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njbmd
A lot of people have been telling me that it's basically as easy to be successful from a lower end medical school as it would be to attend a top medical school. Now sure, getting a residency is easier from the top medical schools, but in the end, what is the benefit for working your end off to get into that good med school?
You need to get into the medical school that is the best fit for you. If that turns out to be a "top 20" school, then that's where you need to be. The benefit of hard work isn't that you attend a "top 20" school but that you have some choices.
Yes, if you do well at a lower-ranked school, you are going to have an advantage over a person who didn't do well at a higher-ranked school. The problem comes in not being able to "choose" the best school for you. If you only get into one school, that's were you go and you adapt. If you work hard, get into several schools, then you can make some choices as to where you can do your best work. Your "best" school may not be the top "ranked" school but at least you are not stuck with whatever.
The ranking of the school that doesn't accept you is meaningless in your career. The goal is not to just attend a school based on rankings alone but to have a choice as to what school works out the be the best for you. The more schools you get into, the more choices you have to weigh and likely the better your chances of ending up where you can do outstanding work.