If you don't do as well as you wanted to on Step I, then you study harder for Step II and just freekin' stomp it. I hear a good step II score can make up for a shaky step I score.
then again, I could be hearing wrong.
Somewhat true, depending on the specialty. The more competitive the field, the more weight is placed on Step 1. So a 200 Step 1 with a 250 Step 2 is still not going to land you many Derm/Plastics interviews. There are just too many superstars to justify taking someone with a mediocre Step 1 score.
But all is not lost my friends! Do NOT discount the effect of slamming your 3rd yr rotations, your elective rotations within your field of choice (you MUST honor these), a strong Step 2, glowing letters (phone calls?) and research.
Trust me, if you have your eyes on the prize and be STRATEGIC -- i.e pick a program or two where you have a REALISTIC shot of matching and stick to them like peanut butter on jelly -- you can still land a competitive residency. Go to all their conferences and try to befriend the "key players" -- the attendings/residents who have a say in who gets in (don't always focus on the PD!).
Also, do not discount the input of the residents in the selection process. At some programs they have a huge say in who gets ranked. Try to pick a program where you click with them. If the residents are into fashion, etc then it behooves you to dress nice. Read about fashion if you have to. Don't show up everyday looking like a wreck and then wonder why you didn't match there. If they're very academic then hopefully you can show them that side of you (if you have it). Clearly, you have to be yourself. Just play-up the side that is similar to the residents.
Be professional, courteous to the ancillary staff. Believe it or not some PDs ask them for input as well. If they say anything negative about you you're toast. On the last day of my out-patient rotations, I used to buy DD coffee and donuts for the ancillary staff. They were floored! Rememeber, they're often under-appreciated. Obviously be ON-TIME and have a "can-do" attitude. Don't settle for meeting expectations. That's for losers. It will get you nowhere. RAISE THE BAR. Go above and beyond. I promise you someone will take notice of your hardwork/talent. And that someone may very well go to bat for you when ROLs are being created by PDs!
Step 1 means a lot but it's only one part of your application.
G'luck guys!