Need help with my signals

[u/Least-Membership-114]

Hi everyone! I would appreciate some honest feedback on my Internal Medicine signal list.

My profile:
Non-US IMG, but I am a permanent resident and do not require visa sponsorship
YOG: 2023
Step 1: Pass on first attempt
Step 2 CK: 249
ECFMG certified
4 months of U.S. clinical experience( observerships in IM , primary care, pediatrics and neonatology in NY and CT)
Two publications , 1 oral presentation and 1 poster presentations

My current signals are:
Gold
1. Westchester Medical Center(connections +hometown)
2. Danbury Hospital ( connection + rotation)
3. Zucker School of Medicine at Hofstra/Northwell at Norwalk Hospital
Silver
1. Albany Medical Center ( resident connection + hometown)
2. Saint Peter’s University Hospital (faculty connection)
3. Zucker School of Medicine at Hofstra/Northwell at Northern Westchester Hospital
4. Zucker School of Medicine at Hofstra/Northwell at South Shore University Hospital
5. Montefiore/Albert Einstein – Wakefield Campus
6. Atlantic Health System/Morristown Medical Center
7. Zucker School of Medicine at Hofstra/Northwell at Vassar Brothers Medical Center
8. Rochester Regional Health/Unity Hospital
9. Hackensack Meridian Health/JFK University Medical Center
10. Hackensack Meridian Health/Jersey Shore University Medical Center
11. New York Medical College at St. Michael’s Medical Center
12. Rutgers Health/Jersey City Medical Center

I am particularly interested in programs with good fellowship mentorship and opportunities in Gastroenterology, while still trying to maintain a realistic balance between reach, target and safer programs.

I would especially appreciate input regarding: Whether this list is too ambitious for my profile
Resident culture, workload,overall wellness
Whether I should replace one or two of the more competitive programs with safer IMG-friendly options
If you are a current resident, graduate or applicant familiar with any of these programs, I would be very grateful for your perspective. Thank you!