When people on SDN refer to top-tier schools, they are generally refering to the research rankings. Yes, these schools are interested in people who are interested in research and academic medicine. You should look at the rankings for primary care schools. Heres the top ten:
1. U Washington
2. UNC
3. Colorado
4. Oregon
5. Michigan State DO
6. East Carolina
7. Vermont
8. UCSF
9. Wisconsin-Madison
10. Nebraska
As you can see, this list is vastly different than the research rankings.
If you aren't interested in research then you shouldn't be going to a school that emphasizes research because you will just be miserable. Yes, some top med schools have extra requirements. The humanities requirement is there to ensure well-rounded applicants and/or make you jump through more hoops because they know you want them
. Check the MSAR or schools's websites for more info on specific requirements. If you think Harvard is bad, Johns hopkins wants 24 hours of social sciences/humanities and two semesters of math. Did you not take anything besides science? Thats not good for your health
, especially for someone who doesn't like research.
Top residency spots are usually at top med schools and usually are heavily research oriented. Yes, prestige of the school is important for a residency spot, but again there is difference between research oriented residencies and primary care oriented residencies. You shouldn't go to a research-oriented med school if you hate research, even if you do get in without research experiance. If you love to take care of patients, go to a place that will give you lots of patient experiance. If you do well in your classes and on the boards you will still get a good residency and one that is aimed at patient care and not research.