Internal medicine, Manitoba
August before last core rotation
A little bit but more that my initial first choice was ruled out by a early summer elective
BSc med for one summer then withdrew and second summer wrote step 1, asides from that, nothing.
For internal specifically, try to do well on your CTU rotation and get 1-2 reference letters from it; That rotation is the best indicator of how you are as a medical student as most of med school is geared towards internal medicine content.
In general, greater focus on fundamentals of the medical sciences, as well on clinical reasoning.
What did you do in your four years of medical school that you found to be the most helpful during the CaRMS process?
Especially during clerkship when you have more time to read things, creating your own agenda for learning. Frequently visiting the bookstore to scan various medical texts and seeking resources online. I wrote step one after second year and it was crucial for me and developing a passion for medicine. It created independence with studying and was a trial run for the nbmes that were around the corner.
Your largest asset in the process is to have an authentic interest in medicine and/or the field you are pursuing (something based on my impression is scarcer than you would like to think). If you can communicate and demonstrate that, you will most likely be successful.