Good God, I am full of WTF. I applied to ~38, and only got 10 interview offers, went on 9. Derm-level board scores, plenty of honors, Sr AOA, no red flags/disciplinary/missed years, etc. I was expecting 20+ offers.
I'm considering not ranking one program because the city sucks and because my number of interview offers was so humbling/disheartening (relative to the work I've put in - I know big-picture it could be a lot worse) that I'm questioning whether somehow the 28 programs that denied/never contacted me saw something to make them think I'm wrong for EM. If I go past my #8, then it would confirm for me that EM is wrong for me, and I'd rather scramble into surgery or go back to my pre-med-school job than force myself into a specialty where I can't even get in my top 8.
Realistically I expect to match in my top 2 or 3, but this process has been a terrible kick in the droopies. End vent. F**k.