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I'm not a bone doctor, but I can tell you that PRS has a similar skew to their applicants at our institution. Most of the people I interview are insane candidates with exceptional clinical performance, numerous publications, and compelling stories. The people we match, however, are always a mix of that cohort and more reasonable applicants. I suspect that this first group is overrepresented in the interview process because of their desirability, but better represented on the actual match because there are only so many unicorns to go around. I'm sure they're also the first to self-report their statistics on public forums because they're proud of their accomplishments.
It sounds like you've worked hard in medical school. Your research involvement is substantial, which, I'm sure, means you will also bring some quality letters of recommendation and behind-the-scenes networking to the application cycle. Every reviewer weighs things differently, so your clinical performance will matter more to some, less to others. I, personally, do not care about Step 2 score at all beyond the threshold that proves that you are able to commit yourself to studying, but I know this is not universal.
I think you should focus less on the long-term goal of matching, and more on your short-term goal of doing well on Step 2. After that, you can take better stock of your application as a whole and gain some perspective from your faculty mentors.
Above 220.Just curious in your personal opinion what score is the threshold that shows a student is able to commit themselves to studying?
If you don’t get it then I don’t see who would