i guess my comments about research were a little vague. to be more specific see below.
to docindi: when you applied had you already been working in the lab, had you made an impact enough that your PI took notice and wrote you a great letter, were you in not top notch lab that is getting good work out there? in summation are you having a good enough experience where you are now really passionate about the research, and if so are you making that clear in your application? if you are making it clear, are you being penalized for a less prestigious residency or medical school? if so, you probably have to compensate even more in the research arena.
to shygirl: i hear you and applaud your desire to make patient care your utmost priority. the thing is with the top academic programs, excellent patient care is just assumed, and from what i gather, a resident's doctoring skills rarely correlated with the type of fellowship they landed. also, if pt care is truly your top priority, i would not worry about training at the heavy hitting research universities. any community program will do and might even be better for pure clinical training. from what i gather the job market is still sizzling hot so it really won't matter where you train. it only matters where you train if you want to apply for grants to get money for, what is the recurring theme, more research. to be on faculty at any of these institutions, you have to be able to carry your own weight and bring in enough money through grants to often times pay your own salary. from what i hear, especially right now, getting grants is quite difficult which explains why the fellowship committee truly want people who will bring that passion and hopefully successful research oriented careers to the institution.
hope that helps.