5K+ Member
Moderator Emeritus
10+ Year Member
Dec 20, 2004
Attending Physician
thank you.
I don't think this really belongs in the USMLE forum.
But to answer your question, everything "counts", it's just that some things count a lot less than others. So your Step 1 will count the most. Then your evaluations and grades in clinical rotations. Then things like research, etc may come into play for some residencies. Way way down the list are things like how you did in the first two years of med school. Which makes sense since many med schools are some variation of P/F for the first two years anyhow. So pure med school GPA won't make a huge difference, as long as you passed everything, but having done well on boards and rotations is going to make or break you, and to some extent how you do in the first two years of med school is either going to set you up, or hinder you for doing well on rotations and preparing for Step 1. Hope that helps.


Membership Revoked
Jun 15, 2009
Dirty Dirt
Resident [Any Field]
Its in 37 other posts in 19 different forums. Props for looking around before posting...

Grades rank between 5th and 9th on "reasons to accept or deny someone"

AOA good.

All Passes Bad.