Sorry folks, but I would appreciate the insight of the group. I've been getting quite a bit of conflicting information, since people seem not to know how to advise me about my specific information. So here goes: At a top-tier state school MD/PhD, 8+ publications, solid PhD, research on molecular genetics 231 Step I Good Grades year 2 Mostly passes in year 3, plus an unfortunate pass in peds -- taking 4 years off made it pretty hard to do well on shelves in general. Lots of extracurriculars, volunteer work, teaching, etc... Would ideally like to go to CHOP in Philly, largely d/t geographical considerations and research interests. What do you folks (especially those that have already matched) think? Thanks a bunch for your help. I've enjoyed reading all the posts here for quite some time!