Applied to a competitive surgical subspecialty, matched prelim surgery at a good academic center. Planning on fully committing to general surgery and not looking back now. What should I be doing or thinking about now? American MD student, step 1 high 230s, step 2 low 250s. Ok clinical grades, honored all my surgical subspecialty grades on aways, dozens of non general surgery pubs. No gen surg letters yet, I figured I’d get them at my prelim program but a bari surgeon I had a good relationship with offered to write me a letter, so it’s definitely one letter out of the way. Will I get shafted by applying categorical as a graduate? Should I only focus on getting a position outside the match? Any use in also applying to integrated cardiothoracic or vascular residencies? Help a brother out, thanks in advance.