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A 515 MCAT is not enough for OOS schools to accept you, because they know from historic norms that candidates like you are most likely to stay in TX with its nice tuition.I am an ORM TX resident re-applicant with a 515/3.8. I have around 150 hours of clinical volunteering, 180 hours of nonclinical, >1000 hours of research with some posters, and probably average leadership/work experience. I also recently started working as an optometric technician/scribe to broaden my clinical experience and have updated whichever schools accept them. I've applied to all TX MD schools plus a handful of OOS schools (a combined total of 16 schools) but can't help but feel that this number is too low for a re-applicant. I think part of the reason I didn't get an acceptance last cycle was because of applying to too few schools that I had a good chance at. Should I apply to more OOS schools and DO as well?
I don't think that you need DO, but try it if you don't get any love by T-giving.
You have 3x hrs of research compared to your other ECs, so don't do any more of that, and in the mean time try to bulk up the ECs. Do you have shadowing experience?
Rewrite all essays and have multiple eyeballs vet them.
No love at all from the TX schools last cycle? If you had IIs, then work on interview skills.