"For U.S. seniors who preferred less competitive specialties, being a graduate of a top 40 NIH research medical school
was a significant predictor of match success (OR=1.41), and the fourth best predictor overall.
Yet for U.S. seniors who preferred
more competitive specialties, there was no difference between top 40 NIH schools and all other schools. So why do you think there is an advantage for "top 40 students" in lesser competitive specialties but NOTin more competitive specialties?
It's because the match is about the quality of the
student, not the school. Top 40 school does not equal high Step I score. High caliber student equals high Step I score. It just so happens that top 40 schools typically admit higher caliber students (on average) than the rest of the schools. Hence, when a higher quality student chooses a less competitive specialty = advantage.
Most medical students say that you'll get the same step I score whether you go to school X, Y, or Z. The step average at Harvard will always be higher, but its because Harvard admits higher caliber students not because of the quality of a Harvard education.
There's a reason that I can say with sweeping authority that Harvard is better than, say, nymc. This difference in quality, perhaps not always perfectly, is reflected in those rankings. For the record, I'm not such a big fan of rankings either, but when there's a difference of 40-50 spots between two schools, you can bet for the most part there's some substantial difference in quality (be it perceived, or actual).
We need to define "better" and "quality" I think. How would you like to define it? By the number of computers? By how new the facilities are? How many PhD's are on the faculty?
Here's how US News does it:
30% # of NIH research dollars awarded
20% opinion by deans of other medical schools
20% opinion by residency directors
13% MCAT score of matriculates
10% Faculty to student ratio
6% GPA of matriculates
1% acceptance rate (how many accepted / how many apply)
I don't know about you, but I dont think any of these categories are going to help me get my top choice residency. Honestly, the only people that care about these rankings are the actual schools because it translates into how many more applicants (suckers) will apply the next year.