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Chances

  Thursday, 05 May 2016
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Is the research in orthopaedics?

If yes, then I don't think a research year is going to help you much. If no, then you might want to look into some ortho research years between MS3/MS4.

Either way, you want to solidify the rest of your application. Your step score is by no means a deal-breaker. Below average, sure, but still shouldn't take you out of consideration anywhere. Work hard on your clinical rotations, and try to honor as many as possible. Surgery and medicine are of particular importance. You should also study for and take Step 2CK early in MS4. You should schedule 3 or 4 away rotations. Since you don't have a home program, seriously consider rotating at programs where students from your school have rotated/matched in the past. Maybe apply for 1 "reach" program where research is emphasized.
10 years ago
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Others may have different opinions, but I don't know that a dedicated year off to "make connections" will help you that much. You should speak with your current research mentors and map out a plan of attack for your residency application.

To answer your other question, most residency programs generally set a Step 1 cutoff to get their stack of ERAS applications down to a reasonable number to send off to reviewers. This cutoff is going to vary from program to program, but I have heard anywhere between between 235 and 250. Obviously, the more competitive programs will have higher Step 1 cutoffs, and they might use additional screening criteria (i.e. honors in surgery and medicine, AOA). If you rotate at a particular program, however, I think they care less about your score as long as you didn't bomb it (i.e. >230).

This is a huge reason why you want to pick your aways carefully. Your Step 1 score might get you screened out as a non-rotator at some of the top-tier programs, but a strong rotation could be your ticket into them. That said, you need to play your cards correctly. I would advise against rotating at all top-tier programs, since these same programs will have rotators with great scores, grades, research, and letters from their home program.
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