M4 with late pivot to IR. Been trying to get an IR rotation on VSLO but haven't been able to yet. No IR/DR rotations or letters. Would appreciate feedback.

School tier: Mid tier midwest
Step 2: 274
Grades: 7/7 honors
Rank: 1st
Research (NON IR): 1 peer-reviewed pub, 7 peer-reviewed abstracts, 4 posters, 2 oral presentations
AOA/GHHS: AOA
Misc: No red flags or remediations, etc., 2 IM letters, 1 surgery letter, 1 pediatrics letter. Volunteering and leadership, tutoring, etc.