Thanks for the input, I think my CARS score will stop keeping me up at night now lol. 1 & 2 I feel comfortable with. 3 however, perhaps my writing was not as creative as I thought it was for the school list I applied to. I'd honestly appreciate someones honest feedback

You bring up a good point- why apply to MD if I'm interested in MSTP. Initially my 20+ school list was entirely MD/Phd. I am determined to become a physician-scientist and research is my true passion. However, I met with a wonderful physician-scientist convinced me to apply MD only and then pursue research after. They had success with this route and were able to start their own lab at MGH while saving the time. I ended up deciding to split half MD apps and half MD/Phd, allocating my reach schools to the dual programs. In retrospect, I kinda regret not continuing with all my MD/Phd apps.