M3 fallen for ortho--advice

[MEDUSA23]

I am an M3 on my second week of ortho. I was decided on a different specialty until I fell in love with ortho. There isn't anything I haven't liked about it, yet. The surgeries are awesome and injections/splints/popping joints back into place in clinic are fun. I have been interested in pain based research and love how ortho helps relieve physical pain. But I am a planner. I had a stellar, very competitive application for the other specialty I was considering. Now, I feel like I have no time to pull together an ortho focused application. I don't even know where to start.

Female--I know it is a male dominated field so not sure how this impacts the process.
Preclinical years: 1 H, 2 near Honors, the rest passes
Step 1: 233
Clinical: H psych, HP neuro, P family med and IM, still have ortho, peds, ob/gyn and surg to do well on
Research: 5 publications, microbiology, cancer and psychosomatic related with applications to fatigue and sleep; nothing ortho related
Managed a lab throughout medical school
On track for distinctions in research and teaching = plan for an academic career
Lots of volunteer and leadership positions during medical school

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[massmocha]

It is going to be tough to get interviews with your application. Most programs get 100 apps per spot and interview the top 10% of applicants. They are looking for high Step 1 (Average for matched applicants this year is 245) and many honors, especially in medicine and surgery. You will want to maximize your away rotations at realistic places (state/community programs) and get great letters. You may need to take an extra year for research/extra aways.