^^ To build on what usnabgo08 wrote: keep in mind that that is the total national yield. It varies from year to year, although in recent years, the number of 3Q+nom has risen while the offers of appointment have remained flat. But don't let that discourage you. Remember that YOU are the one in control of your physical, medical and academic qualifications. As far as nominations, a lot can depend on where you live and what sources you're eligible for. For example, New Jersey and Virginia are highly competitive, whereas some districts in Western states (WY, MT, SD, ND) may have just a handful or fewer qualified nomination applicants.