No condescension intended.
Fair enough, text has very little context. I just don't like being misquoted.
I can and do deny it....or at least, I'd like to add a hefty dose of perspective to this, considering that I am the one participant in this thread who is actually an academic physician. Again, where one goes to med school is not nearly as important as where one does residency and fellowship. Where one does residency and fellowship is much more predicated upon med school performance (especially Step 1 scores and third year clerkship grades) than it is upon where one attends med school. Wherever you go, you will need to work very hard to do well and prove yourself.
Absolutely. The concern arises more from a sense of insecurity than rationality, but it's still a concern. Academicians, especially renowned ones, tend to have an extensive history of elite programs. Is it the programs making that happen or the self selection making that happen? I'd say self selection, but most people (particularly premeds) feel much more comfortable erring on the side of caution when it comes to their goals. Saying school reputation is irrelevant would be too far, so people don't like any potential 'risk.' Like insurance, it's up to the individual to be educated about their decision and set their own price point.
Maybe I just don't understand your distinction. What exactly is the difference between an "elite school" and an "elite dream school?"
The difference is between a person who would state, "I just want my medical degree and to practice medicine" and a person who would state, "My goal in life is to be a Harvard-educated physician and nothing in life would provide me more gratification than to attend Harvard Medical School." I think that's a pretty apparent distinction. You may not care, and it may not be relevant to their future as a physician from your perspective, but that's not necessarily important to an individual with that mindset. Same way a Lamborghini ownership may be a waste of money to you but the life goal of another.
Med school is a means to an end, not an end in and of itself. Premeds tend to conflate "dream" with "fantasy" when it comes to idealizing a medical school. The things people obsess about when choosing a med school (ex. PBL vs. lecture, school location, etc.) are almost all irrelevant in the long term *except* debt. When I say "long term," I'm only talking about less than a five year time period here. Approximately 4.5 years from the day you start med school, in January of your intern year, your loans will come due. How much debt you take on during med school can affect your life for years, even decades, after you leave med school. Whereas, never mind at my stage as an attending; how many residents do you think really care any more about things like whether their med school used PBL or had required attendance?
I'm entirely aware of this, and completely agree that premeds extremely overemphasize 'elite' schools. But I'm not talking about PBL vs Lecture, School Location, etc. I'm saying I don't think that's relevant if the person's "dream" is specific to attending a certain medical school. Everyone finds happiness in different things, and "dreams" are aspirations that ought not be ignored. When old, if her/his dream was to attend Harvard Medical School, I feel as though s/he will be far more content with themselves having accomplished it, and I believe there is value in that. But maybe I'm too optimistic and life is always simply Point A to Point B.
With limited exceptions, most people should choose the cheaper school if given that option. And the kinds of exceptions I'm thinking about are things like splitting a family apart (wife in one state, husband in another, especially if kids are involved), not whether one school has "dreamier" program features than another.
I'm in complete agreement, I made a similar decision in my own process. But to say a "dream" is irrelevant is completely subjective.
Honestly, excluding the word "dream" puts me 100% in line with you. But OP brought it up, so I addressed it as asked.