I know what you mean. I was kind of blown away myself. Obvisouly due to the fact that I never met him before, I didnt feel appropriate on asking to see his score report. Im sure you'd understand. I met him through my friend one night during their graduation week. All the students there asserted the same. 278+ step 1, 272 on step 2. What caught me more by suprise was that they all said that on step 1 it specifically said 278+. I've never heard of the plus sign as an additive. Also, I think you misunderstood some thing in my original post. The guy explained to me that majority of those who score exceedingly high (260+) on either Steps do so because they not only work their asses off in their 1st 2 years, but they're naturally good testakers to begin with. Meaning, they have the natural aptitude to peform well on these types of exams. That's where he had confused me because his MCAT score was so low comparitively to his Steps. Anyways, go figure. I guess we can never know for sure. What I do for sure is that he was ranked 1st inhis class, AOA, etc...and got into CT Surgery at Vanderbilt. If Im not mistaken that's supposedly one of the, if not the best, Surgery programs in the country. All in all, its his advice to me that's important: Questions, questions, questins Good luck!