Matching into any academic IM program as a USMD with a failed STEP1 attempt?

2024.11.26 01:50 redragepanda Matching into any academic IM program as a USMD with a failed STEP1 attempt?

Hi all - I'm currently a third year medical student at a low-tier USMD program.
Unfortunately, I have a red-flag on my application, in that I was going through a lot of family problems when I was studying for STEP1. While I was passing on my practice exams with a solid margin, sadly I was like one or two points off from passing the exam according to the graph they showed me. Had an unlucky test day I guess. Felt very horrible and depressed, still do, but there's nothing I can change about it now.
While I was able to recollect myself and pass on the second attempt a few months later and start my third year, ultimately I still failed my first attempt, which I know will have a huge impact on the programs I am able to get into.
I don't know who else I can ask at this point for advice, but do I no longer have a shot at something like GI now? GI has routinely been my favorite subject throughout undergrad and medical school and the one I have always excelled the most in and been fascinated by. But I recognize how competitive GI is as a fellowship.
But taking one step at a time and completely forgetting GI for a bit, based on what mentors and others have told me, I should try to match to an academic IM program, as I've heard that it becomes very difficult to match into a GI fellowship from a community program. With my current red flag, would it even be possible for me to match to a low or mid-tier academic IM program...even if I somehow manage to do well on STEP2?
I have heard that most programs screen out applicants who don't pass STEP1 on the first attempt, so what can I even do at this point? If there is still a sliver of hope, would anyone be able to recommend some advice for me from now until when I apply in 4th year?
And also, if anyone has been in a similar situation and was successful, please let me know what you did and what schools you applied to. I just haven't been able to find much information on what I can do because I feel like nobody is failing this exam which just makes me feel even worse that I did...
And if I can provide any other information that would be helpful, please let me know. Thank you so much for anyone who is able to help me!
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2024.11.26 01:50 jonas_ost Ukrainians evacuating a wounded comrade under Russian artillery fire

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2024.11.26 01:50 Capable-Camel-1035 If there's no UPT available and I don't show up will they just deduct it from my UPT?

Saw a post from another thread saying that UPT is deducted automatically if you don't show up, looking for clarification. Yes I understand ncns is bad practice, but the UPT opportunity is gone now
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2024.11.26 01:50 Ivanced09 Consulta sobre Remax

Gente, a mi novia la contactaron por linkedin una reclutaroa de Remax y mañana tiene la entrevista, leímos por ahi que el tema es que tenes que hacer una capacitacion que te cobran lo cual para nosotros es un tema por nuestra situacion economica aunque tambien depende de cuanto es ¿tienen idea de si esto es asi? y si cobran ¿alguna idea de cuanto estamos hablando? queríamos escuchar opiniones para decidir si vamos o no mañana porque es un viajecito.
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2024.11.26 01:50 Pretend-Stay-5104 Lf: researcher - Any ppl as long as gala ka ganern - about BGC and Makati

Research lang about sa place forx example: Makati - ano magandang puntahan dito, saan nagsimula etc.
Like anong tourist spot ganern
Someone who is willing to transact sa FB for legitimacy purposes
No dummy fb
Need asap
Dm me
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2024.11.26 01:50 Smooth_Flan_2660 How has depression meds impacted your sexual life?

I (25M) have recently been prescribed medications for general anxiety disorder and depression. My provider explained to me that one major side effect is sexual dysfunction (decrease libido and erectile dysfunction). Those side effects are of somehow major concern to me because I already suffer from ED. It was not medically diagnosed but I struggle to maintain an erection during sex. It’s gotten so much better tho and my sexual life has greatly improved. I’m this super concerned of going back to where I was many months ago. She told me that while the side effects might or might not happen, it’s could be likely. She told me it’s up to me to decide what’s more important to me which she’s right about. Anyhow I’d just like to know if anyone has experience with these type of medications and if it has had a major impact on their sexual life? Do you think it was a worthy trade off and will never come back on your decision?
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2024.11.26 01:50 Working-Cut5966 Busses between El Calafate and El Chalten

For anyone who has gone recently, what is the bus situation like between El Calafate and El Chalten? My partner and I are going in early January 2025 and we have a day where we want to go and see Mount Fitzroy and do some small hikes around that area, but we don't want to do the bus tours because they include a waterfall which we are not interested in. I am trying to book busses online and it seems to cost ARS38,000 per person per one way, is that accurate to the only prices that can be found? If you purchase bus fares there are they any cheaper? Is renting a car for the day the better option in the end?
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2024.11.26 01:50 NuclearFamilyReactor My worst childhood trigger moved in next door and ruined my life

I don't know why I thought maybe she had learned to not make this weird "puff" sound with her mouth when she eats. It's hard to explain. It's like she's trying to eat quiet, but makes this cheek puff sound. She also dribbles food out of her mouth. And brings food over in that white crinkle paper they wrap sandwiches in at the deli and then she said that my pets preferred her. BIZNATCH, they're hovering around you because you're dropping food and making crinkle sounds they associate with snacks.
I regret telling her about the available unit next door. I have since moved, but our relationship will never recover. She called me a "narcissist." And I saw her posting narcissist memes on Facebook. She knows I have Misophonia but somehow now I'm a narcissist because she is incapable of not chewing with her mouth closed.
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2024.11.26 01:50 Character-Berry6161 F23

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2024.11.26 01:50 Jay_ESPOLON Let’s trade 🙏🏽❤️

Let’s trade 🙏🏽❤️ Play MONOPOLY GO! with me! Download it here: https://mply.io/nj01Ww
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2024.11.26 01:50 cierrat Selling

Selling Still a ton left $5 shipping US only Venmo accepted Will entertain offers
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2024.11.26 01:50 soda-hero Dude below me is a ret___.

minscore: 3
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2024.11.26 01:50 WoollyArtist15 Decided to draw Lum!

Decided to draw Lum! submitted by WoollyArtist15 to uruseiyatsura [link] [comments]


2024.11.26 01:50 Odd_Specific_6536 Best dead pedal recommendation?

Didn’t pick up on the fact there is no dead pedal while test driving Gladiators. But whoa it was apparent after my first commute. I’m 5’11” with low back pain problems. There are a bunch on Amazon, but want something well made with easy instal. Thanks in advance
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2024.11.26 01:50 gettothecoppa [Bundle] AMD R7 7700X CPU + ASUS TUF GAMING B650M-E WIFI Motherboard + T-Force 32GB D5 6000MHz CL30 RAM (718.98-220.00=$498.98) [Canada Computers]

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2024.11.26 01:50 Twarnacles Plush diver Diego

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2024.11.26 01:50 Super420Gremlin AirsoftFatty rn

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2024.11.26 01:50 IndigoBuntz I've taken the unlanded gameplay to a whole other level: I became homeless

Some play wide, some play tall, I don't play at all. This is how I became homeless in CK3.
I started as house Palaiologos in Bulgaria, 1178. After the death of basileus Manuel Komnenos and his son, Alexios (I had nothing to do with those, was planning on playing tall here), one of Manuel's daughters became empress, Maria. I randomly became her regent and decided to take the throne. After deposing her peacefully, I became the basileus, but just one year later I died of old age and lost the empire, but conquered it back as soon as my new character (young Georgios here) came of age.
*Little detour: there's a nice story here because when I started playing as Georgios, he had a crush on another kid, Leon Komnenos, and when we both became adults I realised Leon had become the new basileus. We fought for the crown and I won, but decided not to hurt him. We became rivals, but totally unexpectedly he showed up after a while and became my lover. So basically I became my old crush's lover but he was also my rival and the emperor I deposed to become emperor myself.*
Anyway, I had just completed a legend, and since I was losing in a huge dethronement war, I decided to go for a legendary adventure. I only recently bought that DLC so I never tried one of those, but it says you leave everything behind to go for an adventure. Exaclty as I did that, I lost the rebellion and got deposed. For some reason... I didn't just lose the throne, I lost everything, literally. My character has nothing, can't do anything, doesn't have a court, can invite people to court but after they accept they don't show up (in fact, there's no court at all). I have no soldiers and no money (spent a lot on mercenaries in the civil war) and can't get more in any way... I guess this is game over for me, lol. It's so funny to me that my character is now wandering in the Bulgarian mountains, this run was so short and chaotic.
This is me in the middle of Bulgaria, where my family estate was before I became emperor. Seems like the game wanted to get me back to the estate but something went wrong.
https://preview.redd.it/uh9q8ppkg53e1.png?width=560&format=png&auto=webp&s=0cac18f39d9a49894162b52f25a503f769ebb106
I can invite myself to court...
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2024.11.26 01:50 Dependent-Sea-5175 Thoughts on Elac FS 247 ?

Hi y'all! Any thoughts on the Elac FS 247 Black Edition ?
I'm eying a used pair for 2400$ CAD.
I'm currently running a pair of Paradigm Monitor SE 3000f that I want to upgrade. My amp is a Marantz PM7000N, mostly listening to music on a Pro-ject debut carbon Evo, sometimes Spotify, and also movies.
My living room is in an open area (with the kitchen and dinning room) I know it's not ideal but that's the only spot I can use in my current home. The whole room is 20'x20' and the living room area itself is 9'x13'.
I would like to know the any general thoughts on Elac, what would compare in this price range, and if 2400$ CAD is a good deal for the FS 247 BE.
Thanks!
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2024.11.26 01:50 Gentle_Deer_93 About archangel Michael. Have you ever had argument with him? Has he ever been angry to you?

I'm afraid of contacting him again. I've been having this weird depression phase lately in my life and I haven't done anything I should do. I just eat and lie on the couch and get fat. I've asked him what's happening to me and what can I do. But he gives answers like "just do the things you should" and "get up from bed". The problem is that I just can't. I have asked if this is something physical, if something's happening inside my body but he hasn't answered that.
I feel like he's frustrated with me. I fear a lot and find it difficult to trust him, I still don't even know if he's real or not :D I've even heard his voice (if it's him). That voice is very deep, deeper and lower than any human voice. Even that makes me a bit scared because I wouldn't like to think of him as a male. I've heard angels don't have gender. I often wish I had a more feminine angel with me. I have this feeling that the masculine is asking too much from me.
Anyway, I once heard him muttering about me fearing as if he doesn't like it. I took it as an insult, like I've taken a lot of things lately.
Sometimes I fear that his character is sort of cold and distant, not loving. I haven't felt angels' love in a long time. I think that for some reason I'm looking for a friend more than a teacher... I don't think he can be my friend. And I'm tired with this "teachers and lessons" thing that this world maybe is about. I don't want any learning and lessons anymore.
I've been so tired with this "masculine world" where everything is so unfair and harsh. I have started to want softness, love, warmth, freedom...
And then I have this fear about him. What if he "revenges" me and something horrible would happen in my life? I couldn't take it. And I've told him that I would never forgive him if something like that would happen. I know I've been unfriendly to him and the other angels sometimes. I'm just so tired and everything in my life is so difficult. I hope they understand my feelings though it sometimes feel like they understand nothing about feelings.
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2024.11.26 01:50 ancilor What is this?

This post contains content not supported on old Reddit. Click here to view the full post
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2024.11.26 01:50 Nixture24 Ban on PTI and Governor rule is expected today

This will be the last nail in the coffin for the system
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2024.11.26 01:50 TristyTreat Here's another basic look at about 120 days of frequency distribution (bins)

Here's another basic look at about 120 days of frequency distribution (bins) How do others track their share price weighting?
https://preview.redd.it/v5jgeuf3j53e1.jpg?width=951&format=pjpg&auto=webp&s=a4c8defc18db31fba226506d7532af5b92ebc180
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2024.11.26 01:50 LoveHUB_official New escort ads from last week: 289

Amman 5
Bahrain 24
Bangalore 1
Beirut 1
Dammam 2
Delhi 2
Dubai 96
Frankfurt 2
Hyderabad 1
Islamabad 11
Istanbul 1
Karachi 6
Kuala Lumpur 3
Kuwait 1
Lahore 36
London 2
Luxembourg 1
Muscat 51
Paris 2
Qatar 24
Riyadh 1
Shanghai 2
Sydney 1
Taipei 1
Tbilisi 1
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2024.11.26 01:50 noeltheleon How bad is this rust?

How bad is this rust? I recently had my 2014 Toyota FJ Cruiser underwashed and I noticed some rusty spots under the car. I have a few questions..
  1. How bad is it?
  2. is 3M rubberized undercoat worth it? The shop recommended me to have it some but I read some reviews stating that it could trap moisture and create more rust overtime.
  3. Is there a more proper way to treat rust under the car?
Note: Car is in the Philippines
Thanks!
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