How far do top programs typically have to go down the rank list? I always feel that people that got invited to harvard will get invited to penn, NYU, Stanford, UCSF, Sinai, NW, Mayo. Can they go all the way to number 30-40 on their rank list because all of the applicants end up being spread out? Unless every applicant that those programs rank to match ranks their respective programs (unlikely) number one, they should go down pretty far.