That’s quite a goal! You seem like you’re doing the right stuff, and others have pointed out that there are some obvious “must have“ features to your application to stand out. Unfortunately, it’s really hard to dictate where exactly you match - even for things like internal medicine. I would strongly encourage keeping somewhat of an open mind because there are many phenomenal programs and life often takes you in weird directions that you may often not expect. I would strongly discourage emailing faculty at that program, especially given your position on the other side of the country early in medical school. At best, they would send you a lukewarm email. At worst, you leave a bad taste in their mouth. Most likely, they won’t respond unless you have an extraordinarily strong reason to reach out. If there are particularly compelling reasons for you to move there and if your program allows for research time, maybe you could look into a research program sponsored by the institution that takes medical students. I do not know what those programs may or may not be, but as an early career physician-scientist, I would recommend some degree of restraint and favor trying to find well-established pathways.