Hope everyone is getting some time to enjoy this good weather. I wanted to know what programs in PMR are the best suited for an interest in disorders of the spine. I am really interested in this area in particular. Is it necessary to get a fellowship in interventional spine or pain to work in the area of spine pain management and rehab? My grades and step 1 score in med school are less than average. How badly will this academic performance affect me? Is there anything I can do to improve my competetiveness such as research? I was also interested in doing research on spondyloarthropathies. Does it matter that the research was done under an ortho surgeon? one last question.....what are some programs that are not so competetive but would enable me to receive really good training in treating patients with spondyloarthropathies and other arthritic conditions? thanks for your time and help.