I posted this in the General Residency forum, but wanted to see what you all thought too: I am a MS1 and am trying to find out how important preclinical grades are in getting a residency. I know that the ' the better your grades, the better you learned the material and therefore the better your board scores (usually)', and i def agree with that. But, when all is said and done and your application is sitting in front of a PD, is he/she going to care whether you got 10As and 2Bs or 2As and 10s if you have competitive board scores and LORs? I know that for ultra competitive specialties and residency programs, class rank plays a more prominent role than to 'less competitve residencies specialties and programs. The reason i started thinking about this was when i looked ahead to board time. A few upperclassman have told me that they spent the last quarter before boards just coasting thru their class enough to pass, while spending more time reviewing/studying for boards. Does anyone agree or disagree with that method? Appreciate any feed back. Us MS1 are so new to medicine that sometimes i think we tend to overworry about our grades during the first 2 yrs that it adds unneeded stress!