As the interview season is coming to a close, I am wondering how programs rank applicants. How much does an applicant's interest in the program affect the way in which they are ranked? Do programs see highly desired applicants and then say "they haven't shown any interest, so we will rank he/she lower." And then see a less desired applicant and then say "they have showed so much interest and want to be here, so we will rank he/she higher." Also, which is the best way to show a program you are interested? Emails, letters of interests, 2nd looks, calling the PD, contacting residents post-interview? Also, how far done my rank list should I put out alot of effort to show that I am interested in their program. I've been told that 2nd looks are not expected but does the program look at a person who has done a 2nd look as being more interested and does that subsequently change their rank. Also I've heard that 2nd looks should be only used for the applicants advantage to determine how they will rank programs. I know this has been discussed some before. But I was wondering if I show alot of interest in a program will that change my ranking or is all the damage already done with the interview. I'd appreciate any insight.