(new acct created for some anonymity).
I was an MS2 (completed) and experienced a lot of personal distractions (not depression/anxiety) and most recently family health problems during my dedicated step 1 prep time that just tipped everything over. Simply put, life happened. I have already been on a personal LOA for a few weeks with family, and I know I've made the right decision for myself in this aspect.
Through extensive (I did my homework) research on sdn/other forums, I've come across posts that say a "210 >> 250+personal LOA" to "personal LOA is looked incredibly unfavorably and will hinder all chances for competitive specialties" to "it's okay, it's your decision and make the year count - directors want to see you succeed once you come back, and kill the boards, explain to them if they grant an interview that this is a 1 time occurrence and will not happen again." None have been definitively helpful and all are in polar opposites with more attendings giving the former red flag opinion.
My background
Preclinical H/P/F school, All passed and honored a few (think 3 or 4 out of many). No fails, no repeats. In the process of working to get my focus back. It's been tough, but I definitely needed this time for myself and most importantly, for my family. I have a few mid-author publications.
Residency
In terms of residency, I believe our letter from med school will be supportive in my decision for this personal LOA. My student Dean has been supportive and tells me it's not a huge red flag and will not close doors. Get better. own the boards. --- I am taking a few more weeks with family before a dedicated step 1 study time - where I am going to put in 3+ months d/t being distracted and not doing myself justice second year. I could have passed with low low 200's think single digit as projected through NBMEs, but I wouldn't have been ready with all the personal things going on to start MS3. It would have been a disaster. Therefore, I still stand in my decision.
Realistically, I understand in director's eyes I would've had 1 extra year compared to my fellow classmates, especially since this isn't a medical LOA. Moreover, this isn't a research year through a formal program, which some attendings have stressed the importance of. If everything works out, which is already at least at home, I believe I can/will bust my ars for a solid step 1 score (but the date would be delayed obviously) and can put in ~7 months of research before starting 3rd year clinical rotations. I would like to maximize my chances for a solid program (unsure specialty). Do I still have a shot? or are all the really competitive ones (e.g. ophtho, ortho, rad, derm, or say cardiology after IM) out of question?
Any advice would be greatly appreciated.
Thanks!
I was an MS2 (completed) and experienced a lot of personal distractions (not depression/anxiety) and most recently family health problems during my dedicated step 1 prep time that just tipped everything over. Simply put, life happened. I have already been on a personal LOA for a few weeks with family, and I know I've made the right decision for myself in this aspect.
Through extensive (I did my homework) research on sdn/other forums, I've come across posts that say a "210 >> 250+personal LOA" to "personal LOA is looked incredibly unfavorably and will hinder all chances for competitive specialties" to "it's okay, it's your decision and make the year count - directors want to see you succeed once you come back, and kill the boards, explain to them if they grant an interview that this is a 1 time occurrence and will not happen again." None have been definitively helpful and all are in polar opposites with more attendings giving the former red flag opinion.
My background
Preclinical H/P/F school, All passed and honored a few (think 3 or 4 out of many). No fails, no repeats. In the process of working to get my focus back. It's been tough, but I definitely needed this time for myself and most importantly, for my family. I have a few mid-author publications.
Residency
In terms of residency, I believe our letter from med school will be supportive in my decision for this personal LOA. My student Dean has been supportive and tells me it's not a huge red flag and will not close doors. Get better. own the boards. --- I am taking a few more weeks with family before a dedicated step 1 study time - where I am going to put in 3+ months d/t being distracted and not doing myself justice second year. I could have passed with low low 200's think single digit as projected through NBMEs, but I wouldn't have been ready with all the personal things going on to start MS3. It would have been a disaster. Therefore, I still stand in my decision.
Realistically, I understand in director's eyes I would've had 1 extra year compared to my fellow classmates, especially since this isn't a medical LOA. Moreover, this isn't a research year through a formal program, which some attendings have stressed the importance of. If everything works out, which is already at least at home, I believe I can/will bust my ars for a solid step 1 score (but the date would be delayed obviously) and can put in ~7 months of research before starting 3rd year clinical rotations. I would like to maximize my chances for a solid program (unsure specialty). Do I still have a shot? or are all the really competitive ones (e.g. ophtho, ortho, rad, derm, or say cardiology after IM) out of question?
Any advice would be greatly appreciated.
Thanks!
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