Rakmala, I hear you brother but the right woman will make it so worthwhile. I'm in a similar spot (minor research compared to you - nothing published but have better Step I). My girlfriend is also applying to a less competitive field so our game plan is to have her interview at 2-3 programs around our top 8 or so choices with at least 3 of those programs being reasonable places for me to get into. She is going to be exhausted but it should come down to where I get into because she will most likely get into at least one of the surrounding programs which should be fairly close or the same hospital because we also want to be urban. If you have any other advice you've heard of I would appreciate it because there must be many avenues we haven't thought of or programs who may be more likely interested in taking couples (maybe more rural programs?). Best of luck to you.