very simple but no room for error. you can not decelerate. you must make sure that you only spend 5 semesters on the island. make plans to take step 1 as soon as you leave 5th semester. then get your pass score to meas asap. take whatever rotations they put you in the quickest. you cant be choosy. its all about starting those rotations and getting the ball moving. take very few breaks between electives if at all. that should leave you with some wiggle room for the 2009 match.