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The aforementioned surgeon summed it up to me like this. The difference between students in the top half of a solid state school and the top half of an academic powerhouse was effectively nil (in his eyes). Where the difference started to be appreciable was when comparing the bottom half.
check this out:
http://www.orthogate.com/forums/viewtopic.php?t=2603
check this out:
http://www.orthogate.com/forums/viewtopic.php?t=2603