I have come to a dilemma recently and have not been able to come to a viable solution by myself so I turn to you folks for some assistance. I have good but not great grades 1st and 2nd year a few A's, mostly B's and one C; A's for peds, medicine and family pracitice so far, OB/GYN grade is still pending, probable A-B on psych and surgery. Step I score 222, average 217 for my year. I am very enthusiastic about EM and truly feel that it will be a specialty that both satisifies my professional and personal goals in life. My question is: should I take Step II before or after I apply? An additional factor is that my wife and I will be couples mathching; she is applying for rads, AOA, 240 step I. Any responses will be greatly appreciated. Thanks for your help in advance.