I do have MDapps, and I just checked your profile. Very nice! What do you think about my credentials on MDapps? My username is the same.
More than excellent stats, good ECs and service/volunteering. But no research??? Sadly, that will hold you back at top 20 schools.
You will get multiple acceptances at the schools you have listed, but they will pricey for the private/OOS.
Unless you have some connection to NC, that may be a no go. Same with Tulane, need to give a good reason why you want to go to New Orleans.
Other than your alma mater, not really any reach schools, but with no research, I guess you are held back.
University of Michigan would love you, we have a huge contingent of Wash U here in Ann ARbor,
but would need some research to get an interview, same for Pitt/Rochester/Vandy/Case-Cleveland Clinic/Mayo.
WIth your stellar academic credentials and other volunteer/service work, my recommendation would have been to ditch the scribing, and get a year of research and apply next cycle
(especially if you are still around Wash U, the opportunities there would be limitless).
Didn't anyone at Wash U give you any advice on the research?? You have the ability to get into a top 20 school if you get some research.
However, if you just want to get the MD, you should get in this cycle, but you are settling. Just depends on what you want, and when you want it.
Good luck, and best wishes on getting the part of the country you can enjoy.