what attracts you to dermatology? and more importantly, what are you willing to sacrifice to attain this goal?
some things i've learned going through this process:
1. aoa status/third year grades are more important than board scores.
2. having a reputable derm department/derm faculty advisor going to bat for you is essential. get to know your department.
3. letters of recommendation are equally important, if not more so, to board scores.
4. research (of any kind) is a bonus. writing a case report takes no more than a weekend or two to write, but can go a long way.
5. 40-50% of matches occur at the home program or one in which the applicant did an away rotation.
6. have a back up plan.
though i believe the the average board score of matched applicants a few years ago was mid to upper 230's or so, a 229 should not kill your chances. that being said, if derm is what you want, you have time on your side to get your ducks lined up in a row. good luck.