Seems like most med schools adcomm put a lot more emphasis in the applicant's quality (MCAT, GPA, extracurricular activities, LOR, essay and interview) than what undergrad school the applicant comes from - possibly with the exception for a few elite schools like Harvard and Johns Hopkins. Is that the same case when you apply for a residency when you graduate from med school? As a California pre-med, I have been put on waitlists by my state school and a couple OOS mid tier schools . Fortunately, I have been accepted by a so called safety school (NYMC), which is unranked by U. S. News. I would like to come back to California to enter a good residency program possibly in internal medicine. How important is it when you apply for residency whether you come from a higher ranked school (e.g. Mount Sinai, UC-San Diego) or from an unranked school (e.g. NYMC, Drexel)? This question does not include the few elite schools like Harvard and Johns Hopkins since they may be at a class by themselves.