I am an MS4 heading into residency app time... and I am seeking advice on general surgery programs (in Texas mainly, but I'm also willing to move out of the state). I am looking to eventually do a fellowship in trauma and/or critical care. Step 1 was 240, still waiting on step 2 score, AOA, solid grades, one publication, and good dean's letter. On the downside, my clinical rotations are at community hospitals and clinics, so I have no LOR's from anyone associated with a residency program. I also have not been accepted for any away rotations (due to a late change in specialty choice). Obviously UTSW is the best academic program in the state, but I don't know much about any of the others. Any advice?