Medical What schools should I plan to apply to?

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Goro

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Hello! I'm planning to apply in the next cycle and am starting to work on making my school list. I'm hoping to find a school that is challenging and academically focused (although I know that probably describes any med school), but without a "cut throat" culture among students. I'm thinking that I will most likely want to go into primary care, potentially with a dual MD/MPH, so I'd love somewhere with a focus on community engagement, health disparities, etc. My home school is OHSU, but I would prefer not to be at home if possible. If you have any feedback/ideas I'd really appreciate it! Here's some info about me:

School: top 25 LAC
Majors: bio, anthro, and public health
GPA: 3.95 (science GPA 3.89)
MCAT: haven't taken it yet, but based on diagnostics I'm on track to score above 520 assuming things go okay
Shadowing: ~50 hours outpatient oncology, ~75 hours inpatient infectious disease (hoping to do more)
Clinical volunteering: Medical interpreter at least 4 hours weekly at several different free clinics throughout undergrad, screening incoming medicare/medicaid patients for social needs at a local ED
Non-clinical volunteering: ESL tutor for campus staff, college-prep mentor at a program for latino hs students
Research: started sophomore fall in a lab studying zebrafish nervous system development, have presented one poster so far, hope to present one more this year. 2nd author publication on my public health research at Brigham.
Summer 1: health promotion intern at women's shelter in Chile
Summer 2: research intern with division of global health equity at brigham and women's, also traveled to Peru with brigham/partners in health team and will have a 2nd author publication from my work
Summer 3: organized and ran a COVID testing site for a free clinic where I usually work as an interpreter, also worked on capacity-building for the medical interpreter program
Not a URM

And here are schools I'm thinking about: (I know the top few are crazy reaches, so any advice about which to prioritize trying would be helpful!)

Harvard
Hopkins
Penn
NYU
Stanford
Columbia
UCLA
UCSF
Wash U
Cornell
Duke
UW
Pitt
U Mich
Yale
U Chicago
Northwestern
Vanderbilt
Mount Sinai
Case
Emory
U Wisconsin
BU
UVA
U Rochester
Brown
Einstein
Georgetown
Dartmouth
Waste of time without an MCAT score. Once you have a score, we'll be happy to advise.

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How many total hours of clinical volunteering have you done? This description is too vague or I'm not getting it.
Sorry for the lack of detail- I've done ~300 hours as a medical interpreter, plus 75 in the ED screening for social needs and 50 running COVID testing. My non-clinical volunteering adds up to ~200 hours between tutoring and mentoring.
 
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