I just saw this thread, and feel the need to address Georgetown's reputation as being competitive. First let me say that I'm a Georgetown grad and have since moved on elsewhere to do residency.
Yes, the grades are straight up curves. So yes, some people will get LP's, no matter the average grade, and some people will get Honors not matter the average. However, the LP's are internal, and they do not show up on transcripts mailed out to other institutions. They only serve to let you know exactly where you stand in the class. And if you are consistently getting grades in the bottom 5% of the class, I think we would all agree there is something off about your study habits or time management.
Other schools tell you that they are strictly pass-fail, and that they don't have a ranking of the students. Surprise! The last paragraph in your dean's letter will have something to the effect of we "highly recommend" or "strongly recommend" or "recommend" or something like that. And attached to the letter will be a breakdown of how many students in your class got each of the above comments. So if you are fazed by the thought of being compared to your peers in medical school, get used to it, it happens everywhere. It's just that some schools aren't as blunt about it.
Also, residency application is one huge ranking of ALL medical students. It starts with the USMLE, and let me assure you, I have never seen medical students from other schools offer tips and pointers to other schools.
No one at Georgetown will steal books or back stab. As someone else above said, there are tons of helpful people, and tons of study groups. But due to the strict curve, there's always pressure to perform to the level of your peers. This could be a good thing, as it drives and motivates. I see it a little bit like capitalsim versus socialsim. If there is no incentive to do well (i.e. everyone gets passes), then why put in the extra hours in anatomy lab, or staying behind to look at pathology slides? Everyone gets passes, right?
As you can tell, I think competition is unavoidable ---> High school to college (SAT), college to med school (MCAT), med school to residency (USMLE), residency to fellowship (in training exams), fellowship to job...etc. Anytime you want something somebody else wants, it's a competition. If you didn't want this competitiveness, then why not apply for something that nobody else wants?
This system is not for everyone. I worked way harder than my college friends who went to different schools all across the country. However, I believe the track record of residency placement speaks for itself. My residency program director told me that he always takes Georgetown students because of our reputation as hard working and dependable. At the end of the day, isn't that what every attending wants? Someone who they can trust their patients with?
I think Georgetown is a great education for someone who can stand the heat for 4 years --- work your butt off, suffer some abuse (but get tougher from it), find out you CAN take a shelf exam after being awake for 40 hours, and learn how to take care of patients. The reward is learning your medicine well and earning a good reputation that will precede you.