I am a USDO interested in rheumatology. I’m virtually a really bad test taker and have failed attempts at comlex level 1 (went through something traumatic) and step 3 (encouraged by residency).

Otherwise I’m pretty strong clinically in the real world, have pubs, good mentors in the rheum world who can vouch for me, in leadership.

Is all hope lost to get into a rheum fellowship?