Maybe a dumb question, but what is AOA status?
Alpha Omega Alpha (you can
wikipedia it if you want the history of it) is the only medical honorary fraternity. At OU, it basically just means that you are roughly in the top 17 percent of your class by GPA. Technically junior AOA refers to the top 5(?) percent after MS 2, and senior AOA is decided at the conclusion of MS 3.
Where you go to med school may have an effect on where you eventually match, but you can tip the odds in your favor by putting a stamp on your app that says you out-performed your classmates. AOA isn't "necessary" to get into the most competative stuff (derm, plastics, ORL, ophtho, etc.), but most of your top competitors will have it so you might want to bring AOA membership to the table too if you wanna do that stuff (not me though). Don't take my word for it. Look at the residents at
OU's most prestigious PGY program and you'll see what I am talking about.
It is important because if you interview at residency programs away from your school (and just about everybody does), the other places won't be able to measure you by your grades because so many schools (probably the majority) use qualitative (honor-pass-fail or some variation of it) grades rather than A-B-C, or they only give honor to the top x% of their class. As an aside, our grades are by contact hours, gross anatomy is worth five times the weight of embryo according to GPA calculation. They will give you a cute guide with a pie chart and stuff. Please ignore it. Instead work hard and treat MS 1/2 as a marathon toward USMLE step 1 rather than many short sprints to 90%.
So in the pantheon of all things holy according to residency programs, it may go something like USMLE step 1 score, AOA status, LOR's from docs, maybe MS 3 research, knowing the right person, etc. with different schools and specialties weighing those things differently. Way down the line, a "grade" that you got in anatomy may become an interview question if it doesn't seem to coincide with your specialty of choice (say rads, surgery), but your grades are not going to be that interesting to program directors in and of themselves. Of course it's worth mentioning that our test questions are supposed to mimic USMLE questions, so practice makes perfect.
When students are shooting for A's at OU, what they are really trying to do is stay AOA eligible by keeping their GPA perfect. Since we are not percentile-graded, theoretically everybody can get an A in everything, and it is not uncommon for the top 17% of students to run the table all three years.
I would continue to ramble off another twenty cents, but I just finished a 10-hour shift. Did every septic patient in this city get sent to my hospital on a night when I was the only micro tech on staff? Blast you sick people. And if that lady who left the ER AMA with an eye full of gono happens to read this, get back in there and get some ceftriaxone while you still have some cornea left.
Everybody wants to make it in, even if they say they don't care (some of us just have our grades rule us out earlier than others.
I'll buy that everybody wants to make it in, but it was a lot more important to me when I didn't know how we were evaluated. Nowadays I get more enjoyment working and writing poems than studying material that I find boring. So I'll agree, but there are certainly people who are letting it govern their lives more than others. I'm like Tiger Woods. Judge me by the majors.