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This does not matter when applying through ERAS. No administrator is going to cross-check your score with your average and SD.Your score report lists the average and sd of the specific test you took
But the pubs/connections you can make during a whole year may be worth more than the 3-4 point score inflation.
Perhaps. It's a caution though for people who get a borderline Step 1 score and think a year off for research is going to fix everything.
For example, the ortho residency at my home institution has a hard USMLE cut off that rises each year. The program coordinator doesn't even look at the applications if the Step 1 is below the cutoff. Research connections aren't going to help you get over that.