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i'm just going to put this out there - I take offense to you saying that your courses were harder than mine when I went to the same school with probably the same professors. I worked very hard my 4th semester and didn't get anywhere near a 54 on my shelf exams. Also this another reminder that this is the clinical forum and not the basic science forum.
I'm sure you will deal with hipaa and osha after you take your step - if they're needed for 5th the school will inform you. Worrying about them now shouldn't be your main objective. Take your step, then come on the clinical forum and take heed to what others are writing - it's good to be prepared I agree, i did the same thing. The step is stressful enough without adding clinical rotations on top of it. Good luck.
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[x] Surgery, [*]Family, []Psych, []Ob/Gyn, [x]IM, []Peds
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