This is an example of the difference in perspectives between students/applicants and programs. The only information you have to "size up the competition" so to speak is the NRMP reports. So you see that derm applicants have >12 "research items"
But from programs' perspectives they actually see what those "research items" are. Do you really think that programs are so lazy that they put some BS local school presentation on the same level as a first author publication in a legitimate journal? I promise you, they don't.
And yes, absolutely, if we see that your publications are in fake journals that we've never heard of outside of our spam filters, it's going to hurt your application.
That's all
@mimelim was saying, before getting jumped on by people with far shorter CVs than his.