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.
Endocrinology, Diabetes and Metabolism Fellow
ABIM certified IM
ValueMD-the place "where nothing makes sense, but everything is related-fellow vmd'r gabon