have you guys seen a ppt presentation called "charting outcomes in the match" from last year? 18 out of the 349 us seniors had 190 or less on step 1. the mean for us seniors was 222. the spread was about a 208- 238 behind plastic surgery, derm, ortho, rad onc, rad diag, transitional (?- reading it off of the chart) programs.
you will probably match but I think it would be more difficult than we may believe. so the advice that someone gave about applying broadly may be valid.
Yes scores are one part of the application but apparently programs have a difficult time looking at the rest of your app if your scores aren't what they want them to be.