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I am wondering if a grade melt down at the end of 3rd year will severely hurt my chances of matching in OB/GYN. I ended up with a 'C' in surgery and psychiatry (my last two rotations). I had some personal things going on and I should have taken a leave but didnt. In my OB/GYN and ER rotations I received 'A/honors'. Family and Med/Peds rotations I received 'B+'. My 1st and 2nd year grades were solid. My step 1 is average. I have yet to take step 2. My LORs will be great (OB/GYN dept chair, head of Urogyn, Intenal med have all agreed to write strong letters). I have plenty of leadership, volunteering, and a few published case reports that are OB/GYN specific.
Will this melt down in surgery specifically hurt me? Is this something that I could explain? Should I discuss this meltdown ahead of time with my mentor (the dept chair of OB/GYN)? I dont want this individual to be caught off guard or to feel like I was not truthful about my academic record. I'm really freaking out.
Will it hurt you? I think it would be fair to say that low clinical grades will hurt you no matter what field you plan on applying to. The real question is what can you do about it?
The best thing to do is to develop a track record of improved grades. PD's will want to see at least one sub I, and perhaps two, with good grades. If your "personal things" are not resolved, then take an LOA now and get them addressed.
I think you will need to address it in your application -- either in your PS, or in your Dean's letter.