It seems like most programs in the scramble already chose their applicants, and I didn't match at any one of them. What things can I do to strenghten my application for next year, if I have mediocre grades, mediocre steps (190's) and I come from a Mediocre school (It does have AAMC accreditation)? I was thinking of taking one year off and doing research for the entire year at one good PM&R program. Will this increase my chances significantly for the next year Match or should I consider a change of career totally. Please be as honest as you can without being too harsh.