Pretty confused about this with a kind of strange application. Very strong in everything but grades, wondering how that will affect me.

Applying IM, T50 US MD school in the northeast.

MD/PhD

Step 1: 257. Step 2: 270.

Honored 3/7 rotations (IM + FM + Neuro). Neuro is M4 though, so 2/6 M3 core clerkships.

Around 50th percentile class rank but not directly specified.

Sub-I: Honors

1 first-author manuscript accepted, 2 mid-author accepted, 1 first-author submitted, 1 oral presentation, several posters (11 items total)

Excellent LORs from sub-I, subspecialty, research mentor. SEL will say I am in the 3rd quartile of medicine applicants (It's based on M3 clerkship grades).

a few small awards including for research and civic engagement

No AOA/GHHS chapters

Geo Prefs New England, South Atlantic, East North Central