So I should have asked...which schools have students match in to the toughest residency programs (Derm, Neurosurgery, Surgery, etc.) and a second question be which match at the toughest locations to get into...I agree that you can get into any residecny position from any school, but it is clear that some schools have more students matching into the tougher catagories than others...that is all that I was asking
This is more a function of the increased overall aptitude and motivation of the incoming class than of the school itself. Again, a lot of schools 'recycle their own trash,' that is, they take a certain number of kids from their medical school into the toughest residency programs at their teaching hospitals. For instance, Detroit Medical Center and SUNY Downstate routinely take ~ 2 people into Ortho and Derm from Wayne State and Downstate (not the most reknowned med schools), respectively.
Thats not always true of the other, higher ranked schools. So if you really, really wanted to match into Derm in NYC, your best bet may be Downstate, since
a) derm is such a crapshoot
b) all you would have to do is make it into the top 5% of your Downstate class and/or be one of the top two derm applicants from Downstate that year
c) Downstate's Derm Dept will take 1-2 people from Downstate every year
And before people start flaming about how its not easy to be in the top 5% at Downstate, et, et, remember that if you want to get into something like Derm, you're going to have to be in the top 5% of your class anyway. It would be easier doing this at Downstate than, say, Columbia or Cornell.
This also applies to other Residency-Locale combinations.