Hey, IMG Step 1 = 220 Step 2=231 18 months pediatric residency at home country. 1 year research fellowship in one of the top 10 children's hospital in the US with Strong LOR from a faculty member there, working on the other one. 5 publications in pediatrics. I am concerned about my step 1, I am applying broadly ,more than 120 programs, pediatrics only. I will be more than happy with 5-10 IVs, is it possible? I know my chances are really slim in top tier university programs and maybe mid tier programs. How about community-based ones? and If I hopefully matched to one, will doing electives rotations away on top tier programs increase my chances to get a fellowship there? Thanks.