youre not behind any ball, dude, don't worry. just relax and try hard third year (the flex exams are important for your grade usually so study some), and try to get to know some more stuff about ortho - if you know youre interested research may be a good idea; it'll get you an 'in' and a contact in the department. try to get honors in surg and medicine (and whatever else you can). if you get any electives third year maybe try to do an ortho. good you did well on step1, try and get some honors and you'll be golden. by the way, if you're still undecided...choose ortho cause were damn sexy. yeah baby, yeah! )