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How big of a factor do basic science grades in medical school play when applying to residencies?
Very little, for the most part.
Obviously you want to get a good foundation for Step 1, but it's really more important to do well on Step 1, your clinical rotations, and get good letters of recommendation.
Very little, for the most part.
Obviously you want to get a good foundation for Step 1, but it's really more important to do well on Step 1, your clinical rotations, and get good letters of recommendation.
Very little, for the most part.
Obviously you want to get a good foundation for Step 1, but it's really more important to do well on Step 1, your clinical rotations, and get good letters of recommendation.
So which is it? Does it vary by program and by specialty?
How big of a factor do basic science grades in medical school play when applying to residencies?
What if you don't Rock the Boards? Our school maintains that students who get good grades do well on the boards and that they have in house research that shows a correlation. So, if you are in the bottom 1/2 of the class and don't rock the boards....where does that leave you? Forced into a specialty that you don't want to go into?
There is a pretty good variety within the less competitive fields, so it's not like you are forced into a particular one. But yes, your choices will be limited to the handful of fields that traditionally take folks with your stats. Might mean you are deciding between FP, OB, PM&R, Peds and Psych, instead of between derm and optho. That's just the way it works. Best to have an open mind and be able to get excited about something that ultimately ends up attainable. If you only see yourself happy in one of the specialties you aren't going to get, it's going to be a rough awakening.
I didn't say those were my grades, although I'm around the middle of the pack and am only an M1 so Step 1 is over a year away. But, I don't expect to rock the boards...I had only a lowly 30 on the MCAT and am hit or miss on standardized exams (did fairly well on the GMAT, only average on the LSAT). I just don't know what to expect...always thought Cariology would be interesting, but don't know if I could get into it without doing well on USMLE 1, etc. (not quite sure how that all works anyway). I have heard that if I do an IM residency here at my school, that they would prefer me for the cardiology fellow here....but that may only be hearsay (shrug).
I'm sure it does vary to some extent by program and specialty. But it's obviously safe to say that great letters can only help you, so try to get them.Okay. I know this is off-topic, but this is really annoying me and some of my classmates.
When it comes to letters of recommendation, how important are they?
For OB/gyn, I've heard everything from "I've never read a letter that was anything other than glowing - so I never read letters anymore; I just trash them," to "Letters are EXTREMELY important, because they are assessments of your capabilities from actual physicians!"
One of my classmates is going into general surgery, and she has heard the exact same mix of opinions.
So which is it? Does it vary by program and by specialty?
I know our school stresses the importance of the Dean's letter.... someone on this thread said something similar.
Can't speak for medicine or peds, but my meagre experience feels Dean's letter= charmin extra soft triple ply (unless someone has been disciplined for some reason- it would be in there). They are almost uniformly glowing...only reason to look at it is to get a sense of class rank if it isn't elsewhere.
Our school maintains that students who get good grades do well on the boards and that they have in house research that shows a correlation.
I would be interested to see how well the correlation used by your school fits. Do they actually show you the data and statistics or just say "we've run our own in-house research and can show you success in class correlates with success on Step I?"
The AAMC studied predictors for success on USMLE Step I and the MCAT had the strongest predictive value (r^2 ~80) for Step I success whereas 1st and 2nd year grades had a far lower predictive value. This is largely part of why the MCAT continued to be used as a medical school admission standard.
Just work as hard as you can for Step I, and don't let you "lowly 30" haunt you as a limiting factorI've often wondered, but what can you do? Pull the BS flag on the Assoc. Dean when he says it?
Just work as hard as you can for Step I, and don't let you "lowly 30" haunt you as a limiting factor
On another note, I've given up on grades at this point and have just tried to learn the material as best I can. So far it's working alright, because I feel like when I approach boards, I'll have a (false?) sense of confidence that I knew the material at some point, even if it maybe have been in a different context or taught in a different style AND I'm still doing above average. I guess just trying to learn for the sake of learning isn't that bad....
I know everyone says that 3rd year grades matter most, but that's hard to believe given their subjectivity. Residency directors probably just look for red flags in terms of grades and comments. Grading criteria differs too much between schools.
Step 1 is the only objective thing they have, so it HAS to be #1, unless the program is desperate and can't fill their spots if they screen step 1 scores.
Grades in required clerkships are the most important academic criteria used to select residents.
Number of honors clerkship grades was the second most important academic criteria used to select residents in the most competitive specialties.
I know everyone says that 3rd year grades matter most, but that's hard to believe given their subjectivity. Residency directors probably just look for red flags in terms of grades and comments. Grading criteria differs too much between schools.
Step 1 is the only objective thing they have, so it HAS to be #1, unless the program is desperate and can't fill their spots if they screen step 1 scores.
exThis echoes an earlier post, but if you are a poor standardized test taker but Honor (A's) all of your pre-clinical courses it provides a way to "prove" that you can perform but truly have trouble with standardized tests. Everyone always asks about what they need to do to match and the canned answer is do the best you can. Working hard in the preclin years will make preping for step 1 easier, much like doing well in the premed classes makes getting ready for the MCAT easier.
Nice ten year old necrobump.Most universities’ pre clinical tests look pretty much like an easier version of standardized testing so I don’t see how As could be more decisive than the steps
ex
PS: + ability to interview well. Have seen "perfect candidates" get thrown off the rank list completely for coming off as a punk (also hitting on a resident's wife at the meetngreet. oops.).