If you haven't done so already, send UCSF a letter of intent saying that you'll go there up until the last minute. If you have anything else to update your file, send it in. It can't hurt. I hear you about not wanting to leave the city.... I feel lucky that I only have to go 75 miles away to UCD. Hopefully, evem of you end up in Philly for 4 years you can come back for residency. Good luck 🙂