Chances for Top anesthesia programs

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I’m a MS4 applying for anesthesia residency this September. Step 1 is 242 and step 2 CK is 238. 4 non-anesthesia related publications in journals. Several volunteer activities in med school. I attend a private mid tier school in the south. I’d ideally like to go to a top 20-30 anesthesia residency program. Any insight or advice? I’d like to be in a big city such as NYC, Boston, LA, Chicago.
Plan on applying to 50-60 programs as of right now.

Thanks