Yeah, this fixation on prestige is kind of poisonous IMHO. I think that deep down, everybody on this forum knows that professional and academic success are largely dependent on individual achievement and that prestige is merely a secondary factor. Prestige just makes you feel good about yourself, like you accomplished something noteworthy (e.g., it feels good to say that you're a med student at Hopkins, UPenn or whatever). But I don't think that a medical degree from a prestigious institution per se is a golden ticket to a top residency--you have to earn that privilege. I wonder what would happen to a student at Duke that merely passes all his preclinical classes, clerkships, and board exams. Orthopaedics at Harvard---hmmm, I don't think so.