well that fail on step I is gonna hurt...he should try to do IM rotations at places that prematch people from your schooland if offered take a prematch if IM is what he wants...he needs to definitely do better on CK (220+) and pass CS.
and when he is actually applying, he needs to apply broadly and widely...easily should apply to 100+ programs to get at least 15 interviews so he has places to rank.
prematch is what he should be looking to do to guarantee himself IM.
Come July 2013- Endocrinology Fellow
ABIM certified, fully licensed, IM
ValueMD-the place "where nothing makes sense, but everything is related-fellow vmd'r gabon