I'd like to post an update to my reply:
USMG or IMG with Professionalism issues (big ones) > IMG status (with imperfect record, e.g. Step failure; OR without completed Step I, II CK, II CS, and III scores in by time of application) > USMG with Step failures > USMG with single clerkship failure (in specialty you are not applying for) > IMG status (with perfect record and above-average Step scores) > USMG with medicre grades in clerkship of specialty applying to > USMG with m2 course failures (successful make-up) > USMG with m1 course failures (successful make-up) > non-emergency leave > emergency leave