@mouse2 quite honestly this whole process is a crapshoot, you have stats that are very competitive for many programs, but then again none of us know what the program directors are really looking for. As I’ve said before each program looks for different kinds of candidates. Your research experience will be very attractive to RPI/AMC, your lack of shadowing and hospital hours will hurt you if you were applying to schools that weigh that heavily like UConn or VCU. though neither of those schools were on your list so it won’t matter to you. Also none of the schools on your list will penalize you because you are OOS (I assume you are NYS resident so Stony Brook being a SUNY school works in your favor). Perhaps the biggest thing with every program is the candidate show a real passion for medicine whether that be lots of research or lots of hours shadowing. Your strength appears to be your academics and your research so exploit those strengths in the programs you choose. All this being said apply broadly and let the chips fall where they may.