Just an M2...no honors in any classes...just all passes (H/P/F school). Middle of the class. I am trying to get out of the COLD MIDWEST for an internal medicine residency. I have narrowed it down to pursue a hospitalist track/training, critical care/pulm, ID, or an internal med program with a global health component. (the global health tracts are mostly in the cold NE, but there are a few programs in TX) http://www.amsa.org/global/ih/resprograms.cfm (if anyone has an updated list please link) So basically good university program that is good for fellowship applications + warm weather would be great. I will start studying for the USMLE Step 1 this winter break and hope to get at least a 220. Would no honors and a 220 set me up for programs like: University of AZ - Tucson UTHS - San Antonio OHSU (I could perhaps bear the weather with the beautiful geography) University of Washington Baylor UT Houston USF - Tampa Any other non university programs in good locations with strong fellowship opportunities? What about UCSF? High Step 1 scores needed? Thanks all...and good luck during finals!