flindophile said:
Iserson (6th ed., pp. 439) has compiled the results from a survey taken by Wagoner et al., Academic Medicine. 1999;74(1):51-58. In a survey of PDs in various disciplines, the criteria were, in order of importance:
1) Grades in required clerkships
2) Number of honors grades
3) Sr. specialty elective grades
4) Class rank
5) AOA honorary membership
6) USMLE Step 2 score
7) Med school's reputation
8) Other senior elective grades
9) Published med school research
10) Grades in preclinical courses
However, First Aid (4th ed., pp. 14) another list of PD prefererences (for which they cite no reference):
1) Grades in specialty clerkship
2) grades in specialy elective
3) other clerkship grades
4) class rank
5) Step 1 scores
6) membership in AOA
7) Elective grades
8) Step 2 scores
9) Preclinical grades
10) research activities
I would weight the Iserson table more heavily because it is based on a published survey. For all we know, the first aid table could have been developed from a few casual conversations.
Nothing against Iserson, but that analysis (IMO) applies to primarily US grads and DOs.
Truth be told, thanks to ERAS software filters, PDs can (and do) filter out IMG applications simply based on LCME status.
Take the following example:
A competitive program receives 500 applications for 16 positions. The PD is not going to interview (for obvious reasons) all 500 applications. They'll try to narrow that list down to a much more manageable number, say 100. They'll simply apply the ERAS software filters to get to that number.
For instance, they'll apply the LCME status filter and find an appropriate Step 1 cut-off point to get 80 US seniors. Then, they'll find another 20 from the other pools (DO, IMG, Fifth Pathway, Canadian, past US grads) depending on their preferences. IMGs applications at many programs may only depend on a single score: Step 1. If it is high enough, they'll get the interview. Otherwise, they might get a nice rejection letter....
This is why Step 1 is critical for IMGs.
Once you are past the scores, is when the other factors count. Of course, this all depends on the specialty and the program of your choice.
Miklos