What do you think my chances are of scrambling into a categorical general surgery spot? You can be totally honest I am big enough to take it. I am a D.O. student in the top quarter of my class with a USMLE Part 1 of 210. I have awesome rec letters from both M.D. and D.O. surgeons. This really did blind-side me. Two of the programs I ranked all but guaranteed me spots. Oh well I must be more naive than I thought.