What is a misconception you used to have about the pre-med/med school process?

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The thought that the undergraduate school you go to doesn't matter,

when in-fact, it significantly does.

Could you share an experience by any chance? I went through this dilemma and constantly argue with lots of people over it
 
It's interesting you say this because of this current thread: State school vs. competitive private school

I'm not saying you're wrong, I'm just pointing out the two vastly different things being said at the exact same time.
Could you share an experience by any chance? I went through this dilemma and constantly argue with lots of people over it

The problem is, there are so many confounding variables, that it's very difficult to actually assess how much school rank matters. But one thing I can definitely say, I have had way less interviews than my friends at hypsm schools, even though I have better scores and a better application (along with being complete at roughly the same time).

An analysis by @Lucca (corrected) examined the make up of one of the top tier institutions and from that thread one can easily extrapolate that there is bias.
 
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The problem is, there is so many confounding variables, that it's very difficult to actually assess how much school rank matters. But one thing I can definitely say, I have had way less interviews than my friends at hypsm schools, even though I have better scores and a better application (along with being complete at roughly the same time).

An analysis by @efle (I believe, correct me if I'm wrong) examined the make up of one of the top tier institutions and from that thread one can easily extrapolate that there is bias.

I believe the consensus is that school matters insofar as did you go to HYPS or anywhere else.
 
You're probably thinking of the thread from Lucca about Yale SOM that found approximately 75% of their students come from just the top 20 universities/LACs. I have some similar data about the interview cohort composition for a different top private med school but I've never posted about it.

It also isn't some kind of clear HYPS vs the rest division either. For example Duke is better represented than Princeton
 
You're probably thinking of the thread from Lucca about Yale SOM that found approximately 75% of their students come from just the top 20 universities/LACs. I have some similar data about the interview cohort composition for a different top private med school but I've never posted about it.

It also isn't some kind of clear HYPS vs the rest division either. For example Duke is better represented than Princeton

Thanks! Corrected.

May I ask, why you have not posted this info?
 
I used to think I wanted to be a DO when I first heard about it because I liked the idea of more "hollistic" medicine. Didn't realize that there was practically no difference except for the fact that MD has less of a stigma. (I've shadowed two DO's now and 2 MD's and literally noticed no difference besides the specialty they were in so don't take this comment the wrong way as me trashing DO. My favorite of them was actually one of the DOs as well).
 
During my first two years, I did not think the application cycle would be so rigorous and mentally draining. I assumed it would be kind of like applying for undergrad, where I could apply to like 4 schools and I'd get into one somewhere.

I got to see my brother do his application cycle when I finished second year and found out what a ****show it was.
 
The thought that the undergraduate school you go to doesn't matter,

when in-fact, it significantly does.

I'd even go so far to say here that certain schools prepare undergrads for acceptance into and success in med school than others and that's why you see so many med students from the same kind of schools. For example, I'd say of every interview I went to, U of M absolutely dominated in terms of where people attended undergrad. So it may not be name or reputation of ones undergrad that gets them in per day, but the experiences and opportunities students from those schools have to allow them to populate the med field as much as they do.
 
Alright, for those curious, here are some interesting values regarding the 2017-2018 cohort of interviewees at a top private medical school (n > 500):

Attended Canadian college: 3%
Attended a college ranked only regionally by US News: 3%
Was the only interviewee from their college for the year: 13%

Among schools receiving a US News national rank...

US News ranked 1-25: 68% of interviewed students
US News ranked 26-50: 13%
US News ranked 51-75: 8%
US News ranked 76-100: 3%
US News ranked from 101+: 9%

The best represented colleges...

Hopkins, Harvard, Duke, Stanford, UCLA, Yale, Penn, Brown, Cornell, Dartmouth, UNC, Princeton, WashU, USC, Berkeley, U Chicago, Columbia. These 17 together provided the majority (54%) of interviewees.

Interesting aside not from this dataset: While the above 17 produced most interviewees, it's still only a very small minority of the yearly premeds generated from these schools. We're talking ~300 interviewees from the above, when in 2016 there were ~6,400 total MD applicants from these same 17 colleges.

Universities which were ranked in the top 25 but did not provide any interviewees:

Caltech, Carnegie Mellon
 
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Alright, for those curious, here are some interesting values regarding the 2017-2018 cohort of interviewees at a top private medical school (n > 500):

Attended Canadian college: 3%
Attended a college ranked only regionally by US News: 3%
Was the only interviewee from their college for the year: 13%

Among schools receiving a US News national rank...

US News ranked 1-25: 68% of interviewed students
US News ranked 26-50: 13%
US News ranked 51-75: 8%
US News ranked 76-100: 3%
US News ranked from 101+: 9%

The best represented colleges...

Hopkins, Harvard, Duke, Stanford, UCLA, Yale, Penn, Brown, Cornell, Dartmouth, UNC, Princeton, WashU, USC, Berkeley, U Chicago, Columbia. These 17 together provided the majority (54%) of interviewees.

Interesting aside not from this dataset: While the above 17 produced most interviewees, it's still only a very small minority of the yearly premeds generated from these schools. We're talking ~300 interviewees from the above, when in 2016 there were ~6,400 total MD applicants from these same 17 colleges.

Universities which were ranked in the top 25 but did not provide any interviewees:

Caltech, Carnegie Mellon
I can confirm that almost everyone in my interview at a top 20 school came from a well known school. However, I don't think graduating from these schools was the major factor for these students to get invited for an interview. I think it has to do more with how good these students are in the first place to get accepted for UG in a prestigious school.
 
I can confirm that almost everyone in my interview at a top 20 school came from a well known school. However, I don't think graduating from these schools was the major factor for these students to get invited for an interview. I think it has to do more with how good these students are in the first place to get accepted for UG in a prestigious school.
Yeah this is a theory that always pops up in threads about college names - that the students are there because they're great academically, so they go on to build fantastic MD school resumes, and so we can't say there's any impact of an Ivy name on an app reader.

I think that selection bias does exist, but it turns out the name effect does too. Private MD schools were surveyed by the AAMC a couple years back and reported attended a selective undergrad was a high importance metric to them.

Edit: One other thing I'd add is that there's some sense to it. These undergrads are jam packed with top percentile SAT scores, high school valedictorians, etc. Being at the top of the pack in that environment is then going to be especially impressive, and you do still have to be near the top - the median admitted GPA each year is a 3.9x at the school this interview data comes from
 
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Yeah this is a theory that always pops up in threads about college names - that the students are there because they're great academically, so they go on to build fantastic MD school resumes, and so we can't say there's any impact of an Ivy name on an app reader.

I think that selection bias does exist, but it turns out the name effect does too. Private MD schools were surveyed by the AAMC a couple years back and reported attended a selective undergrad was a high importance metric to them.
Thank you for sharing this link. If I am reading applications and ranking applicants, I would give a Harvard student with 3.9 more points than a student with 4.0 from an unknown school. I am saying this as a student graduating from a small school in the south.
I think students with high percentile MCAT coming from a low ranking school also get some credit for being able to score highly with a low quality education.
I hate the subjectivity in the whole process. We have to go through this again for residencies :bang:.
 
Thank you for sharing this link. If I am reading applications and ranking applicants, I would give a Harvard student with 3.9 more points than a student with 4.0 from an unknown school. I am saying this as a student graduating from a small school in the south.
I think students with high percentile MCAT coming from a low ranking school also get some credit for being able to score highly with a low quality education.
I hate the subjectivity in the whole process. We have to go through this again for residencies :bang:.


This is not true at all. Just because I go to a low ranking school does not mean my education was low quality. In fact, my education was on par with many top tier institutions.
 
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Many of my friends at my institution are in a similar boat.



This is not true at all. Just because I go to a low ranking school does not mean my education was low quality. In fact, my education was on par with many top tier institutions.
Education quality includes things like research opportunities and resources available to students.
idk I give up. Do you think med school should cover the name of UG when evaluating applications?
 
I underestimated the impact of random stuff that I did for personal fulfillment rather than for my application. Interviewers rarely discussed the things I was "supposed" to do, like hospital volunteering and seemed much more interested in random potpourri that I did just because I was interested.

It's interesting that you mention that! A lot of accepted students told me this too. They did stuff that no other premeds did and they had huge successes during the cycle. It seems like uniqueness is a big deal.

That is kinda frustrating because I haven't had time to keep up with any of my personal hobbies since I came to college. 🙁 I am finding fulfillment volunteering and doing research, but on top of classes, working out, eating healthy, and sleeping reasonable hours it is just impossible to do more. When I get tired I just either watch TV or go to bed...
 
Education quality include things like research opportunities and resources available to students.
idk I give up. Do you think med school should cover the name of UG when evaluating applications?

No. I don't hate the system, I just wish I knew more about it before I chose not to work hard in high school.

If you want to go to the very top institutions/programs, you have to work harder than everyone else at some point in your career. Either in HS to get to a great undergrad, or in undergrad to get to a great med school, or in med school to get to a great residency, etc. etc.
Plenty of opportunities to get up there, but the sooner you work hard, the easier time you'll have staying at the top.

Just my opinion.
 
No. I don't hate the system, I just wish I knew more about it before I chose not to work hard in high school.

If you want to go to the very top institutions/programs, you have to work harder than everyone else at some point in your career. Either in HS to get to a great undergrad, or in undergrad to get to a great med school, or in med school to get to a great residency, etc. etc.
Plenty of opportunities to get up there, but the sooner you work hard, the easier time you'll have staying at the top.

Just my opinion.

This is absolutely great insight!
 
It's interesting that you mention that! A lot of accepted students told me this too. They did stuff that no other premeds did and they had huge successes during the cycle. It seems like uniqueness is a big deal.

That is kinda frustrating because I haven't had time to keep up with any of my personal hobbies since I came to college. 🙁 I am finding fulfillment volunteering and doing research, but on top of classes, working out, eating healthy, and sleeping reasonable hours it is just impossible to do more. When I get tired I just either watch TV or go to bed...
At the end of the day you can only do a finite amount of things. There's always more you could be doing, but everybody has to make hard choices about what they are willing to cut out. This is true for pre-med, medical school, and life. I think it's very mature and reasonable to put a high priority on healthy living habits (that's something I struggled with mightily in college and have only recently gotten a little better at). I believe very strongly that if you put in the effort to do all of the things that you need to do, you'll get into medical school.
 
I realized I didn't contribute anything to the titular discussion.

The reality that surprised me most during the cycle: who you get randomly assigned as your interviewer is a HUGE part of getting into that school. It's a weird thing to think about but basically, it's a roll of the dice that will impact your outcome at that school as much as all those years of studying, volunteering, researching, and so on.
 
The reality that surprised me most during the cycle: who you get randomly assigned as your interviewer is a HUGE part of getting into that school. It's a weird thing to think about but basically, it's a roll of the dice that will impact your outcome at that school as much as all those years of studying, volunteering, researching, and so on.
And if those dice come up with a psychiatrist, you're screwed.
 
At the end of the day you can only do a finite amount of things. There's always more you could be doing, but everybody has to make hard choices about what they are willing to cut out. This is true for pre-med, medical school, and life.
Ah yes, I'm finally starting to learn how that works. In high school I had ample amount of time to pursue whatever I wanted, now I am constantly strained for time and motivation. For example I really love the nonclinical volunteering I'm doing so that's where I put my spare time and energy, but hey that sort of activity probably been done many many times so do not make me unique. But I'm finding a lot of fulfillment in a less-than-unique activity so I keep doing it.
I think it's very mature and reasonable to put a high priority on healthy living habits
Thank you. I do believe health comes before anything else. As long as I've got a healthy body and mind, I have the potential to achieve anything, no matter how long it takes me.
I believe very strongly that if you put in the effort to do all of the things that you need to do, you'll get into medical school.
Appreciate the encouragement. 🙂
 
I overestimated how valuable my research experience would be. I remember feeling a lot of pressure to find a research position early and get really involved. I had a lot of experience and even a publication but this hardly even came up at an interview and I don't feel like it did much for me.

I underestimated how important the MCAT was. I knew it was a big factor, but I thought it was more of a "bar" to clear rather than something that would have such a tremendous impact on my options. It was interesting to see how much better people who had MCATs even 2-3 points higher than mine fared in the process.

I underestimated the impact of random stuff that I did for personal fulfillment rather than for my application. Interviewers rarely discussed the things I was "supposed" to do, like hospital volunteering and seemed much more interested in random potpourri that I did just because I was interested.

I underestimated how stressful it would be.

I spoke with a residency program director and they certainly can screen applicants using raw numbers - like a filter on a search engine - so those numbers are really important. if they have enough applicants, they just have to filter out a certain GPA/MCAT to get into a more reasonable number of applications to review. If you have 1000 essays to review, you would figure out a way to shrink it down to 300 quickly too.
 
I realized I didn't contribute anything to the titular discussion.

The reality that surprised me most during the cycle: who you get randomly assigned as your interviewer is a HUGE part of getting into that school. It's a weird thing to think about but basically, it's a roll of the dice that will impact your outcome at that school as much as all those years of studying, volunteering, researching, and so on.

@LizzyM has previously expressed that the admissions committee is well aware of the personalities of different interviewers and knows whether a particular interview tends to be too lenient or too critical of applicants
 
@LizzyM has previously expressed that the admissions committee is well aware of the personalities of different interviewers and knows whether a particular interview tends to be too lenient or too critical of applicants

I encountered a very strange and unpleasant interviewer at a program I applied to and got accepted. I thought after that interview my application was going to be thrown away by that school. You may run into interviewers who like to see how you respond to stress. I now can look back at that and think it's nothing compared to the stress that can occur when your patient is dying and you are rushing to try to save them.
 
@LizzyM has previously expressed that the admissions committee is well aware of the personalities of different interviewers and knows whether a particular interview tends to be too lenient or too critical of applicants
I don't mean getting an easy interviewer or a hard one, rather getting someone who clicks with you or doesn't. I'm too lazy to dig it up right now, but someone ran a study where they put actors among actual applicants during a cycle, and compared how consistently the actors were scored among different interviewers. The interviewer agreement was abysmal, the interview assessment varied something like 50% based on matchup
 
I don't mean getting an easy interviewer or a hard one, rather getting someone who clicks with you or doesn't. I'm too lazy to dig it up right now, but someone ran a study where they put actors among actual applicants during a cycle, and compared how consistently the actors were scored among different interviewers. The interviewer agreement was abysmal, the interview assessment varied something like 50% based on matchup

But the interview assessment is not the adcom decision. It is part of the decision. If we know that Dr. A is picky and easily finds fault and Dr. B loves almost everyone and has just one or two pet peeves, we take that into account when reviewing the interview assessments. They can vary between the two interviewers but it evens out when the interviews and other materials are reviewed before a final decision is made.
 
I found the paper. Harasym et al in Academic Med 1996. They had actors intentionally perform well, average, or poorly in a interview and had different interviewers score them. "The most revealing finding is the substantial variance (45%) in candidate rating from one interviewer to another. This variability is reflected in the generalizability coefficient of 0.51, which indicates only moderate inter-interviewer consistency in rating."

So there you go! You could have the exact same average quality interview with faculty A vs faculty B, and there's a good chance the random assignment completely changes how you get recommended to the full committee. Since interview assessment is the #1 factor in admissions decisions by a big margin, that's huge.
 
The problem is, there are so many confounding variables, that it's very difficult to actually assess how much school rank matters. But one thing I can definitely say, I have had way less interviews than my friends at hypsm schools, even though I have better scores and a better application (along with being complete at roughly the same time).

An analysis by @Lucca (corrected) examined the make up of one of the top tier institutions and from that thread one can easily extrapolate that there is bias.




There could be other factors.
What state are you from?
What states are they from?
Did they have better application lists?
Are they all traditional applicants?
Are you a traditional applicant?
How many schools did you apply to?
How many schools did they each apply to?
Are you an ORM? Are they? Any of them UIM?


How do you know these people?
 
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But the interview assessment is not the adcom decision. It is part of the decision. If we know that Dr. A is picky and easily finds fault and Dr. B loves almost everyone and has just one or two pet peeves, we take that into account when reviewing the interview assessments. They can vary between the two interviewers but it evens out when the interviews and other materials are reviewed before a final decision is made.
So here's what I don't get - why are interview assessments reported as the most important admissions decision factor, if you all know that the applicant being scored poor vs good is mostly a reflection of who they got assigned? Like how the heck can Dr. B saying they love this candidate, just like they love all the other ones, be the leading determinant of your vote? You know it's not meaningful at all that they loved them and she's probably wildly inaccurate about whether they were actually lovable.
 
But the interview assessment is not the adcom decision. It is part of the decision. If we know that Dr. A is picky and easily finds fault and Dr. B loves almost everyone and has just one or two pet peeves, we take that into account when reviewing the interview assessments. They can vary between the two interviewers but it evens out when the interviews and other materials are reviewed before a final decision is made.
Sure, but let's say that Interviewer A marks almost everyone poorly for minor details, Interviewer B marks everyone as amazing, and Interviewer B actually seems to consistently differentiate between interviewees.

Now take students 1, 2, and 3. Student 1 is a strong interviewer, knocks it out of the park (except for a few minor quibbles here and there). 2 is average - no egregious missteps but doesn't have much to say. Student 3 has poor social skills.

Student 1 is going to get a 'meh' review from interviewer A (which the adcom will largely discount), a glowing review from B (which the adcom will largely discount), or a great review from C.
Student 2 is going to get a 'meh' review from interviewer A (which the adcom will largely discount), a glowing review from B (which the adcom will largely discount), or an average review from C.
Student 3 is going to get a 'meh' review from interviewer A (which the adcom will largely discount), a good review from B (which the adcom will largely discount), or a poor review from C.

You don't think that Student 1, if they end up with interviewers A or even B, suffers from the opportunity cost of not receiving a great review from a discerning interviewer that the adcom recognizes as such?
You don't think Student 3, if they end up with interviewer A, gets the benefit of the doubt and does better than if they'd gotten C?

Now, admittedly, most of us are student 2, and so probably it doesn't much matter in the overall scheme of things. But for an individual, it could reasonably make a notable difference in their overall picture.
 
In addition to the interviewers often disagreeing with each other, they as a group only correctly identified who was good/average/poor about half the time. I have a hard time believing you can go in, give a decent interview, be mis-scored poorly, and still do well at the adcom vote. And that's not going to be a rare occurrence.

Plus this is all made moot by the other studies about predictive validity of the interview scores. MMI does a little better, but at least for traditional interviews, the correlation to evals on the wards is very poor. Even if interviewers were good at scoring and consistent compared to each other, it still doesn't make sense how central to admissions they are.
 
This thread turned into a rant about how unfair medical school admission process is.

Luck is always a factor. Getting the right version of the mcat can raise your score by many points. A passage with a familiar topic in the CARS can improve your score significantly.
We can't do anything about it.
Please don't suggest the use of MMI, I hated every single station.
 
This thread turned into a rant about how unfair medical school admission process is.

Luck is always a factor. Getting the right version of the mcat can raise your score by many points. A passage with a familiar topic in the CARS can improve your score significantly.
We can't do anything about it.
Please don't suggest the use of MMI, I hated every single station.
Not unfair necessarily, it's a roll of the dice for all interviewees. I just never expected it to be so variable considering how much weight it's given.
 
Not unfair necessarily, it's a roll of the dice for all interviewees. I just never expected it to be so variable considering how much weight it's given.

Keep in mind that different schools have different ways of conducting an interview and using interview scores. Also keep in mind that interviers usually have a scoring sheet.

If all else fails, just remember that if you are good on paper and on an interview, it doesn't matter.
 
I thought that a 514 would give me an acceptance by now. HA. on 4 waitlists with 0 acceptances.
Feeling you. I let my 515 give me a bunch of false confidence.
 
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1) Thing I wish I’d known about pre-med: That grades really matter. I went through the first 2 years of college under the impression that a B- was perfectly acceptable.

2) Thing I wish I’d know before Med school: the LENGTH of the damn track. You don’t realize it as a senior in college because everyone is in the same boat. No one has money, a career, or a life. But 3 years out of college it starts to become very noticeable. Its frustrating seeing kids I knew buying cars, taking fancy vacations, and getting promoted - while I’m fully aware it’ll be another ~5 years before I’ll reach many of the same milestones.

3) One other thing. Remember that with med school the “break even point” is very far in the future - so once you commit you’re locked in. From the day you start medical school, it will be about a decade until you’ve just BROKEN EVEN on the investment.

None of this is to say I don’t love what I do, love what I’m learning, and love the career path. But god damn is it hard - in more ways than you would think.
 
So here's what I don't get - why are interview assessments reported as the most important admissions decision factor, if you all know that the applicant being scored poor vs good is mostly a reflection of who they got assigned? Like how the heck can Dr. B saying they love this candidate, just like they love all the other ones, be the leading determinant of your vote? You know it's not meaningful at all that they loved them and she's probably wildly inaccurate about whether they were actually lovable.
Sure, but let's say that Interviewer A marks almost everyone poorly for minor details, Interviewer B marks everyone as amazing, and Interviewer B actually seems to consistently differentiate between interviewees.

Now take students 1, 2, and 3. Student 1 is a strong interviewer, knocks it out of the park (except for a few minor quibbles here and there). 2 is average - no egregious missteps but doesn't have much to say. Student 3 has poor social skills.

Student 1 is going to get a 'meh' review from interviewer A (which the adcom will largely discount), a glowing review from B (which the adcom will largely discount), or a great review from C.
Student 2 is going to get a 'meh' review from interviewer A (which the adcom will largely discount), a glowing review from B (which the adcom will largely discount), or an average review from C.
Student 3 is going to get a 'meh' review from interviewer A (which the adcom will largely discount), a good review from B (which the adcom will largely discount), or a poor review from C.

You don't think that Student 1, if they end up with interviewers A or even B, suffers from the opportunity cost of not receiving a great review from a discerning interviewer that the adcom recognizes as such?
You don't think Student 3, if they end up with interviewer A, gets the benefit of the doubt and does better than if they'd gotten C?

Now, admittedly, most of us are student 2, and so probably it doesn't much matter in the overall scheme of things. But for an individual, it could reasonably make a notable difference in their overall picture.

Don't most schools have more than one interviewers per candidate? That's so it evens out. Just because interviewer A is a "hard marker" in interviews doesn't mean that there is no variability in A's reviews. Ditto interviewer B.
So it might go like this:
Student 1 will get a "great" review from interviewer A, a "great" review from B or a great review from C.
Student 2 will get a " average" review from interviewer A, a "great" review from B and a good review from C
Student 3 will get a "poor" review from interviewer A, a "good" review from interviewer B and a " average" review from C.

Decision makers will not discount interviewer A but will adjust everything upward, particularly after reading the comments, as they adjust in pre-interview review when comparing the gpa an engineering major from MIT to a sociology major from Salem State, particularly after reading LORs.
The adcom will not discount a "good review" from interviewer B but will say, "she loves everyone so a 'good' from that interviewer is really more like an average from anyone else. This is someone we might want to waitlist or decline." Also keep in mind that the rating is not in a vacuum and there are comments with the rating that justify the rater's rating. If the rating is based on something that seems idiosyncratic or unfair (the applicant couldn't name a book they'd read in the past year), that will be taken into account.
However, there is quite a bit of luck in how the interviewer clicks with you and whether an interviewer decides to supress the negatives and play up the positives in comparing you to other applicants that interviewer has interviewed.
 
Don't most schools have more than one interviewers per candidate? That's so it evens out. Just because interviewer A is a "hard marker" in interviews doesn't mean that there is no variability in A's reviews. Ditto interviewer B.
So it might go like this:
Student 1 will get a "great" review from interviewer A, a "great" review from B or a great review from C.
Student 2 will get a " average" review from interviewer A, a "great" review from B and a good review from C
Student 3 will get a "poor" review from interviewer A, a "good" review from interviewer B and a " average" review from C.

Decision makers will not discount interviewer A but will adjust everything upward, particularly after reading the comments, as they adjust in pre-interview review when comparing the gpa an engineering major from MIT to a sociology major from Salem State, particularly after reading LORs.
The adcom will not discount a "good review" from interviewer B but will say, "she loves everyone so a 'good' from that interviewer is really more like an average from anyone else. This is someone we might want to waitlist or decline." Also keep in mind that the rating is not in a vacuum and there are comments with the rating that justify the rater's rating. If the rating is based on something that seems idiosyncratic or unfair (the applicant couldn't name a book they'd read in the past year), that will be taken into account.
However, there is quite a bit of luck in how the interviewer clicks with you and whether an interviewer decides to supress the negatives and play up the positives in comparing you to other applicants that interviewer has interviewed.

This sounds like a discount to me, but I agree with everything you said
 
Don't most schools have more than one interviewers per candidate? That's so it evens out. Just because interviewer A is a "hard marker" in interviews doesn't mean that there is no variability in A's reviews. Ditto interviewer B.
So it might go like this:
Student 1 will get a "great" review from interviewer A, a "great" review from B or a great review from C.
Student 2 will get a " average" review from interviewer A, a "great" review from B and a good review from C
Student 3 will get a "poor" review from interviewer A, a "good" review from interviewer B and a " average" review from C.

Decision makers will not discount interviewer A but will adjust everything upward, particularly after reading the comments, as they adjust in pre-interview review when comparing the gpa an engineering major from MIT to a sociology major from Salem State, particularly after reading LORs.
The adcom will not discount a "good review" from interviewer B but will say, "she loves everyone so a 'good' from that interviewer is really more like an average from anyone else. This is someone we might want to waitlist or decline." Also keep in mind that the rating is not in a vacuum and there are comments with the rating that justify the rater's rating. If the rating is based on something that seems idiosyncratic or unfair (the applicant couldn't name a book they'd read in the past year), that will be taken into account.
However, there is quite a bit of luck in how the interviewer clicks with you and whether an interviewer decides to supress the negatives and play up the positives in comparing you to other applicants that interviewer has interviewed.

If only variations in interviewer bias could be taken into account simply by dividing interviewers into "soft marker, "medium marker," and "hard marker" categories.

In reality, interviewers' biases are generally far more nuanced and hard to predict. There are countless sources of bias; individual interviewers may depend on stereotypes, first impressions, overemphasis on positive traits ("halo effect") or negative traits ("horn effect"), etc. It's incredibly challenging to predict and account for subtle variations in bias among individual interviewers, even though these variations currently play a huge role in the high-stakes medical school admissions process.

A common reply to this argument is, "But it's good that there's unpredictable variation between the interviewers. After all, doctors are judged by a bunch of different people with different backgrounds and biases!" Yeah... except the interviewer sample size is 2 or 3 or 4 and utterly fails to statistically represent the population that would ultimately be judging these applicants when (or if) they become physicians.

Adcoms put way too much faith in interviews -- especially unstructured interviews, which, according to the latest research in organizational psychology, are completely useless.
 
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If you want to go to the very top institutions/programs, you have to work harder than everyone else at some point in your career. Either in HS to get to a great undergrad, or in undergrad to get to a great med school, or in med school to get to a great residency, etc. etc.
Plenty of opportunities to get up there, but the sooner you work hard, the easier time you'll have staying at the top.
I think this downplays the importance of location and connections. At my HS, I saw students with 4.0 GPA, perfect/near-perfect test scores, lots of extracurricular involvement and volunteering, etc.--people who were clearly both naturally gifted and hardworking--who got the shaft in college admissions. In fact, only 3 students from a class of 500 were accepted at colleges OOS (note: there are no "great" colleges in my state), and those were places where they had family ties. Maybe I'm just cynical, but it seems to me that if you start in a poor community in a state known for poor education, then hard work is not enough to get you out of that hole. And this is something that was corroborated during my first application cycle (2015-2016) when an adcom member told me that my research experience didn't mean much to top programs because it wasn't on the coast (or at one of the few "reputable" programs elsewhere), and my LOR's didn't mean much because they didn't recognize the writers' names.

So yeah, my misconception was that hard work was enough to get into a top program. I had to spend time intentionally forging connections and using those connections as stepping stones to new connections. It felt scummy/cheap doing so, but it seems to have worked.

Edit: To further prove my point: Only ~30 students from my state matriculate to an OOS med school each year. Now some students just choose to stay close to home, but I also have to wonder: Are there really not >30 applicants/year who have great ECs, stats, personalities, school lists, and a desire to leave my state? I mean, I feel like most of the premeds I've met want to leave my state. All I'm saying--your birthing conditions matter.
 
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The only thing I see the interviews doing is excluding the handful of people who have "scary" personalities. It also seems to help people who had had a bad break and who are able to persuade interviewers that they are far, far better in person than on paper (e.g. survived catastrophic, life changing event that took a toll on GPA but still a safe bet for medical school). Everyone else tends to stay on the stair they started on so the interview is both important (in screening out the 5% who are whacky) and not that important in the grand scheme of things.
 
The only thing I see the interviews doing is excluding the handful of people who have "scary" personalities. It also seems to help people who had had a bad break and who are able to persuade interviewers that they are far, far better in person than on paper (e.g. survived catastrophic, life changing event that took a toll on GPA but still a safe bet for medical school). Everyone else tends to stay on the stair they started on so the interview is both important (in screening out the 5% who are whacky) and not that important in the grand scheme of things.

So your school accepts 95% of the applicants it interviews? I find that very hard to believe. It's obviously more than the "5% who are whacky" who get screened out through med school interviews.
 
So your school accepts 95% of the applicants it interviews? I find that very hard to believe. It's obviously more than the "5% who are whacky" who get screened out through med school interviews.

I don't think its being said that they accept 95% of applicants, I think its being said that there are 5% of applicants who would normally be accepted that are ruled out due to their interview.
 
So your school accepts 95% of the applicants it interviews? I find that very hard to believe. It's obviously more than the "5% who are whacky" who get screened out through med school interviews.

and the rest get admitted or waitlisted. I could have predicted 90% of those waitlists before the interview based on the application. Those folks get offered an interview in the hope that they will be better in person than on paper.
 
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