baylor21 -
I wouldn't go so far as to say that residency is a "numbers game and that's it." However, like medical school if you don't have the baseline numbers for acceptance then you'll be limiting your chances. I think we had this discussion before on another thread.
I'll be the first to say that my Step 1 score was only average and I'm sure there were a number of Surgery programs who didn't want to take a chance on interviewing an IMG with average Step 1 scores. There were programs which said you had to have > 220 to be interviewed. However, there were obviously a number of programs who were able to see that I had met at least some standard of academic excellence and looked at other factors in my application.
Don't knock being well-rounded - had I had the same Step 1 scores I had but without other interesting things on my app, its highly likely I would not have gotten many interviews or even a position. And with especially competitive programs, being well-rounded and having extra-curriculars helps differentiate you from all the other AOA, 99% USMLE candidates.
Bottom line is that for competitive specialties there are some academic qualifications which programs will require - some make a bigger deal out of USMLE scores than others (ie, setting a minimum score for applicants) - once you've made those, it is the extra-curriculars, LORs, etc. which can make or break you as a candidate. Numbers aren't everything, but they get your foot in the door; the situation is the same for the residency candidate as it is for the pre-med with a 3.0/25 - you've gotta be awfully special in other areas to be *the one* the programs select. IMHO, numbers are the first thing programs look at - and that can determine whether or not the rest of your application gets looked at, at some programs.
As an aside, when you apply through ERAS you can see what programs have downloaded from the ERAS server. It was pretty obvious when programs only downloaded my USMLE scores (although my Step 2 was above average) that I wasn't gonna get invited for an interview when they hadn't bothered to download my transcript, my LORs or personal statement. 🙁 Their loss I tell myself.