I'm sure you will get some interviews, especially at smaller programs in less desirable locations (they aren't all bad). I agree with not wasting your money on the more competitive places/places that just don't deal with IMGs. A lot of programs list their minimum scores on their website (a lot of the time they require higher scores from IMGs). You could start there and try to narrow down where to apply to. Try to get pathology rotations under your belt/LORs from pathologists. Also, pathology research (particularly publications) can help strengthen your application. As for Cali....I'm not sure it's worth the extra paperwork. I matched this year as (as an IMG), and didn't bother with Cali--just because I was too exhausted having just finished CS/CK. Apply to all the programs you would be willing to go to, and interview at as many as possible. I matched to my number 1 program, as a US-IMG, so its possible! Best of luck!