In one interview, there was an ad com describing meticulously how apps are reviewed, scored, rereviewed, rescored, discussed, rediscussed, voted on, etc. The more complicated they make it, I guess it's job security for them. I don't know. It's too much and out of hand, in my opinion. Like, just pick some people already and reject the ones you don't want and tell them why. My observation is that all of this competitiveness, comparing, scutinizing, and hoop-pushing has some pretty negative effects: 1. Wastes a lot of people's time resources, and energy. 2. Creates a culture of elitism among physicians from the very start. A seed that is difficult to retrain. 3. Creates distrust, dishonesty, disloyalty, disillusionment, and profound disappointment among premeds.
I've worked with doctors for six years. The top 3 best ones went to Carib schools or Do schools after multiple failed cycles. The worst 3, most scatterbrained, poor bedside mannered ones went to top schools. N=1
It's almost like the "better" school you go to, your empathy, humility and ability to relate to patients can be inversely affected (note: "can be" not definitely will be, don't be offended if you're in the top tier. I'm just jealous of your high MCAT scores and shiny resume and trying to assuage my ego. I will soon be forced to accept my quotidian destiny.)