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Need advice

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Canadian IMG

I'm getting like 215 on NBMEs right now and my step 1 is next week. I've been dealing with a lot of medical problems and my physician said he would write me a supporting letter to take a medical LOA..

But I kind of just wanna get this over and take the exam and start 3rd year. What should I do?

I know taking a leave would be looked upon really badly, but I don't know if a medical LOA looks as bad? Or maybe I should take it, and come back to 100% and take the exam later... I'm just scared that if residencies still expect me to do better because technically I had more time, would it still hurt me, especially because I need a visa?

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