USMD at a mid tier school in the Middle Atlantic
Step 1: Pass
Step 2: 266
Class rank: 2nd quartile
Clinical grades: 1 H, 5 HP, 1 P
Geo preferences: Pacific, East North Central, Mountain
Geographic ties: Strong ties to Arizona and Chicago, connections to California
Research: 3 first-author publications + 1 third-author publication, all non-anesthesia. 13 poster presentations including anesthesia research. Two additional manuscripts submitted (1 anesthesia, 1 non-anesthesia).
LORs: 2 anesthesia, 1 peds, 1 research ortho

Gold: Mayo AZ, Northwestern, UChicago, UCSD, UCI
Silver: Cedars-Sinai, USC/LA General, Loyola, BIDMC, Penn, Stanford, Mount Sinai, BU, Rush, UA Phoenix (brand new program, 1st starting class in 2027)

I'm mainly looking for feedback on whether my signals are appropriately distributed between reaches/targets and whether there are any programs you'd add/drop. Any general feedback would also be appreciated!