Medical School: Low-tier Midwest USMD
Clerkship grades: 6H (including IM), 1 HP
M4 grades: Honors in IM sub-I
Class rank: 1st quartile
Step 1: Pass
Step 2: 267
AOA/GHHS: No
Research: 2 pubs, 1 first-author manuscript (in-press), 1 manuscript (submitted), 1 manuscript that won't be submitted by ERAS deadline, 7 posters, 1 oral presentation
Extracurriculars: Exec board member for specialty interest group, mentorship, free clinic
Awards: Academic performance during M1/M2 year
LORs: Dept chair letter, 1 strong letter from IM sub-I (PD), 1 strong letter from M3 IM attending, 1 letter from M4 IM subspecialty elective

Geographic preferences: East north central, new england, south atlantic

Is the list too heavy? Especially without AOA, I feel like the school reputation might preclude me from getting interviews at top programs.