Is AOA pretty much required (although it's possible to match without it, at least 80-90% of successful matches were AOA) for most of the top 20 ortho programs, eg. Hospital for Joint Disease, Barnes Jewish, UCLA, NY Presbyterian Columbia/Cornell?
Where does your 80-90% AOA number come from?
It was a random number to give as an example. What I meant was "the vast majority".
Cornell Presby is really HSS which has a strict 255 STEP cutoff and 100% AOA (most at top 20 schools). HJD is pretty close to this too. Not all "top 20" programs are equal in terms of competitiveness.
This is false.
Really doubt the 255 cutoff also
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Agreed. Heard rumors of a 250 cut off, but I doubt that too. Plenty of programs in FREIDA list a 240 step 1 cut-off, and there's no reason why HSS wouldn't list 250+ if it was actually true. Fact is, if they think you're the next freddie fu they'll take you with your "measly" 248...
A lot of programs with high screens don't list it. I know for a fact that MGH neurosurgery is 250 and they don't list it either. If they thought you could be a big shot in the field they would already know of you and pull your app manually (I'm sure some Weill students who know their leadership get this benefit).
More likely, they ascertain that you'll be a big shot from the rest of your app. Either way, this is the basis for my objection to the "strict" cut off you mentioned.
A lot of programs, eh? Are you spending a lot of time with program directors from across the country in orthopedics and neurosurgery as a soon-to-be MS-1? Not trying to put you on blast, but this is how these odd rumors get started. Even if you heard these rumors from a recently matched MS-4, they're often misinformed and prone to exaggerate the competitiveness of their match year.
My older brother went to HMS and matched MGH neurosurgery. Most of what I know comes from him. I agree that a lot of people likely exaggerate these kinds of things though. The 255/100% AOA for HSS I read somewhere on SDN so I definitely can't vouch for that. I'd bet that the average for those who matched there is not far from that though simply because it's a top program in one of the most competitive specialties in perhaps one of THE most desirable locations. Again, I can't say this with certainty, but it doesn't seem unreasonable.
My older brother went to HMS and matched MGH neurosurgery. Most of what I know comes from him. I agree that a lot of people likely exaggerate these kinds of things though. The 255/100% AOA for HSS I read somewhere on SDN so I definitely can't vouch for that. I'd bet that the average for those who matched there is not far from that though simply because it's a top program in one of the most competitive specialties in perhaps one of THE most desirable locations. Again, I can't say this with certainty, but it doesn't seem unreasonable.
I personally know a resident at HSS who was not AOA and had high 230s on step 1. He had a strong application with no weak spots, but did not need these video game numbers to match there.