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wtf, more derm than family med, more rad-onc than family med, more opthal/rads than family med
Oddly, the Penn list is missing 2 rad oncs, including one at Harvard. I honestly forget the other.


wtf, more derm than family med, more rad-onc than family med, more opthal/rads than family med
Penn makes no promise to address the primary care shortage, and openly broadcasts the fact their primary goal is to generate physician-scientists and leading academicians (unsurprisingly, since that's what their rep is based on). So I don't have a problem with their match results. However, at the same time, it's not hard to see why it might draw some concern.
So from the way it looks, it DOES matter what school you go to.
I feel like the name of the school gets downplayed a lot when deciding where to go. People talk about "price-tag" and "happiness" and location. Charting Outcomes or one of those NRMP studies show that being a "top 40" NIH school barely makes a difference and has less impact than grades or Step 1. However, looking at these match lists it seems like it's not so. Schools that are higher quality match better. USMLE avg are not that different across the board. Neither are 3rd year grades since an Honors is an Honors and purely subjective unless schools like Penn give 99% honors.
Should there be a higher emphasis on quality of school and not just all the other factors?
I guess Radiology at Brigham and Mayo, Neurosurgery at Boston children's, and Anesthesia at Hopkins is under performing.
Either way, people that are at those ivy league programs are smart, motivated, and hard working medical students. They work hard, get good board scores, and go where they want for residency. That's not too hard to understand....
What are you talking about?
2 Neurosurgery
4 Urology
7 Rads
4 ENT
11 Ortho
10 Ophthal
8 Derm
etc.
Not bad for a small state school with a ranking of 71st.
I agree that it's the program more than the specialty that shows "competitiveness."
Rads at community program is NOT more competitive than IM at MGH or Peds at CHOP. It merely shows interest of the medical school class.
If Penn has USMLE at 240, schools not comparable to Penn also post scores in 230's. A 10 point USMLE difference does not account for the difference in match list. School name and drive of students must play a difference to some degree. Question is what?
I guess Radiology at Brigham and Mayo, Neurosurgery at Boston children's, and Anesthesia at Hopkins is under performing.
Either way, people that are at those ivy league programs are smart, motivated, and hard working medical students. They work hard, get good board scores, and go where they want for residency. That's not too hard to understand....
Maybe I'm missing something here. I look at Penn and I look at MCG's match list, and I see a lot of full blown academic centers on both of them, with matches at Mayo, Mass Gen, Brigham, Boston Children's, Hopkins, Emory, Duke, Vandy, USC, etc.
Where you go to school definitely makes a huge difference in where you match, and how easy it is for you to match in a competitive specialty. Most residency program directors (at my medical school included) will tell you that the 3 factors that they look at most are: medical school attended, clerkship grades/AOA status, and step 1 score. Different programs and specialties might put a different weight on each of these, but where you go to school makes a big difference.
Those are definitely amazing matches (though check your facts: Boston children's doesn't have a neurosurgery residency, both BWH and MGH rotate at children's for peds neurosurg). I was never saying that the very top students at lower tier schools can't match awesomely, because they definitely can. I was just saying if you compare the mid-top (say ~80th percentile) of a middle or lower tier school with the bottom (say 20th percentile) of harvard or hopkins, you'll find that the harvard students match better, even though they almost certainly aren't more competitive applicants in terms of grades, board scores, etc.
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All I'm going by is the match list that was provided to us...
i'm not doubting that you're telling the truth here, but your anecdotes only have bearing on the programs at your school. all the data suggests that this is not the case, broadly speaking.
So, are you arguing that school matters or it doesn't?
These things are pretty widely accepted among current medical students:
-where you go to school matters a lot
-AOA status, 3rd year grades, and step 1 also matter a lot
After being on the interview trail for 3 months, these things are pretty obvious. If you are interviewing at a "top" program, everyone that you see from a "no name" school is a superstar- AOA, tons of research, etc. However, when you see students who go to med school at Harvard, Penn, Hopkins, etc.- they are often run-of-the-mill students, not AOA, and yet can still get pretty much any interview they want. This may be anecdotal, but you would be hard pressed to find anyone that doesn't have the same experience.
My impression:
-if you go to a top school, you can write your own ticket
-if you go to a less known school, you need to be a superstar to match at a top place
My impression:
-if you go to a top school, you can write your own ticket
dantt said:No offense but their match list is more consistent with lifestyle specialties than physician-scientists / leading academicians. There's nothing wrong with that. Just saying.
I just went through the match from a top school for transitional year and competitive specialty, and I think this is absolute nonsense. I had what I thought was a very competitive application and I got beat out on my rank list by numerous people from lower tier schools.
In the first place, I think regional bias matters more than school rep. I didn't want to stay in my home region, did aways outside of here, did research outside of here, and it didn't matter. I couldn't get off the east coast. At least I went from northeast to southeast. I could have probably moved to the midwest if I really wanted to... But almost nobody does, and hence it's not competitive.
I think the reasons why our school has so many people going into competitive sub-specialties is because:
1) We get a lot of early exposure to sub-specialties. It's hard to ignore the brand new cancer center and massive proton facility that constantly makes news.
2) The subspecialty departments are very strong. So you have a lot of access to advisors, letter writers, and research opportunities in those specialties.
3) Research is strongly promoted at this school. Well over half the class takes at least a year out or attains some other advanced degree.
I found that post very astute.
4) And to say what everyone knows but nobody actually wants to say... The students here really get grilled by the top medicine and peds residency programs when they rotate through. When you do the rotations and sub-Is in those departments most nurses/residents/attendings are unhappy, and as a med student they often make you feel like an unknowing, unhelpful burden. Then you go do a rotation in derm, rad onc, or some other "cushy" specialty, and all of a sudden here's a big group of friendly attendings and residents who actually seem like they enjoy life and want to teach you. The decision to go into a subspecialty becomes a no-brainer. As for FP, yes there is a subspecialty bias at the top research medical schools. If you talk to faculty here, they'll generally try to push you more towards IM, peds, med-peds, EM, etc... It's hard to subspecialize and have big research careers out of FP. Further, the big name med schools have weak or non-existent FP departments, as opposed to the large, flashy subspecialty departments. People know this coming in, and if they had a strong interest in FP/primary care, they probably wouldn't have come to this big name, expensive private school anyway that so highly values all that undergrad research.
I find it all interesting, because when I talk to my buddies at not so big name schools who go into medicine, most of their class loves their medicine rotations. Their attendings and residents tend to be happy people. This is not so at MASSIVE, BIG NAME PROGRAM where everyone is under high pressure, high stress, low pay, and the residents are probably hiding their actual work hours.
I mean sure, it probably does help a lot that our average step 1 score is about 240. But I don't think school rep really matters much at all.
As for why we end up matching at so many "big name" residencies... We're a big name northeastern medical school, so the location bias comes back in again. There's a lot of big name programs in the northeast.
If you go to MCG, you probably have a lot more incentive to stay in the southeast, and there's not nearly as many big name sounding programs in the area. Though that being said, pre-meds have no idea what programs are "big name" in any given residency field. It does not correlate well with the medical school.
In the end, I'm sure I have swayed nobody. I've been on these forums near 10 years and everyone is convinced school rep means everything all the time. I've lived it (from no name undergrad to big name med school to competitive subspecialty), and I still think this "prestige" factor means little to nothing.

And to say what everyone knows but nobody actually wants to say... The students here really get grilled by the top medicine and peds residency programs when they rotate through. When you do the rotations and sub-Is in those departments most nurses/residents/attendings are unhappy, and as a med student they often make you feel like an unknowing, unhelpful burden. Then you go do a rotation in derm, rad onc, or some other "cushy" specialty, and all of a sudden here's a big group of friendly attendings and residents who actually seem like they enjoy life and want to teach you. The decision to go into a subspecialty becomes a no-brainer.
Not only that, but the people who attend an academic powerhouse like Penn often want a career in academia. Top schools generally require research experience and expect you to do some kind of research while you're there. Top residency programs often expect some kind of grad-level research because they're geared toward academics. So the two things are really almost symbiotic- big academic med schools accept kids who have research experience, groom them to get into big academic programs, and the big academic programs in turn accept those students (they know their mentors, trust that they have learned how to run a research study, realize those are the students who'll probably take best advantage of an academic program's resources) and groom them to become academic physicians. Those who get into the top programs from the smaller, less-research focused med schools probably had a rockier road because they had to prove that they could compete- but they're still more than capable of getting the job done.
People often forget that some of these things are self-selected. Honestly if you just want to become a general practice IM doc, going to MGH is kind of a waste. You may have the grades for it, but what's the point? Or, you may not have the grades- after all, why fight tooth and nail to be the best of the best if you don't have to? Some of these top programs last longer than usual (they often include research time), the patients are harder to work with because the hospitals are tertiary centers, you may have less attentive teachers because many of them are more research-focused, and they may be more malignant and intense than the less awe-inspiring programs. So why in the world would you put yourself through that if you don't have to?
You guys have to get out of the premed mindset. It's no longer about "going to the best place" or "picking the best specialty". Even if I somehow pulled a 270 on Step 1 out of my rectum, I'd rather be shot in the foot than become like, a neurosurgeon or a radiologist or a dermatologist. The specialties I like have a Step 1 average in the 220s, maybe 230s. To be totally safe and know that I'll get to be at least semi-selective when I apply to residency, I'd like to get something in the 240s. Will I aim for higher? Sure. But I'm not going to be sweating bullets for a month either. It's way more self-selected than y'all think.
snip
I just went through the match from a top school for transitional year and competitive specialty, and I think this is absolute nonsense. I had what I thought was a very competitive application and I got beat out on my rank list by numerous people from lower tier schools.
In the first place, I think regional bias matters more than school rep. I didn't want to stay in my home region, did aways outside of here, did research outside of here, and it didn't matter. I couldn't get off the east coast. At least I went from northeast to southeast. I could have probably moved to the midwest if I really wanted to... But almost nobody does, and hence it's not competitive....
In the end, I'm sure I have swayed nobody. I've been on these forums near 10 years and everyone is convinced school rep means everything all the time. I've lived it (from no name undergrad to big name med school to competitive subspecialty), and I still think this "prestige" factor means little to nothing.
Neuronix, your post was interesting, but I still don't really buy your argument.
Look at your (Penn, right?) match list, then look at SUNY Stony Brook's Match list. If your theory that "school rep doesn't matter, it's all just regional bias" were true, then these lists would be virtually identical. But they aren't. Penn sends many more students to big name programs, both within the east coast and throughout the US.
I agree with you that regional bias is HUGE. Taking a glance at the match list for Penn and Stanford pretty much proves this. But it's only part of the equation. Stanford has a much more impressive match list than Loma Linda; and Penn has a much more impressive list than Thomas Jefferson. These differences are largely due to school prestige.
For those who believe that school prestige doesn't matter, I would strongly encourage you to ask any program director about this. In my experience, they are all very honest in stating that it plays a huge factor in residency recruitment.

Neuronix, your post was interesting, but I still don't really buy your argument.
Look at your (Penn, right?) match list, then look at SUNY Stony Brook's Match list. If your theory that "school rep doesn't matter, it's all just regional bias" were true, then these lists would be virtually identical. But they aren't. Penn sends many more students to big name programs, both within the east coast and throughout the US.
...
Neuronix, your post was interesting, but I still don't really buy your argument.
Look at your (Penn, right?) match list, then look at SUNY Stony Brook's Match list. If your theory that "school rep doesn't matter, it's all just regional bias" were true, then these lists would be virtually identical. But they aren't. Penn sends many more students to big name programs, both within the east coast and throughout the US.
I agree with you that regional bias is HUGE. Taking a glance at the match list for Penn and Stanford pretty much proves this. But it's only part of the equation. Stanford has a much more impressive match list than Loma Linda; and Penn has a much more impressive list than Thomas Jefferson. These differences are largely due to school prestige.
For those who believe that school prestige doesn't matter, I would strongly encourage you to ask any program director about this. In my experience, they are all very honest in stating that it plays a huge factor in residency recruitment.
...as for why Penn has a more "impressive" list than Jeff, that's been covered ad nauseum already. selection bias hurr durr
it's hard to tease apart how much of the difference is due to the school vs the students at the school
I would suggest that premeds are not in a good position to know which are the "big name programs" in each specialty. They are different in every specialty. And they often don't track what are perceived as the big name med schools.
you and your anecdotes again!! school attended is not anywhere near what PD's, in the aggregate, first consider. or are they all just lying to the NRMP survey?![]()
I guess we can agree to disagree. But, IMHO, you are kidding yourself if you think that school name isn't a huge factor in the match, on par with Step 1, grades, and research experience.
The data is pretty clear. The top school's match lists are filled with big name matches. The "mid-tier" and "lower tier" schools' lists may have some big names sprinkled throughout, but are overall not as strong. This happens year, after year, after year, after year. It's pretty obvious what's going on.
I've been saying this for quite some time as well. Folks believe what they want to believe. As a premed they think a "top ranked med school" is the ultimate achievement when in fact it's still simply base camp and the real mountain looms ahead in the form of Step 1 and networking and research other things that actually matter to residency directors.
...
Also, it is pretty easy to tell what the big name programs are. Hospitals like MGH, B&W, UPenn, UCSF, JHU are good in virtually every specialty. ....
I kind of figured this wouldn't last long...2011 Match results HAVE BEEN released. I am posting here in anticipation to help have a clearinghouse of orderly information for schools and programs.
1) I do not want to debate the merits of this information. That is not the purpose of this thread.

Wait? Is it pretty clear that the top schools already had top students that were great interviewers, standardized test takers, researchers, etc. OR is it pretty clear that PD are favoring top schools?
Sorry, my pretty clear detector isn't working today.
Um no. When I said EVERY institution is good in some specialties, not as good in others, malignant in others I wasn't excluding these.
I would suggest that if you are in fact in radiology, you are unlikely to know what the hierarchy is in other fields, so you are making statements well outside of your wheelhouse. How many radiologists keep abreast of how programs are regarded in every specialty -- answer zero.
...
Sorry but you aren't correct.
Again, why are you guys on SDN so hostile? It's really totally unnecessary.
I go to medical school, currently. I have friends applying in IM, ortho, Gen surg, etc, who have mentioned to me where they are applying and what the "top" programs are. I doubt my colleagues were lying to me that UCSF is great at IM, gen surg, and ortho.
Anyway, the purpose of this thread is supposed to be match lists, so I think this debate should stop or move elsewhere.
Man, you guys on SDN are hostile here in the pre-med section.
You are totally right. There are tons of confounders, so it's hard to tell if it is really "school name" that is causing the good match list, or something else entirely.
The answer is probably- both. Top schools have great students. And PDs prefer top schools (even if everything else is equal) partially because they have a reputation for having great students.
Again, why are you guys on SDN so hostile? It's really totally unnecessary.
I go to medical school, currently. I have friends applying in IM, ortho, Gen surg, etc, who have mentioned to me where they are applying and what the "top" programs are. I doubt my colleagues were lying to me that UCSF is great at IM, gen surg, and ortho.
Anyway, the purpose of this thread is supposed to be match lists, so I think this debate should stop or move elsewhere.
Question -- would Mount Sinai be considered regional when applying for residencies? The 2011 Sinai match list seems to be an "improvement" over previous years. Is it considered a good school only if applying in the NYC area? DO PD's think as highly of Sinai across the board as NYU or Cornell?
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