Yup, most specialty programs look at class rank. Having high class rank can tell a lot about a person:
- He/she works a lot harder than most of his/her classmates.
- He/she is not only good in the didactic portion but in the clinical portion as well.
- If he/she has other things like research, OS externship, being a class president, volunteerings etc in addition to having good grades, it shows that he/she has good time management skill.
- Being a highly responsible person.
- Having positive attitude toward studying.
- Having the ability to think and work independently.
I don’t think I have any of the above qualities. I did, however, study a lot harder than most of my classmates because it took me a little bit longer to read the same material (English is not my first language). I was lucky that I went to a P/F dental school and the only thing that helped me get 7 interviews (out of the 17 ortho programs that I applied to) was my national board part 1 score. I spent nearly 3 months (7 days/week) to study for the exam and I got a 94.
For OS, the programs have to select candidates with high class rank and good CBSE score because they want to make sure that the OS residents can handle med school and pass the USMLE step 1, step 2 and other exams. They have to make sure that their OS residents can handle 60-80/week workload.