Currently an MS1 at a CA MD school. I am considering Psychiatry and wanted to know what I should focus on in order to have a shot at the more competitive residencies in CA (UCSF, UCLA UC Davis etc). Are pre-clinical grades more important now that STEP1 is P/NP? My school requires us to begin research during the 2nd sem of M1, so I'm thinking of doing research in the field. I also have a few thousand hours of work in the field (behavior therapy) prior to matriculation