Updated details for a post from a month ago that didn't get much love:
Step 1: 210
Step 2 CK/ CS: Neither done yet, taking 6 weeks to kill CK
School: State MD school in the Northeast
Class Rank: Prob lowest quartile
Grades in Clerkship: HP Psych, HP Medicine and FM, HP OBGYN, Pass everything else
AOA: lol no
Research/ Publications: a pub and some posters from neuropsych lab work (like 6th author), hopefully will have a 2nd or 3rd author bio psych paper soon
Extracurriculars: SUPER involved in Psychiatry from the start of med school and even college. Clubs, APA involvement, etc etc without getting too specific. Going to make it clear in my PS I came to med school to be a psychiatrist, and I think it's clear even just by looking at my CV.
Quality of LORs if known: Will have at least one amazing LOR from core rotation in Psych
Red Flags: (step failures, etc): standardized patient failure, retook Peds shelf (failed shelf grades appear in dean's letter with a comment about the student's grade on the retake)
Open to suggestions about how to improve, though I think killing CK will be my best bet at this point. Also looking for advice whether an away (in my own city) should be done at a target or a reach program? This wouldn't be to show interest in moving across the country.
Also might be couples matching, curious how this plays into our scenario as well if anyone has any advice or anecdotes on this. SO is applying to a more competitive specialty with the scores and grades to boot.
Thanks everyone!
I agree killing CK would help. Certainly your extracurriculars and research involvement communicate a strong commitment to psychiatry so you want to show them you are also a safe bet in terms of your basic knowledge and ability to pass Step 3. An away MIGHT be helpful if you have great communication skills, and could mitigate concerns about this that may arise from the standardized patient failure (fairly or unfairly). Probably an away won't help further show your commitment as you have done that already. If your target program is a mid-tier program you are probably comfortable and can just focus on Step 2. If you are hoping for a more prestigious program its really hard to guess what might make that feasible.