What is considered a "major publication?"

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And how do these 'research experiences' stack up:
Basic science, clinical, educational, case report, chart review, QI, case report, etc...?

What do you mean by "major publication". I don't think programs reviewing your application look at your research experiences at categorize it as major publication or not. The best is to have first author original scientific manuscript (clinical vs basic science probably doesn't matter, the impact and implications of the research do though). Publishing in Radiology obviously looks better then some random journal, and from what I've heard most people don't care about papers you're on if its beyond second author. Lots of people could care less about a case reports, and abstracts are kind of a dime a dozen for applicants (I didn't even include all of mine on ERAS), although if they lead to oral presentations they do look good.

If you're preparing yourself to apply, try finding projects that have a high likelihood of being published, such as one where negative or positive results would be interesting. Also, to play it on the safe side I wouldn't expect a paper you've submitted to be officially published until around 6 months afterwards. So try getting in as much stuff as you can early.
 
What do you mean by "major publication". I don't think programs reviewing your application look at your research experiences at categorize it as major publication or not. The best is to have first author original scientific manuscript (clinical vs basic science probably doesn't matter, the impact and implications of the research do though). Publishing in Radiology obviously looks better then some random journal, and from what I've heard most people don't care about papers you're on if its beyond second author. Lots of people could care less about a case reports, and abstracts are kind of a dime a dozen for applicants (I didn't even include all of mine on ERAS), although if they lead to oral presentations they do look good.

If you're preparing yourself to apply, try finding projects that have a high likelihood of being published, such as one where negative or positive results would be interesting. Also, to play it on the safe side I wouldn't expect a paper you've submitted to be officially published until around 6 months afterwards. So try getting in as much stuff as you can early.

Can a med student be first or primary author on a peer-reviewed publication?
 
A medical student can be first or primary author on a peer-reviewed publication. It can be difficult to find a PI who allows it, though. I have a first author credit for a clinical research article.
 
Any publication on a "major topic" that is published in a "major journal" is considered a "major publication". It won't have a "major impact" on your overall application even if you apply to a "major institution". The "majority" of applicants don't have a "major publication". I hope I answered your "major question".
 
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