So I got my step II score back today and it was significantly lower than I expected. Went down from mid 240s on step I to 219 on step II. Obviously I'm not too thrilled about this. I'm guessing that I'll finally start hearing from some of those top programs that hadn't rejected me yet which is fine but more importantly, I am wondering just how much of an effect this may have on where programs I already have interviews at decide to rank me. A major effect, a minor effect, something in between, impossible to tell? I know I can't do anything about it now but I'd still like to have an idea. Any thoughts would be appreciated.