Let's say you wanted to do spine surgery. You would need to do an ortho residency and a spine fellowship, correct? If this is not correct, feel free to tweak it. Or lets just say you decide you want to get into Derm or something, something high up on the list, alright. There are residency spots at a bunch of different places, from Hopkins, to my local university medical center. BOTH of which where you can do an orthopedic residency, ok. I have heard the doing a LITTLE less than stellar on your board scores will screen you out of the competitive specialties. The handful of "competitive" specialties I hear on here are specialties I doubt I will go into (e.g Derm). I know there are other factors that come into play here but I guess my question boils down to: If you do great in med school but not "stellar", is it considered "bad" to do your residency at a non "world class" powerhouse like Hopkins or Mayo? I know it is not all about the money but would this affect how much I am compensated? These are all serious questions, so PLEASE try and bypass the fact that I shouldn't be worried about this and just TRY and answer the questions. Thanks. Jeff.