When I applied recently for retina fellowships, of 22 that I looked into applying and wrote down requirements for, 0 asked for OKAP scores, 6 asked for medical school transcripts, 2 asked for undergrad transcripts, 1 asked for a copy of the medical school Dean's letter, 1 asked for an additional essay, 1 had a questionnaire, and 2 programs asked for a program director's letter separate from the 3 in the SFM application. I don't think anyone asks for class rank (unless it's stated in the Dean's letter, but not that many programs ask for Dean's letters). Many wanted CVs and photos.