I think your situation is clear cut. Here's what to do. If you fail med/surg, do exactly what I did: Think about your life for a few weeks. Why did you fail? Did you really put 100% into it? Were you overloaded with distractions? I went through bad life events and was absolutely depressed during my first attempt at med/surg. Failing gave me the time to get my life under control, and I came back and got an A- in med/surg. If you were to approach me, id' be probably the quietest co-worker or co-student you'd ever seen. I don't show a lot of enthusiasm, but I LOVE to help others. You are a faithful person, so just focus on what I typed above. If you fail, decide if it was you, or maybe you are meant to do something else. Sometimes it is okay to fail, success sometimes starts with failure. I wish you the best, friend!