my advisor informed me that there were more spots this year than applicants, so this technically means that ALL ob-gyn applicants should have a spot, given that they're willing to scramble.
however, the more desirable programs, whether for reputation or geographic reasons, are still rather competitive. I would definitely recommend over 200 if at all possible to secure a spot, and over 220 for the more competitive academic programs. Of course, the board score is usually intended only for initial screening purposes when deciding whether to offer interviews. Most interviews I had concentrated on other aspects of the application. Scores don't mean much in a field intended to be primary care. They want to see that you're willing to work and will play well with others...
As for electives, I agree with global. A letter and good rapport with residents and attendings from your desired institution can go a LONG ways. (Of course, match day isn't here yet, so I'm probably getting ahead of myself here...) Also, I've heard that a letter from an institution known to be of a higher caliber than the program you want can also be viewed highly. So, for example, if you're looking at the SF bay area, a good letter from UCSF would put u at an advantage for the other programs in the Bay Area.
