Disappointed

USMD with what I thought was a competitive application (solid grades, research, step 2, etc), but dropped to 7/16 on my ROL, past my home program and other strong programs. Feeling pretty down.

A few questions: • To residents/attendings that may have been in a similar situation—how did your residency turn out? • How will going to a “lower-tier” school affect my future career goals (eventually want to work in PP not academics). • What should I do to make myself a competitive applicant for fellowships?