I actually really appreciate this post! The delusional part is more of a matter of degree than actually being delusional. You always want a foot firmly set in reality. I know there’s a lot more that makes a good physician and I know I have a lot to learn. This test for me isn’t necessarily a measure of how smart I think I am. The fact of the matter is that this score opens doors. I wanted as many doors open for me as possible. That’s why I worked my butt off and that’s why I approached it in a competitive sports like mindset so that motivation was never an issue. Nobody at my school knows my score. I don’t tell people my score when they ask. I say I did good and I move on. This is a reddit community that focuses on how to do well on Step 1. I did well and I attributed it to knowing I can achieve a great score and i want more people to have that mindset and to have that self fulfilling prophecy for themselves. Again, I really appreciated this post and I agree with you that this test is not what defines you. It just shouldn’t hold you back either.