Originally posted by gimmedog
As an MS4 applying to residency, I've found it matters more than I thought. I absolutely do not agree with it, but it is something to consider. It really only matters at the very top (elite schools) or the **perceived** bottom, meaning mainly foreign schools. I was at a forum with many emergency residency directors and they were diplomatic but kinda brutally honest about that. They say it's hard to compare candidates because there is more variety, harder to know letter writers or meaning of the dean's letters, etc. FOr EM at least board scores are a lot less important than your clinical performance. On a good note, if you rotate and really shine--you can really make up ground.
For elite schools, you may have an easier time getting an interview. Of course, you can still put your foot in your mouth and let your psychopathology peek out.
I know foreign grads, and they have to work a lot harder to assure that they get a residency spot. Unfair but true.