I applied to 130 EM programs, not because I was told to, but because I thought it was a bad place to save money. I got 8 interviews. If you include home and away rotations, that's 10 interviews total. Still pretty confused about the number. AMG, MD school, step scores 230s both, Pass. EM rotations P/H, ok extracurriculars, interviewers commented on the strength of the second SLOE. No red flags. I think the reason I got a poor return on my applications is the P from my home rotation, which is home to a probably top 3 program in the country. I'd never done shifts in the ED before my sub-I, which is partly my fault. The expectations there were very high and the doc in the ED I was assigned to made it obvious she wasn't a fan of me, and I ended up in the bottom 40% with a Pass. It was nothing personal, I think, but my guess is she just wasn't used to seeing students who hadn't rotated in the ED before, and had never even done a lac repair. I worked hard and learned a lot, but it was just not enough. Anyway, I know that according to NRMP data I'm 95%+ likely to match, but a part of me thinks that this is very skewed by people who got 20+ invites and just chose to go on 10, not people like me, who got 8 legit invites total. Pretty worried about not matching, but trying to not think about it for the next 2 weeks. To third years reading this, I think the lesson here is that little things like a biased advisor can really mess up your ok application, and busting your ass studying for the boards could make up for possible weaknesses that you might not be able to control. Also, I think there's something to be said about doing an away first, preferably at a noon-competitive institution/area, before doing a home sub-I if your home institution has a highly competitive, hardcore residency where you'll compete against some of the brightest students going into EM.