starbucks1992
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I will be very honest here-I'm not a fan of it, and it's fostered a LOT of competition in our class. For reference, I'm in the second quartile, which is more than enough for the field I'm going into, and I have many interviews for residency, so I'm not posting this out of bitterness...but rather, honesty, and wishing that someone had told me this as I chose my medical school...How do you feel about p/f with quartile rankings?
Thanks! 🙂
Pass/Fail on its own is great. It lets you learn the material, for the sake of learning it, and being a better doctor, removing the stress of competition. But the quartile system undoes all that. I must say that the students at UC are, as it is, very bright-the cream of the crop gets admitted here-so now imagine, competing within an already-genius subset of people, to rise to the top. Residency programs, especially in competitive fields, do take into account your class ranking if your school ranks. I know people who studied extremely hard, day in and day out, and efficiently too...mastered the material enough to do crazy well on USMLE Step 1 and Step 2-but, due to the intense competition at UC, were in the lower quartiles, which put them at a disadvantage for residency. There are some people here who don't need to study much-just a little bit-and still get awesome grades-and they're the ones who can master the volumes of material and be in the top quartile. Anyone else is destined to the bottom three quartiles, and even being in the 2nd quartile was extremely difficult.
There is extreme competition and backbiting among students sometimes. We would have exams in designated rooms each week, and before the exams, it was very routine for students to congregate outside the exam room bragging about their class ranking or how they did better than average-and those who didn't, remained quiet. After exams, all the talk was about how "I hope I got these answers right, so I can be above the average". Once scores were out, all the talk was about "ahhh, I am above the average, i'm in the first quartile!" In my experience, people would go around, asking others their scores, bragging about their own scores. It seemed that people did not try to do well, primarily to learn the material for Step 1/2-rather, the goal was to beat others and be in the top 1-2 quartiles.
Many schools don't employ the ranking system especially not in M1-2. Ours does-and considering that everyone here is already so smart-it puts a lot of really well qualified people at a major disadvantage. Also keep in mind a good number of people come here having done a postbacc etc, having studied graduate-level biochemistry, molecular biology, anatomy (a lot of the M1 material)-so yes, it comes easier to them, they will be higher ranked...keep this in mind if you are applying straight out of college like I did...I'm fortunate to have made it to the 2nd quartile but I know many people who didn't and they felt pretty beat up about it, not to mention that now when they are applying to residency, they have a "3rd quartile" or "4th quartile" ranking on their MSPE which can be a disadvantage
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