I think it's important to understand what the survey is reporting. I admit that the rankings are interesting, but looking at the detail summary of the individual is more important to me. For instance, it's great that a school is in the top of a primary care list, but does that alone really tell you the quality of the school? I guess it can give you some indication that alot of students choose primary care, but the more important information to me is undergraduate GPA, MCAT scores, student/faculty ratio, and residency director ranking. Although these factors are not the "end all" determinants of a good medical school, they are personally more valuable then other objective measurements of schools such as a USNews rank. I wish USNews would also include pass rates of USMLE/COMLEX because it is another good indicator of quality. Measuring quality is difficult, but I wouldn't let the final ranking value be a primary factor in your decision since weights of certain values may not be similar to yours.