med school reputation vs boards

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

meepA

Full Member
7+ Year Member
Joined
Oct 30, 2013
Messages
16
Reaction score
0
When applying to medical school, it seemed like med programs were willing to accept college students with lower stats if they can from a "top-tier" college (ie. Harvard, Yale, etc).

I was wondering if this holds true for residency match... can medical school reputation somewhat offset a lower board score? Especially for the high competitive residency programs.
 
It depends on how low. Many programs have strict USMLE screens (the highest I have heard of is 240) which you must surpass in order to be considered for an interview.
 
It depends on how low. Many programs have strict USMLE screens (the highest I have heard of is 240) which you must surpass in order to be considered for an interview.

This is true, but if you peruse FREIDA you'll find that the "elite" residencies rarely employ strict cut offs.

Students from top schools absolutely have more leeway with board scores though, no question about it.
 
I am going into a non competitive specialty, and honestly there are programs which would just be happy to get about any US MD graduate. I have low (but all passing) step scores and I've gotten interviews at nearly all the programs I applied to. I think my success in the interview season was more about my US MD status than anything else.

Some Carib schools are known to have artificially inflated Step scores as they sometimes take inordinate amount of dedicated study time.
 
This is true, but if you peruse FREIDA you'll find that the "elite" residencies rarely employ strict cut offs.

Students from top schools absolutely have more leeway with board scores though, no question about it.

There's a big difference between a cut-off that a program is willing to publish and standard practice.

Having a high step 1 score is what allows you to apply to competitive fields. A well recognized name opens some doors once you achieve the score. Big name letter writer trumps big name school all day, every day.
 
It depends on how low. Many programs have strict USMLE screens (the highest I have heard of is 240) which you must surpass in order to be considered for an interview.

My scores are below the FREIDA cutoffs published for many if the programs where I interviewed. I figured I didn't have anything to lose. I guess they saw other stuff in my application they liked because I was even told by several that I would be ranked highly.
 
When applying to medical school, it seemed like med programs were willing to accept college students with lower stats if they can from a "top-tier" college (ie. Harvard, Yale, etc).

I was wondering if this holds true for residency match... can medical school reputation somewhat offset a lower board score? Especially for the high competitive residency programs.

This is especially true for competitive specialties, esp. the ROAD specialties. This will be even more the case with all these new medical schools popping up.
 
There's a big difference between a cut-off that a program is willing to publish and standard practice.

Having a high step 1 score is what allows you to apply to competitive fields. A well recognized name opens some doors once you achieve the score. Big name letter writer trumps big name school all day, every day.

Many times that big-name letter writer, works at...you guessed it..a big name school.
 
My scores are below the FREIDA cutoffs published for many if the programs where I interviewed. I figured I didn't have anything to lose. I guess they saw other stuff in my application they liked because I was even told by several that I would be ranked highly.

Awesome. Those programs obviously didn't have the strict cut-offs I was talking about.

Many times that big-name letter writer, works at...you guessed it..a big name school.

Agreed, but in many specialties large endowment/fame among the lay-public =/= famous department in your field of choice, which is why I made the distinction.

Bottom line is that of course coming from a well-known place is going to help you. But you still need to get good board scores.
 
I'd say no. Especially if you're talking about anything other than primary care. I think that's a great 'job security' type perk of medicine. You work hard at any school and you're going to get a good residency and will find SOME job after. Look at business or law school. Doesn't matter how hard you work if you don't go to a big name school.. Going to be tough to break into any decent firms..

I know people at big name schools with not so great applications who didn't get as many interviews as friends I have from a not big name school but they had better CVs overall..

I'd say just work hard wherever you are, first priority is LEARN all the material first two years because this will make studying for step one much easier and hopefully translate to a higher score. Most important test that will be in your ERAS

Kids at my school seem to have this mindset that they can do whatever the first two years and then do some exam prep program and miraculously pull off a 250+. Gotta lay the groundwork.

Sent from my XT1080 using Tapatalk
 
Except for one, most of those ROAD specialties aren't even hard to get into, comparatively speaking.

Derm is tough, optho is relatively tough, rads has it's ups and downs. Only anesthesia is "easy" to get into. ROAD was never about competitivness though, it was about lifestyle + income balance. No one doubts that neurosurgeons make bank, but it's also a 60-100 hour/week committment for the rest of your life.
 
from what i hear the new ROAD to happiness is rad onc ophthalmology allergy dermatology
 
from what i hear the new ROAD to happiness is rad onc ophthalmology allergy dermatology

Allergy is nice but the 'a' is probably still for anesthesia. Allergy requires three years of medicine (or peds).

Anyway, in ERAS, the programs can set filters for graduating year and board scores etc. In this way, no matter what school you go to, you're file may never make it someone's eyeballs. Now, if you were to email them and they look you up, for example, they could add you back into consideration. (This doesn't apply to most programs but is certainly the case in some competitive fields/programs)

The reason radiology is relatively more approachable than ophtho and derm is in large part because there are a lot of spots available. Step 1 average remains like 242 and hasn't taken a hit or anything, but there are a lot more places for people to look with a variety of stats. Rad Onc has similar stats but far fewer spots.
 
It depends on how low. Many programs have strict USMLE screens (the highest I have heard of is 240) which you must surpass in order to be considered for an interview.
I know a Derm program that used 260 as it's cutoff last year.
 
Except for one, most of those ROAD specialties aren't even hard to get into, comparatively speaking.
You actually think Radiology, Optho, and Derm aren't hard to get into? The NRMP statistics show otherwise.
 
Newsflash: high income, good lifestyle specialties ARE competitive.
The point was that while all lifestyle specialties are competitive, not all competitive specialties are lifestyle specialties. Don't overthink this.
 
You actually think Radiology, Optho, and Derm aren't hard to get into? The NRMP statistics show otherwise.
Newsflash: high income, good lifestyle specialties ARE competitive.
You've missed the point. A poster was implying that the ROAD specialties have been singled out because they are the most competitive, but that's not what it meant. It's lifestyle+income specialties. Yes, they are also relatively competitive (especially in the case of derm).
 
You've missed the point. A poster was implying that the ROAD specialties have been singled out because they are the most competitive, but that's not what it meant. It's lifestyle+income specialties. Yes, they are also relatively competitive (especially in the case of derm).

I was replying to this, which is patently false.
Except for one, most of those ROAD specialties aren't even hard to get into, comparatively speaking.
 
You actually think Radiology, Optho, and Derm aren't hard to get into? The NRMP statistics show otherwise.

What I assume this poster meant was that Derm is the one out of the 4 "ROAD" specialties that is super hard to get into. Yes, he was implying that Rads, Gas, and Ophtho are "less difficult", which is an argument I'll stay out of at this time. But you very much mischaracterized his post/stance.
 
What I assume this poster meant was that Derm is the one out of the 4 "ROAD" specialties that is super hard to get into. Yes, he was implying that Rads, Gas, and Ophtho are "less difficult", which is an argument I'll stay out of at this time. But you very much mischaracterized his post/stance.

I didn't mischaracterize anything. His words were, "Except for one, most of those ROAD specialties aren't even hard to get into, comparatively speaking." Implying that Radiology and Optho aren't even hard to get into [in comparison to Derm]. I'm pretty sure those in Optho would disagree.
 
I didn't mischaracterize anything. His words were, "Except for one, most of those ROAD specialties aren't even hard to get into, comparatively speaking." Implying that Radiology and Optho aren't even hard to get into [in comparison to Derm]. I'm pretty sure those in Optho would disagree.

He said "except for one" and it appears you assumed the one difficult specialty to which he was referring was Anesthesiology (inferred by your rhetorically asking if he thought the other three [explicity, Rads, Ophtho, and Derm] were indeed easy to get into). We're splitting hairs here, but I think it was implied in the post that Derm was the exception, and you probably didn't intend to include Derm in your post.
 
He said "except for one" and it appears you assumed the one difficult specialty to which he was referring was Anesthesiology (inferred by your rhetorically asking if he thought the other three [explicity, Rads, Ophtho, and Derm] were indeed easy to get into). We're splitting hairs here, but I think it was implied in the post that Derm was the exception, and you probably didn't intend to include Derm in your post.

Um, no actually I was referring to Derm as being the hardest one, which is what I thought he was referring to. I mistyped though. I only meant Radiology and Optho. Anesthesiology is MUCH easier to get into.
 
Top