Is a school where everyone can live on campus harder than one where everyone lives 30+ mins away and have to drive in every day? What if you go to school in California vs the midwest/east coast, you have to deal with commuting in bad weather, thus taking more time, and you may have to deal with some degree of SAD, does that make those schools harder than ones in nicer climates?I still don't understand how nobody is equating 'requires more effort' to 'harder'. That's pretty much the definition.
They don't have to be useless, either...you can gain plenty from those sorts of things, even if it's not necessarily a higher board score. And in my example, it wasn't extra activities, it was the style of grading (other than P/F).
I am also not saying that my examples are the only way for things to be harder, just that they are one version which I could come up with quickly which didn't involve 'knowing more material for the boards', which isn't feasible since those are standardized exams.
At the end of the day, it seems like the issue I'm running into here is that all anyone in med school seems to care about are the boards, and those are standardized and thus the same across schools. That's nice and all, but your day-to-day life is still affected by the standards your school sets; even if you choose to mostly ignore them, that's a choice you had to make due to the different policy in place.
Every school has their benefits/deficits that present different challenges, I don't see how you can possibly consider one definitively "harder" than another based on something like lecture hours. It's not like you can't study or do flashcards/etc during those extra lectures if they are really fluff.