Got my step 3 score back and got a 228 (for reference, step 1 was 245 and step 2 was 257). Definitely not the greatest. Was wondering what the impact of the step 3 score is for fellowship applications? Currently considering the following sub-specialties: Cardiology, Pulm/Crit, Nephro, or ID. From a T20 IM program in the Southeast and hoping to match to California (lots of ties). Thanks!