I am a US medical student with a step 1 208, 2/6 honors on clinical rotations from an average medical school. I have a little research experience during medical school, but no significant publications. I am anticipating that my LORs from relatively unknown physicians with whom i worked closely will be very good and a couple from more well-known docs may be average-good. I will be doing away rotations in IM subspecialties and neuro at Emory, GWU and Tufts this fall. I would like to go to an academic/university IM program (obviously, not Harvard or anything) in a big/big-ish city with the idea of going on to fellowship afterward. Is this reasonable? Also, are there university IM programs that DON'T use Step 1 cutoffs in giving interviews? Thanks!