What schools are realistic at this point for me?

  1. OK, your interest in a possible career in medicine would not change much in terms of your college options ("Biomedical engineering," for example, would). Pre-med simply requires fairly standard courses across the sciences and a few other fields.
  2. It appears your last SAT was taken as a sophomore. This is unusual, and should be superseded by a re-test that would reflect your current academic level.
  3. Most colleges accept the majority of fully qualified students who apply, so even at a school such as the competitive NYU, I'd think your chances for admission would be fine (over 60%?). URochester and CWRU might be other schools along these lines.
  4. The UCs like high classroom preparation, and would weight your GPA highly. Some could be likely admits for you, depending on the calculation they apply to your grades. You might also want to look into the Claremont Colleges.
  5. Lists such as these can help you keep the universe of colleges in perspective in terms of difficulty of admission:

http://www.businessinsider.com/the-50-smartest-colleges-in-america-2016-10

http://www.businessinsider.com/the-610-smartest-colleges-in-america-2015-9

Though basically uni-dimensional in basis, they’re among the few that include universities and LACs together, and can be useful for that reason.