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I'm a MS1 starting to do some research work with the derm dept at my school. A good number of the residents I've been talking to have already done a medicine or peds residency, some even post-fellowship. It's somewhat discouraging in that I wonder just how impossible that makes it for the fresh out of med people to even have a chance at matching? I want to try to do derm, but I wonder if it's even worth it to get my hopes up, you know? I'm doing research and will most likely get a few good derm pubs, and some non-derm pubs from some other research I have going on simultaneously this summer. I probably won't be AOA, but maybe, and if not AOA would probably be top 20%. Maybe I could get a 235 or 240 step (basing this off folks I know who scored in that range who I feel I'm equally capable as, plus willing to kill myself in prep)...This is all so speculative I know...I just don't know, I guess, if I should try to stop loving so many things about derm and start looking elsewhere for other nice fields.