Male M3 at mid-tier MD school with one rotation left. Step 1 in low 230's, Honors in all clerkships so far. Unsure about class rank, likely 2nd quartile. A few poster presentations, no publications. I'm starting to think about aways but I'm unsure what kinds of programs I should be applying to? Are there programs that I'm essentially out of the running for due to my not-stellar step score? I'd hate to waste an away on a program thats essentially out of my reach and wouldn't match me anyways