capneedle, the raw scores mean nothing, it is the percentile ranking that count. Your scores appear solid, so go for it. Your experience as a ortho PA should be showcased, meaning strut your stuff on your rotations. As far as what to do with allo vs. osteo. Apply to both, if you match into an osteo ortho spot, take it. There are advantages to allo residency, however, ortho is competitive, and the best ortho program is the one you get into. Use allo ortho as a back-up. Greater than 90% of the ortho residents do fellowships, save to say you will do a fellowship. I feel that a fellowship will negate any short-comings with the residency. I am offering you my opinion as a DO ortho attending who is fellowship trained and in practice. Right now ortho is heavy recruited, both MD and DO orthopods are in demand period! Whatever route you take you will be successful! My opinion regarding Botsford, it is a demanding program. Of the residents I know at least 2 are divorced and 1 had a near divorce. Make no mistakes about Botsford, it is a rigorous program that takes a toll on the wife and family. This may have changed but was not the case 5 years ago.