Wow, that has to be one of the more backhanded/insulting posts I've seen on a thread where people are celebrating their accomplishments.
You have no idea what that poster's #5 choice was, and therefore have absolutely no right to insinuate that this is not an accomplishment. I have a friend who matched at his #7, which is a top ten surgery program. His #1-6 were also top ten surgery programs. Despite the fact that he went down to #7, he's still going to be at a better program than a lot of other surgery applicants, and I'd rather be in his shoes than someone who matched at their #1 but didn't even get a chance to interview at some really fantastic places. Likewise, for all you know, that poster's #1-4 choices could have been places that rejected you pre-interview. So get off your high horse, please, and stop throwing insults at people who just found out less than a week ago where they will be spending the next 4 years, who may or may not be happy, and who are trying to make the best of it regardless.