then I guess you're safe, but if you're not 100% sure or want to do anything more competitive, I'd advise striving to do your best in everything you do.
On the flip side, If you busted your butt to make the C, then you're doing fine. The correlation likely won't be nearly as strong. You'll shine in rotations and get some great letters, and while you may not be doing plastics, ENT, derm etc., you'll be able to do most anything else you set your mind to. More importantly, you'll be a darn good doctor someday. I know a lot of people who make A's on every test that won't be.