I'm a medical graduate from Ireland. I graduated in the top third of my class with honours in all subjects and am set to get onto the basic training scheme (residency -5-8 years) of my choice in Ireland. Many Irish doctors undertake a 2-3 year fellowship in the states and come back to Ireland as specialist consultants in their field. I always liked the sound of this option, but I sat Step 1 when I was young and put very little work into it resulting in me completely bombing it with a score of 175. I know if I put in the work and re-sat it a few years down the line I would get 230ish. Is there a point in me going through this effort and resitting the exam or is it a lost cause? Bear in mind that at my time of applying for fellowship I'll have at least 5 years working in the field on a recognised training scheme in Ireland. Be honest, if this is a waste of time I will drop this dream and pursue my fellowship training elsewhere - not the end of the world in the grand scheme of things!