Are you currently in the application pool? Have you received interviews?
Aside from Eagle Scout status, what community service have you done more recently?
Why not research? Gap year in Peace Corps or similar?
@noah2793 spend more time looking up your schools on the MSAR to see which schools are more friendly to OOS applicants with your profile.
There are many California schools on your list and UC Davis for one accepts virtually nobody OOS. Last year they accepted zero OOS and the year before only 2.
Minnesota and Hawaii are also low chance for OOS applicants.
You have many state public schools on your list that admit few non residents with no connection to the state (UC Davis and New Mexico only admit 1 or 2 per year and UC Riverside zero)). You also have no non clinical volunteering and should accumulate 150+ hours (homeless shelter. food bank. etc.) before you apply. Your 100 clinical hours are low and you should add another 100+ hours. I suggest these schools if you accumulate those hours:
OHSU
Kaiser
California University
Loma Linda (if you fit their mission)
Colorado
Medical College Wisconsin
Rosalind Franklin
Western Michigan
Oakland Beaumont
Vermont
Quinnipiac
Tufts
Dartmouth
Albany
Rochester
New York Medical College
Hofstra
Einstein
Hackensack
Drexel
Temple
Jefferson
Penn State
George Washington
Virginia Commonwealth
Eastern Virginia
Wake Forest
NOVA MD
Belmont (new school)
TCU
You really don’t need clinical shadowing abroad. It might be interesting but your application needs more hours in specific areas. You do need more clinical hours and nonclinical volunteering in the US.
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