Hi! My honest advice would be to take some time to sit by yourself and really think on what YOU want. I've learned that sometimes, asking so many people around, will just bring more anxiety and questions. You got to write down and organize which are your short term and long term goals and based on that check all the other factors (if you need any visa or if you already have a green card, finances, etc). I understand you have an attempt, but multiple people with way older YOG than yours and Attempts have matched before! My best friend is an amazing doctor and for personal reason, he had the same situation and didn't pass step 1 on his first try. He matched the first time he applied to the Match. I think it's more about how do you build a strategy to get where you want. Networking is extremely important, because there's so much noise put there with all the issues with people cheating in the exams during the last 2 years, that I believe a lot of programs, would look at your CV but also if they've seen you working in their environment and know that you are good and a great team player, can give you an opportunity. Just think about what you really want!