Learning Disability Question

I am just starting my third year of medical school and have recently been diagnosed with a reading learning disability. I know it sounds very odd/rare to have such a late diagnosis, but without going into all the details lets just say I have gone to extremes to make it this far. My school is offering me testing accommodations (i.e. Time and a half) for my shelf exams, which I think would be extremely helpful. However, if I am provided with accommodations, this will be noted on my transcripts and thus will be seen when applying to residency. Does anyone have any advice on what I should do? Should I just keep struggling through these exams getting average grades without a time extension and avoid my stigma/weakness from being exposed, or do you think orthopedic residency directors would not care about me having a reading learning disability? I just want to do whatever will increase my chances of getting into a good program. I already took step I without any accommodations and got the national average, but I am certain that if I had a time extension I would have done significantly better. Any advice is greatly appreciated. Thanks!

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