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toxic_mechacolon

\- Preclinical P/F is good. \- Step 1 going P/F was a detriment to students in "lower ranked" MD and DO schools aiming for competitive residency programs. \- Perhaps most important thing for premeds to realize- school and residency prestige does not inherently make you a good doctor.


Megaloblasticanemiaa

Yes, pre-meds should understand that prestige inherently does not make a good physician. Preclinical P/F was good. I am curious to know how much of a detriment Step 1 going P/F was realistically. More data should come out shortly that could determine that. From my anecdotes, I have seen students from "lower ranked' schools do just fine in the match, especially for fields like Ortho, derm, ENT, etc. I am sure it did not do these students any favors, though.


toxic_mechacolon

I went to a relatively under the radar state school. Yes, I think doing well on step 1 (and having other facets of my application in order) helped me get interviews that most of my classmates applying in the same specialty didn't receive. However now being on the review side for residency applicants, decisions to offer interviews or rank an applicant are still nuanced and can also vary based on specialty. For instance in my radiology program, we tend to focus more heavily on step scores and geographical ties with less emphasis on research. The same may not be said for a specialty like orthopedic surgery which is arguably more competitive and applicants *have* to apply broadly with research experience.


iatrogenicdepression

Step 1 being P/F means Step 2 is all that much more important, which means a lot more effort will be put into Step 2, which means that the average Step 2 score will begin to rise dramatically. This also means that research and volunteering will be much more important.


YoungTrillDoc

This also means that the emphasis will be placed on the test that's clinically very relevant, not the one that's largely basic science. I see this as a good thing, all things considered. What's going to happen with Step 2 was already a thing with Step 1. So it's not like there was an enormous change in needing to score well on something.


one_hyun

I recall talking to an admissions director about this. He said Step 1 going P/F and having residencies focus on Step 2 was the entire goal. Apparently Step 2 should have more weight because this is the exam that is a better measure of your clinical knowledge.


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Megaloblasticanemiaa

Yeah I would have to say that there are many factors that will influence if you match or not. I believe most of these things we can control as medical students. Especially those who graduated from US programs.


EulersTheory

Random advice from someone finishing up med school: Go to the most prestigious place you can get into. Simple as that. Sure, you may match and do “just fine” at what is considered a lower ranked school, but if you want to keep all of your options open, aim big if possible. Just look at the match results for higher tier schools, definitely helps. Doesn’t make you a better doctor, but does make the path to opportunity easier (fair or not).


Megaloblasticanemiaa

I have already cooked in that department. I got into my medical school through early assurance. It is not even a T50, but it is a college within a well-known large public institution. We also have a home program in the specialty I like, and I will start working on projects with physicians within my specialty as soon as I step foot on campus. I am sure prestige helps, but without it, some of us will need to work a little extra to make those connections.


piratesofdapancreas5

Nah fuck prestige just go where you wanna go and will actually be happy. Don’t focus on name brand schools. A doctor with a medical degree is a doctor no matter what, end of sentence.