Eliminated from contention

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
The dude literally is out here educating 4th years directly

I guess the point is by this time third year there’s nothing you can do about getting AOA or not, it’s decided at most places by now for Junior anyway. This info could only trickle down to first years/soon to be first years and be an issue.

Everyone’s entitled to their own values and opinion, my concern is that this will add unnecessary stress and unrealistic expectations.
 
Let’s try to keep the personal attacks out of this. Present data and logical arguments (or just your opinion if you don’t feel like it). If someone doesn’t want to listen, feel free to put them on ignore.
Thank you for your kind words
The dude literally is out here educating 4th years directly
My entire goal is to try and provide some input on this matter. I have good experience analyzing data and interpreting conclusions.
I've said this before and I'll say it again: What is the point of AOA? Is it to tell us what we already know? If I see someone with all honors, step 1 = 260, and AOA, should they get to say "I have 3 major academic accomplishments right there"? They don't have 3 accomplishments there--they have 2 (grades and step). The AOA just came about because of the other 2.
A lot goes into AOA. Some schools consider one's ability to work with others and be a leader. Other's look and judge one's altruism and volunteer experience when taking into account.
 
Thank you for your kind words

My entire goal is to try and provide some input on this matter. I have good experience analyzing data and interpreting conclusions.

A lot goes into AOA. Some schools consider one's ability to work with others and be a leader. Other's look and judge one's altruism and volunteer experience when taking into account.
What data dude. What data
 
What data dude. What data
Maybe I have to move more closely to the middle, but when there's only a .5 marker difference in importance of AOA vs Step 1 (with nearly the same amount of residencies reporting), that to me indicates that AOA is a serious accomplishment. Maybe it would be helpful to have some adcoms or some RDs comment on our differences in interpretation of the data.
 
Maybe I have to move more closely to the middle, but when there's only a .5 marker difference in importance of AOA vs Step 1 (with nearly the same amount of residencies reporting), that to me indicates that AOA is a serious accomplishment. Maybe it would be helpful to have some adcoms or some RDs comment on our differences in interpretation of the data.
.5?
 
Have you paid any attention to the other facets of an application that are ranked that high? Perhaps that will change your perspective a little bit
Yes, but many of those other things aren't quantifiable. You can't quantify fit. You can't quantify how much one "liked you" during an interview. Maybe this will make more sense to everyone

Quantitative metrics > Qualitative metrics
 
A bit misleading. Most likely there's a margin of error there. A 4.3 = 3.9 basically. At worst case, they are both equal
You’re not taking into account the 13% who gave it a 0/5. It’s more like 4.3 vs 3.4 across the 15 respondents.
 
You’re not taking into account the 13% who gave it a 0/5. It’s more like 4.3 vs 3.4 across the 15 respondents.
I'm not sure where you're getting 15 respondents? There's thousands of programs that participate in the survey. Poll lus, that doesnt mean they gave it a zero out of 5, but rather they choose not to mention it.
 
I'm not sure where you're getting 15 respondents? There's thousands of programs that participate in the survey. Poll lus, that doesnt mean they gave it a zero out of 5, but rather they choose not to mention it.

I’m assuming 15 respondents from IR, which was the example field used for this as one which has a higher preference for AOA.

The picture for all fields is different: only 60% cite AOA as important out of the 1233 programs, and 40% do not. It comes from a survey with these factors on it to select “important” or “not important” and if yes they rate on a 1-5 likert scale.

For reference, Step 1 is 94%.
 
I’m assuming 15 respondents from IR, which was the example field used for this as one which has a higher preference for AOA.

The picture for all fields is different: only 60% cite AOA as important out of the 1233 programs, and 40% do not. It comes from a survey with these factors on it to select “important” or “not important” and if yes they rate on a 1-5 likert scale.

For reference, Step 1 is 94%.
Hes seemingly basing all of this on some butthurt 3rd year who bombed step but got AOA. Either trolling or just an arrogant fool. Either way not worth pursuing this conversation any further
 
Hes seemingly basing all of this on some butthurt 3rd year who bombed step but got AOA. Either trolling or just an arrogant fool. Either way not worth pursuing this conversation any further
That "butthurt" third year happens to be my closest friend I've ever made. So her opinion matters a lot to me. I'm just trying to be the ome person who doesn't bash the importance of school's lectures and preclincials. At the very least, it is now a we report, you decide on who's right with those that are viewing our thread.
 
That "butthurt" third year happens to be my closest friend I've ever made. So her opinion matters a lot to me. I'm just trying to be the ome person who doesn't bash the importance of school's lectures and preclincials. At the very least, it is now a we report, you decide on who's right with those that are viewing our thread.
im sorry to keep bashing you, but you actually further hurt your credibility by revealing that shes your best friend.
And fyi, there are many people on here who believe preclinical lectures are important when used appropriately.
 
That "butthurt" third year happens to be my closest friend I've ever made. So her opinion matters a lot to me.
It’s kind of weird that someone needs to point this out to you, but just because you guys are friends and you value her opinion does not make her correct. You have to admit that her opinion is not an objective one: she has a below average Step 1 score (if I remember correctly), so it’s in her best interest to believe that Step 1 and AOA are on equal footing. And you are also not being objective in your data “analysis” by letting your best friend’s opinion shape how you view and interpret those surveys.
 
It’s kind of weird that someone needs to point this out to you, but just because you guys are friends and you value her opinion does not make her correct. You have to admit that her opinion is not an objective one: she has a below average Step 1 score (if I remember correctly), so it’s in her best interest to believe that Step 1 and AOA are on equal footing. And you are also not being objective in your data “analysis” by letting your best friend’s opinion shape how you view and interpret those surveys.
Well, like I said, I've reported my findings. Untill an Adcom or PI comes and comments, this will just be a we report, you decide situtation
 
Well, like I said, I've reported my findings. Untill an Adcom or PI comes and comments, this will just be a we report, you decide situtation

Ive heard it discussed with many PD’s and they all say Step score > AOA. Having AOA is the cherry on top. AOA won’t save you if applying to derm and you only have a 220 score.

That said, I saw it posted here before that the Gold Humanism Award is highly valued, sometimes more than AOA.

You’re placing too much value on AOA. At many schools, your Step 1 score is one of the determining factors for your eligibility in the first place.
 
Ive heard it discussed with many PD’s and they all say Step score > AOA. Having AOA is the cherry on top. AOA won’t save you if applying to derm and you only have a 220 score.

That said, I saw it posted here before that the Gold Humanism Award is highly valued, sometimes more than AOA.

You’re placing too much value on AOA. At many schools, your Step 1 score is one of the determining factors for your eligibility in the first place.
I don't know if I can believe you until I see those 'PDs' comment in the flesh. Like I said, a we report, you decide situation. If you guys shared your step score and whether you got AOA, that might help our readers get the most unbiased perspective on this issue
 
Last edited:
I don't know if I can believe you until I see those 'PIs' comment in the flesh. Like I said, a we report, you decide situation. If you guys shared your step score and whether you got AOA, that might help our readers get the most unbiased perspective on this issue

Trust me, with my step score I won’t be getting AOA.

And no PI will comment, as they are research people. PD’s are program directors. Semantics, but better you have it right.
 
Trust me, with my step score I won’t be getting AOA.

And no PI will comment, as they are research people. PD’s are program directors. Semantics, but better you have it right.
Gotcha. In fairness, you got to point to specific PD posts to support your argument. It's the equivalent of when someone in politics tells you to look it up.
 
Gotcha. In fairness, you got to point to specific PD posts to support your argument. It's the equivalent of when someone in politics tells you to look it up.

Unfortunately cannot do this as they were word of mouth. If you look on FREIDA, though, you can see that some programs have minimum Step 1 scores before you’ll even be considered (the surgery program I am rotating at has a hard floor of 225). If that says anything.
 
I don't know if I can believe you until I see those 'PDs' comment in the flesh. Like I said, a we report, you decide situation. If you guys shared your step score and whether you got AOA, that might help our readers get the most unbiased perspective on this issue

They’ve surveyed Orthopedic Surgery residency program directors. Aways and Step One were 1A and 1B. It was published in JBJS a few years ago.
 
Caveat: I didn't look at the survey data for every specialty OP listed.

From what I have heard from PDs, faculty at my own institution, residents, and fellow applicants, aways are pretty important (more important than Step). If you're a known quantity and have left a good impression, that counts for more than a good Step 1 score or AOA.

While you can't quantify "does well in an interview," programs like to get residents that are reasonably personable, articulate, and capable of thinking on their feet. On the other hand, if you're awkward or abrasive, people are less eager to work with you for the next 5+ years.

The best advice I ever got when it came to applying to residency was "Apply broadly, don't take anything for granted until you see the letter on Match Day, and be a human being - you'll match somewhere."

None of my mentors ever told me, "Well, LGM, you didn't get AOA, so you'd better start liking Family Medicine."
 
Actually can you please provide some insight?
That was pretty obvious that they were agreeing with literally everyone else on the thread but you. I’m sorry that happened to your friend but some schools don’t even have AOA, so that should speak to it’s overall importance. Definitely nice to have, but everyone takes step 1. Cmon now this is a strange hill to die on
 
That was pretty obvious that they were agreeing with literally everyone else on the thread but you. I’m sorry that happened to your friend but some schools don’t even have AOA, so that should speak to it’s overall importance. Definitely nice to have, but everyone takes step 1. Cmon now this is a strange hill to die on
I disagree. I'll wait to here directly from @aProgDirector
 
I disagree. I'll wait to here directly from @aProgDirector
Man you lack insight don’t you. It will vary from PD to PD, but everything is pointing to evidence against your claim besides an explicit statement from 1 of the however many PDs there are out there. Will that one statement change your mind? Because even that is technically statistically non significant due to low sample size. Sooo what’s your end goal here?

If everyone sees something except you, maybe it’s you that’s blind rather than everyone else hallucinating. Best of luck with whatever you wanna believe
 
I'm starting to think @jhenj529 has to be a troll.
No I'm not. I just want to hear from someone from a established position, An anecdote here and there along with some loose statistics won't convince me. My friend told me at the very least they're equally important, so maybe we've found some common ground, no? I'll admit 100% that I'm wrong if she comments and direct tells me that I'm wrong.
 
No I'm not. I just want to hear from someone from a established position, An anecdote here and there along with some loose statistics won't convince me. My friend told me at the very least they're equally important, so maybe we've found some common ground, no? I'll admit 100% that I'm wrong if she comments and direct tells me that I'm wrong.
Can you tell us what makes your friend an expert in the field? What makes her more of an authority than literally every other piece of evidence presented? You mentioned you won't be swayed by anecdotes yet you're basing your entire position on one. It just is plan to see. AOA is a nice bonus but will never be equal to step, especially with how non-standardized each school is. Obviously I'm not making any headway so I'll let you believe what you want to believe
 
No I'm not. I just want to hear from someone from a established position, An anecdote here and there along with some loose statistics won't convince me. My friend told me at the very least they're equally important, so maybe we've found some common ground, no? I'll admit 100% that I'm wrong if she comments and direct tells me that I'm wrong.
Just start over. Make a new account and start over.
 
Can you tell us what makes your friend an expert in the field? What makes her more of an authority than literally every other piece of evidence presented? You mentioned you won't be swayed by anecdotes yet you're basing your entire position on one. It just is plan to see. AOA is a nice bonus but will never be equal to step, especially with how non-standardized each school is. Obviously I'm not making any headway so I'll let you believe what you want to believe
Without getting into to many specifics, she has a role on the curriculum committee for my medical school and works closely with the faculty there. Supposedly, she has some insider knowledge that the data doesn't convey. She told me as I move forward with my education, she'll happily share this with me. She's also has talked to quite a bit of PD's at 3 different conferences. Lastly, she's in the top 5% of her class during preclincals (though I can't confirm this).
 
Without getting into to many specifics, she has a role on the curriculum committee for my medical school and works closely with the faculty there. Supposedly, she has some insider knowledge that the data doesn't convey. She told me as I move forward with my education, she'll happily share this with me. She's also has talked to quite a bit of PD's at 3 different conferences. Lastly, she's in the top 5% of her class during preclincals (though I can't confirm this).
sdid she say why she did less than average on step 1? I'm curious usually people with high class ranking (like top 10-15%) tend to do well on step 1 but it's not a given, and usually it's helpful for future test takers to know for their test preparation.
 
1. I don’t really care if she’s top 5%. Some people are going to be better at school exams than others. That is irrelevant.

2. “Insider knowledge” that doesn’t pan out in the actual data could very well be hearsay. If what someone else said is true, it could be her trying to rationalize having a not as great step score and hearing what she wants to hear. People do that all the time. Not a knock on her at all. It’s also a tiny sample size talking to PDs in one specialty at a conference when not all of them go.

3. Most faculty don’t know jack when it comes to post preclinical years, unless they are directly on residency admissions boards.

Everyone is telling you one thing and you’re sticking with your anecdote over the actual data. I’m finished with this. Best of luck worrying yourself over something that won’t matter
 
Without getting into to many specifics, she has a role on the curriculum committee for my medical school and works closely with the faculty there. Supposedly, she has some insider knowledge that the data doesn't convey. She told me as I move forward with my education, she'll happily share this with me. She's also has talked to quite a bit of PD's at 3 different conferences. Lastly, she's in the top 5% of her class during preclincals (though I can't confirm this).

Well youre in luck because people NEVER tell others what they want to hear.
 
Sorry if my last comment came across as snide or snippy.

The answer is: totally depends upon the program. Some programs may favor S1. Some may favor AOA. There's no way to know. As mentioned, AOA selection criteria vary widely at schools. There's no way to know.
 
Sorry if my last comment came across as snide or snippy.

The answer is: totally depends upon the program. Some programs may favor S1. Some may favor AOA. There's no way to know. As mentioned, AOA selection criteria vary widely at schools. There's no way to know.
YES! I was RIGHT. Thank you for your input! These guys were acting like it was no contest and step 1 > AOA always. @21Rush12 @libertyyne @Newyawk @Chibucks15 @ThrowawayShmoaway @Little Green Mensch @ciestar

 
Just found out that I won't meet the marks for AOA this year, and thus am eliminated from junior AOA. At my school, you need a certain amount of honors points each year to be considered, and I just barely missed honors in the module (.14 points) and I am out of contention. What's crazy is that I feel like we miss so much in our curriculum for step 1, and some of our exams just don't do a good job on testing our knowledge, with so much minutia mixed in with vague 1st order questions that. Only thing left is senior AOA which is based on clerkship, and I've heard evals are so inconsistent. Should I just put all my effort toward step 1 now? Any warming advice?


P.S) Gen surgery, radiation oncology and IR/DR are the specialties I'm looking towards
Why do you even care? AOA at my school was a dumb political jerk fest. You can be eligible by grades and unless you were playing their BS IM/primary care driven games you had strikes against you. All my old buddies killed it every day. Outlasted, outperformed, did well, still do well. Zero were AOA.
Just perform better than your peers.
Be better.
That’s it.
Your evaluations will reflect that.
The Steps will reflect that.
They won’t reflect if you were Junior AOA or not, and your future residency director, even at MGH, won’t say I know he’s got killer LORs and a 260, but no AOA? Don’t rank.
 
YES! I was RIGHT. Thank you for your input! These guys were acting like it was no contest and step 1 > AOA always. @21Rush12 @libertyyne @Newyawk @Chibucks15 @ThrowawayShmoaway @Little Green Mensch @ciestar


Appreciate the tag.
You’re fun.

I don’t believe i ever said ALWAYS. I would say MOST of the time a higher step 1 score without AOA will trump below average step 1 with AOA. Schools like Harvard and Stanford don’t have AOA and do you really think this presents a problem for their students? No.
 
Last edited:
I wonder if the fact @aProgDirector is an EM PD has any difference on their view on this as EM as a whole has less emphasis on step 1 compared to other fields of similar competitiveness (SLOE >>>>)

I still have a hard time believing that programs favor AOA >> step 1 unless it is something like IM at MGH where every applicant is 260+ so step score becomes irrelevant
 
YES! I was RIGHT. Thank you for your input! These guys were acting like it was no contest and step 1 > AOA always.

People were mainly disagreeing with your statement that:

...schools would rather see a 220/230+ AOA rather than 260 and no AOA.

Looking at the Match outcomes data, that does not appear to be the case.
 
@jhenj529 there is no program in the country that would take a 210 AOA over a 260 non AOA, barring some unusual factor. Use your common sense. One is an objective measure that literally every med student has on their record and the other is an honor that is given to about 15% of a given class in participating schools based on varying factors that are often not in the students control.
Go on believing you and your convoluted anecdotes are accurate. Newyawk out.
 
Appreciate the tag.
You’re fun.

I don’t believe i ever said ALWAYS. I would say MOST of the time a higher step 1 score without AOA will trump below average step 1 with AOA. Schools like Harvard and Stanford don’t have AOA and do you really think this presents a problem for their students? No.
You get it.
The Hen cat just likes to argue, he’ll be a superstar standout in IM.
Valuing AOA and really using it as some deciding factor or to overcome a shortcoming are very different things. The further you get along the less all this matters, and it’s for the best. If I only got my #2 choice vs #1 because some PD thought that I was a good applicant but didn’t have AOA, it’s probably for the best.
But that didn’t happen, because I got my #1 choice, without AOA, and without any shortcomings. 😉
However there absolutely will be some limited number of vain douches, in some limited number of programs, that think having lots of AOA residents is critical and some badge of honor, and they will undoubtedly tell you about that in your interview day comments. Listen for the bragging about things that matter to your career, not the worthless fluff. That’s absolutely not the kind of place for me.
And they will also, happily, highly rank the Stanford grad without AOA because deep down they know the real deal.
 
YES! I was RIGHT. Thank you for your input! These guys were acting like it was no contest and step 1 > AOA always. @21Rush12 @libertyyne @Newyawk @Chibucks15 @ThrowawayShmoaway @Little Green Mensch @ciestar

There was literally nothing in that response that said you were right. It varies widely by program and selection criteria vary as well so it is the furthest thing from standardized. Regardless...didn't you say you missed out on AOA? So why in the hell is this a big deal for you when you literally aren't in the group you're supposedly obsessed over. Have a nice life
 
Top