So a lot of my facebook friends from school are posting they passed step 1, but lets say they got like 188-198..barely passing scores..what are the residency options for these people ? I understand from reading that international grads are probably doomed, but how about american grads with these scores? Are they still pretty much guaranteed a residency spot just in a less competitive place? With the SD being 22 (i think?) this year, this means that nearly 16% of US grads got under 200, huh?