This question is probably for senior med students and residents.... My pre-clinical and clinical grades are only slightly above average (ie no chance of AOA), but I have multiple 3AANS presentations, and a clinical neurosurgical pub too. My board scores are also solid (233). I was just wondering if anyone had an idea of what my chances are of matching in a mid-upper teir neurosurgery program (places like Mt. Sinai, BU, Tufts, Georgetown...). Is there anything I can do over my last 1.5 years (I am currently a third year) to improve my chances. My medical school is extremely competitive, and I find it extremely difficult to get the top grade, no matter how hard I study. Thanks for the advice.