Step 2: Important?

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Rhubarb

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Hey,

I'd like to hear what you all think. After acceptance to a residency program, how significant is one's Step 2 score regarding fellowships and early career moves? How about late career moves (i.e., an academic position)?

Thanks for your input,
Rhubarb
 
i don't think step 2 (once you have a position) is of any significance....at least not in family practice. Just make sure you pass it, since you ultimately want to get your license. i don't know about the other fields and subspecialties. steps 2 and 3 are a joke, so i can't imagine there is any significant weight put on 'em.
 
Step 2 is of zero importance
unless
you screw up
then
concerning academics
it could come back to haunt
 
how about for competitive fellowships in IM such Cards and GI?

any fellows out there?
 
Having a high Step2 score to flash on your application does not hurt, but it's not vital.

Of course, the higher the score the better, depends on what you want to do. I was mediocre at best, but for a guy that just wants to pull appy's out it's good enough.
 
Originally posted by DoctorDoom
Having a high Step2 score to flash on your application does not hurt, but it's not vital.

Of course, the higher the score the better, depends on what you want to do. I was mediocre at best, but for a guy that just wants to pull appy's out it's good enough.

I don't know about fellowships, but I've got the impression that it's somewhat important to some residencies. Initially, I did pretty well on Step 1 and then tried to "hide" Step 2 by taking it late, but my school instituted this policy where you HAD to take it by Jan of 4th year to graduate, so all my residencies saw my step 2 score. Some of my later interviews they even commented on it. I got essentially the same score on Step 2 and I got the impression that if you did very well on step 1 but mediocre on step 2, that they would see you as a "bookworm" with weaker clinical skills. Did not get an impression for the converse (bad step 1, good step 2) but we all know step 1 is heavily used for granting interviews anyway.

Just like I got the impression that in comparing clinical grades to boards, if you did well in grades but worse on the boards, you could be viewed (by some people) as a kiss-ass and not as book smart. If the converse (bad grades, great boards) you were seen as book smart but not good at dealing with people.

These are unfair generalizations, but life isn't fair and I'm not saying everyone interprets them this way.

I would assume for fellowships your performance is residenciy is much more important than the steps, along with getting letters from important people to get you in the door, but that's just an assumption.

mike
 
That's true, there is a sense that someone who doesn't have Step 2 is "hiding" their score. But I would say that your impressions are overgeneralizations that are more pessimistic than accurate. People will find fault no matter what happens. Unfortunately not all of us can ace every exam. So if you can do well on Step 2 and have it for applications then you should do so.

The good thing is that people in general are much more willing to give grades and residency performance more weight anyhow, I mean which would you trust as a barometer of performance, the result of months or years of work, along with a great letter from a leader in the field, or a two day standardized exam? The people who think you're a kiss ass because you did well on rotations and not on your Step2 are just being difficult, ignore that stuff. That is not the kind of thought process people use to decide who gets in or out of a residency.

The reason that high Step2 exams are helpful to have in residency and fellowship application is because it can open the door. Some one sees that you got a 205 on Step 1 but a 239 on Step 2, they may give you an interview for internship even though their very competitve program doesn't usually give interviews to people below 215 on Step 1. In fellowship it's far less important, but a track record of high performance will never hurt, obviously. Your inservice exams and letters and interviews mean far more for felowship.

Again it all depends on what you want to go into. Good luck!
 
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