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I am not saying that scores don't matter. They certainly do. It seems that most of the top programs score cut off for step exams are >230 or 235, or at least they were when I went through the process three years ago (just started my CA-2 year). Some clearly required you to be AOA if your scores were in the 230s. I was student body president of my medical school and played collegiate sports (Div II), and had some additional leadership stuff that made me stand out. Aside from that, I interview well and had strong letters.
You need to make cut offs for step scores. That and letters in my opinion (from being on the recruitment committee for my residency) are what get you in the door. What you don't understand is that who determines that you get an interivew at a lot of programs is the residency coordinator/secretary. You don't really think that a program director has the time to go through 1000 applications, do you? Now the assistant program director might mine through some borderline applications looking for some gems, but they don't look at them all. I can guarantee you that.
Once in the door, your interview skills and interpersonal skills are what get you a spot. Once deemed "admissible" (i.e. scores, letters, and grades prove you are intelligent/skilled enough in their opinion to succeed) the next question they are trying to answer is whether they want to work with you for the next four years (are you a "team player," hard working, fun to be around, etc).
So, in my case...my scores, letters, and grades were good enough to be "admissible." That certainly doesn't mean I was the brightest or most intelligent applying. It simply implies I was intelligent/skilled enough where they didn't need to worry about me succeeding. Then, I interviewed well, and my top programs thought I would be an attribute to their respective program. So, they offered me a spot if I wanted it.
thats what i thought actually. step scores aren't as important as ppl think for specialties that aren't super competitive..