I kindly second the request for your strategy, and what you think might have gone wrong. I say this as a daddy2two who will have a limited geographical area, so I see a lot of parallels between your path and mine.
Number wise nothing is wrong which is what is so puzzling :-/
First two years mostly b/b+ few scattered a's and one c (anatomy)
Clinical years pretty solid a's with a few b+'s, solid comments from my evaluations
4 solid excellent strong LOR two of which were from department chairs
COMLEX step 1 50x (81 two digit score) step 2 53x ( 83 two digit score) passed PE first try
Applied broadly to >40 programs, got >30 interview invites and went on 22 interviews
Ranked 17 mid to low level programs - the rest were osteo only
Possible issues:
- I did not do a lot of self promoting at interviews because that is just not who I am
- possible me in general - I am very outgoing and have a pretty strong personality which may have turned some people off and landed me lower on rank lists
- possible questions of the kids and how we would do this although we had a plan and if asked I outlined it
- possible questioning of my commitment to medicine and family medicine in general given my path
- I heard family was way more competitive this year than a lot of people expected and I am rather average and no rock star - if I was competing against rock stars then I look rather plain
But these are all just guesses - everyone including my school is shocked I did not match
The statistical chances of me ending up at the bottom 1/3 of every place I interviewed is 7.7 x 10-7%
I am definitely buying a power ball ticket soon