I apologize ahead of time, this will be a bit of a mess (which is why I haven't figured this out and need advice.) I finished 1st and 2nd year at a US allopathic school. Those years were pass/fail, I never failed anything but every single unit was a huge struggle to get through all the material. I studied all of my spring breaks, every weekend, nights, labour days, everyday, always. It was barely enough time for me to pass each exam. I passed STEP on my first try and got a 206 but also felt extremely rushed and only finished 10% of Uworld. I'm passing, but I also don't feel like I'm able to keep up. 3rd year started 18 hours after I finished my STEP exam and I started on general surgery, getting up at 4am, feeling like a zombie after those intense months of studying now to get pimped on anatomy that I know I don't know, and I'd love to go study before surgery clerkship started. I don't have enough energy after 14 hours of work when I get home to open a book and study (I'm an older student), so I've studied almost nothing this year, and I'm massively behind on concurrent school homework assignments. I am burnt out and feeling intellectually underprepared for 3rd year. There are 48 weeks of full day clerkships this year, with 3 weeks reserved for taking shelf exams after each clerkship, and 1 for Christmas. I don't know enough about match, away rotations, or residency program, but from what I understand, as soon as that's over I need to start applying to away rotations to interview, rank programs, then try and match all while doing my 4th year clerkships? Here are my main problems. 1. I'm exhausted and can't focus well after the past year of tests, then STEP, with no break, so I'm worried about my clerkship performance being dismal. 2. I have no idea what residency I'm interested in yet (IM, Peds, Med/Peds, Family, Radiology, Pathology?). I only know I don't like lysosomal storage diseases. Shouldn't I do my all my 4th year clerkships and electives before starting to apply to programs? 3. When I know what residency I want, I'd like to do a few 4 week away rotations at programs that I want to apply to, but I don't know what that is yet. 4. I'd love to do an international rotation, but there's little time for that. 5. I'd love to have a month or two off to study for STEP 2 and actually finish Uworld. 6. I'd love to study for my shelf exams at some point. So what should I do? 1. Take a break now and completely mess up my school schedule for 4th year, leaving me no time for away rotations and interviews? 2. Add a full year to medical school and take a month break now, then finish 3rd year, do my 4th year required clerkships and electives, and then use the extra year to make up the month I'd miss now, and for away rotations (2-3 months), STEP 2 studying (1-2 months), international rotations (1 month), interviews (1-2 month), moving to a new city, ect. 3. Do nothing and just stay on track, feel rushed and underprepared, get whatever I get on STEP 2 without studying much, apply to places before I know what I want to do, and start residency feeling exhausted. 4. Other? I have a meeting on Monday with my school and I don't know which of these I want to say is my preference. And all of these are "options." Thanks for reading all of this! And thank you for your advice!