Weight of 3rd Year Grades

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Most likely, as long as you have a decent IM/Peds/FP LOR and at least 2 good psych LORs in your file.

I agree - IM and Psych are the most important clerkship grades - any honors after that are gravy. Just plan to be able to maturely discuss any sub-par evals included in your dean's letter on your interview day.
 
On a related note, how important is your peds grade if you are applying to fast track psych/child psych programs and is it worth doing a peds sub-i to get a letter?
 
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First, in terms of your ER eval - don't sweat it. Talk to your clerkship director and see if you can change it. Talk to your dean and see if you can get it out of your Dean's Letter. But it won't make or break you.

Honors in IM and Psych are more important. Also, take step 2 early and do well (>225). Consider an away if there's some super-competitive place you really want to be (MGH, Columbia, etc).

You're gonna be fine.
 
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Don't feel too bad. For my rotations in OB/Gyn, Psych, Surgery, and IM I met all of the evaluation requirements for Honors (rated as, "Outstanding" in the majority of our criteria) and even have LETTERS WRITTEN BY ATTENDINGS SUPPORTING HONORS, and had honors denied by the Clinical Ed department because the attendings did not, "write enough to justify honors". The only rotation I actually did get the grade I deserved was Surgery, and they did not write any less than any of the others.

So, I don't know what I'm going to do. I *hope* that residency PDs will actually look at my rotation evals and not just the grade.
 
On a related note, how important is your peds grade if you are applying to fast track psych/child psych programs and is it worth doing a peds sub-i to get a letter?

Yeah, I have a peds sub-i letter and got honors in my core clerkship and high honors in the sub-i. I think the sub-i was useful beyond improving my peds grade. it was a great clinical experience and makes me feel a little more comfortable about the prospect of a peds intern year. However, I know that one of the current MGH/McLean peds/psych fast track interns did not take any additional peds coursework beyond the core so it is not essential. I would think if you enjoy peds, do the sub-i if it is well run at your school and you think you can do well in it.

In psychiatry, in general, I think they care more about what your evaluators said than the ultimate grade unless it is a glaring discrepancy. For the OP- just have a professional explanation. One outlier in the context of a really mean attending or whatever is understandable.
 
Most program directors read the clinical comments rather carefully. In fact, in assessing for who will be a good resident, that is arguably the most important criterion. In assessing for who will make for leaders in academia, other criteria are equally or more important.
 
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