I failed anatomy my first year.  Since then I’ve performed solidly, haven’t taken Step 1 yet, but anticipate doing well.  Is neurosurgery no longer an option because of my failure?  Let’s assume I do well in clinicals (I have to assume that obviously).

I know current NS residents who failed a course and matched. However, there were no other red flags on their application.

that’s good to hear.  anyone else have any other insights?

tough room

it shouldn’t matter much at all. If you make up for it by having a stellar record the rest of the way then I doubt it will even get mentioned. Being on the other side of the application selection process, I’m surprised how little board scores even matter (once interviews have been granted). If you have research, good boards, good grades the rest of the way, stellar letters, etc.... then most programs won’t be hung up on one class at the beginning of medical school when you were getting adjusted.

Wait until your clinical rotations to see whether or not neurosurg is for you. If it is, work hard, do well on boards, do research, show commitment, and make good connections.