I keep hearing that preclinical grades can be a major factor in residency selection. But that doesn't make a whole lot of sense. Many med schools have gone to pass/fail evaluations for the first two years. So how can RDs possibly compare a student at school A with all passes in the preclinical years to a student at school B with all C's = 2.0 GPA in the first two years? Or what about student A with all passes and student B with a 4.0 GPA? You have no way to tell the specific grades of the students at pass/fail schools. Therefore, you can't really compare them with prelinical grades. I believe that board scores, LORs, and clinical evaluations must be the sole basis for selection by a RD. This especially holds true for internal medicine residencies, even the top programs. Any other thoughts?