I am a Carib US img who will graduate in 2020. I made a mistake of applying this year without CK

Hey guys! I need some guidelines. I am a Carib US img who will graduate in 2020. I made a mistake of applying this year without CK.

Step 1: 221
CS: First attempt
CK: 224

USCE: clinical rotations about 72 weeks.

1 publication. Review article.

YOG: 2020
No visa required.

What are my chances for internal medicine and how can I strengthen them?