Based on the neurosurgery Match List from the last six years, no one from my medical school has matched into neurosurgery. I imagine that this is primarily because we don't have a neurosurgery residency program here. For the record, it is a U.S. M.D. school. I have a burgeoning interest in this field, but am concerned that, in this case, my choice of medical school will hinder my progress towards it. Now that you're armed with this knowledge, I have a couple questions. Is there merit to my assumption about my medical school acting as a significant hurdle to my matching? If so, what steps can I take as a first year student with a preliminary yet well-founded interest in neurosurgery to achieve this goal (other than the obvious answers about class rank and USMLE scores, etc.)? Clinical exposure? Sub-internships? Letters from non-faculty? Faculty at other schools, even? Thanks very much for your help with this. I have enjoyed reading all of your threads over the last year.