Im a US 4th year medical student aplying for derm this year. 246 step 1, ranked in middle of my class at a top 50 MD school, ive been told i have at least 2 excellent derm letters, 1 research paper submitted snd 1 case report submitted. I applied to 70 programs and have only heard back from 11 prelims so far. i applied everywhere but mainly northeast and midwest. i did 2 derm aways, so i should have interviews from them, but aside from 4 rejections i havent heard back from anyone. should i be worrird at this point? should i start callung programs