Would like to get sincere advise about what else should I do and what are the chances for me?

Would like to get sincere advise about what else should I do and what are the chances for me?

Credentials are:
Step 1 (196) 2nd attempt
Step 2 ck, (219)
Step 3 CS. Passed ( 2nd attempt)
Step 3, (198)
US citizen
8 months of USCE
YOG 2013
3 publications as a co- auther
4 years of full time clinical assistant experience at Penn medicine Lancaster general hospital.

Will deeply appreciate any sincere advise, guidance and support.