Coming recently from a big-city, academic west coast program, I can tell you that the midwesterners from smaller programs that rotated always seemed a little out of place on their away sub-i's...even just being in a big city when you're from oklamhoma, etc. can be a tough transition so i think it's hard but absolutely not impossible. I think your scores are fine and wont hold u out of any program in the country nor will they get you in. Letters of Rec, your relationship w/ your programs mentor and your clinical performance 3rd yr will be the bulk of your application. Talk to your mentor in your program and ask him/her if you think you have a shot - they have seen years of students go through and know what is likely realistic for you. If you don't like what you hear, talk to another person in the program as we all know there's a few eccentric opinions in every program. That said, if they're all saying yes or no, then you likely have your answer...if not, then it's probably a toss-up and no one on this forum could give you better advice other than to try if it means a lot to you. Just remember, nearly everyone wants to live in california so "lesser" quality programs have tons and tons of applicants to choose from. Figure out what's important to you (QOL, research, perks, experiences, program strengths, mentors, location, family, fellowship opps, etc) and go with that. Just my 2 cents. good luck.