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Help building program list Psych (23x) US MD

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Kanye's Psychiatrist

thenextmcdreamy
5+ Year Member
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US MD at low-mid-ish tier/unranked MD school

Step 1: Pass 1st attempt
Step 2: 23x

Red flags: failed a shelf exam

Class rank: 3rd Tertile (my school doesn't do quartiles)

Clinical Grades: 4 HP and 3 Passes

Research: 1 pub, 4 experiences

EC's: A ton of volunteering and community service with several psych-related ECs and 3 leadership positions

I am hoping to do psych either in the South (Texas, preferably) or the West Coast (Cali and Hawaii) or the Midwest at low/mid-tier academic programs or community programs. I don't really care about going to big-name institutions like Harvard, UCSF, UPenn, etc. How should I approach this?