I just started intern year and my program director is pressuring all of us to take Step 3 as early as possible. I asked him if a bad passing score, or if a failing score followed by a passing score would matter in securing a competitive fellowship and he told me that it was more about getting state licensure and getting it out of the way than as a tool for comparing candidates. That makes sense to me but I've heard of other subspecialty fellowships now looking at Step 3 scores to judge applicants. I'm considering applying to child or addiction. I just wanted to make sure my PD is right and I'm not shooting myself in the foot barely into my first year if I take the test sooner than I'd like and do poorly.