I don’t understand questions like these. The whole point of residency is to graduate and become a consultant level physician. Not mediocre. Not a nurse. Not a technical monkey. You want to be someone the internists and surgeons trust and look to for guidance on their patients. That means reading and studying and doing well on ITE. While the score itself doesn’t matter, residents should try to do well and study. That is the value of a high ITE score: you’re a doctor who worked hard and studied and knows their specialty and can act as a consultant. Otherwise, why didn’t you just go to CRNA school?