UC San Francisco-CA

First world problems. same.

c'mon it's still a problem for this person << yea dude dont be a dick

literally no one's gonna want the 1/16 date since UCSF is 1/15, Penn is 1/16 and Stanford is 1/17 bro...and I'm assuming people getting these programs get the lot of the others...good luck x2 << Yeah if you look at the interview swap page a small group of elite are all having conflicts at the same dates and the same places. Nobody is going to "swap" a non-conflict for a potential conflict.

lolololololololololololol... sorry not actually taking joy from the conflicts, just laughing at the fact that the top programs are all interviewing the same people.

anyone not get a rejection or a call? Ie limbo? x1

Geh, double heartbreak today with Penn and UCSF << Not sure what I was expecting, but somehow it still sucks.

I actually thought that I had a good shot for both... here's what I get for getting my hopes up

sadness, sadness all around today x2 <-- could be worse

Im realy sad about this one =[<same, Ive been lucky to have had interviews at most of the top programs so far, but penn was really my absolute dream. Idk what was wrong in my app, Im crushed.

Yeah I feel like we would see the same people at a lot of the top programs. It feels so strange to be invited to Harvard but not Penn - does anyone else feel the same?<invites from Harvard, UCSF, NYU...but not penn. I do not understand

Minus UCSF, same. So weird! I wonder why, especially in your case with 3 of the other top 5!<<im not sure tbh. I expected Penn more than UCSF considering i have no ties to the west coast. My only rationale is that my step isnt the absolute highest for these top places, and idk if penn considers step score more than some of the other top programs.

You know what, I too have a sneaking suspiscion Penn values high step scores more than any of the other top 5. I'm around a 255 so maybe they really want that 260+? I really wanted this one :(<<yea im in the low 250 range as well. oh well cant win em all.

True. And sounds like it's Penn's loss in your case :)<<best of luck to you in your interviews kind stranger, and congrats on your well deserved merits!

haha thank you!! :') you too!!

I was fortuante to top 5 IVs with step >260 soI think they just have a really good applicant pool and we missed out because they look for different things?

Congrats on the impressive score and interviews!! Yeah, could be! I think the person who commented in 14D explains well some one the inherent and unavoidable randomness in the process. <- do you guys remember what your responses to the penn supplmemt was at the beginning of the cycle? my step scores weren't as high as yours and i got penn but my response was interest in epidemiology

Congrats!! And that's strange about the tracks, do you think that mattered? And I just selected the 3 year track and combined clinical and research training. Maybe Dr. Gefland was the person who reviewed your app lol <- step 1 was mid 240s

i doubt a 250ish step 1 score would be the disqualifying factor in an otherwise outstanding candidate?

No it's not that it's disqualifying, it's that there's SO MANY qualified applicants with a 250ish step score, you just can't interview them all. <i guess my point is i feel like they would look at some other aspect to try to differentiate applicants rather than just a few points on a standardized test (at least that's the hope lol)

Yes one'd hope lol

On the bright side, I appreciated that the subject started with, “unable to offer interview” x6

There is no bright side. Nothing is bright anymore.

lol, I didn't get an invitation or a rejection so i don't know if I have sheer joy or more disappointment headed my way. ::shrug::

Congrats! Method of contact (Eras, email)?

Email< did regular Miami come out?

Also trickle

< This is frustrating because same day as UCSF, we basically have to choose now

^ what are good scores and good amount of research? I thought I did too but I guess not :( congrats on the interview to the both of you!

< ok here's an example. in ADDITION to being a rockstar applicant, connections are what get you to the top programs. example: one of the people who matched penn last year? her brother is a resident in the derm program at harvard and presumably knows the harvard and penn PD well. that sort of thing.

fml looks like my parents should have had more kids

LOL same. But I'm just saying this to say that you REALLY shouldn't feel bad / wonder why you're not getting an interview to top programs. There is SO much backdoor dealings etc that go on behind the scene that in reality almost none of the slots are open to just a good applicant without any STRONG connections of some sort. <- another example: one of the UCSF residents has an uncle who is a dermatologist at UCSF

LMAOOOO this is too good

But I thikn the IN ADDITION point is important, having a connection but being mediocre doesnt work as far as I can tell.

<so if we got an interview to a top program without being internal or rotator, do we assume someone had a connection or said something on your behalf?

no, assume you just got an invite, but know chances are low you won't match :)

That's not nice >:(. OP, you've earned that interview, especially without obvious connections. You should go rock it and show everyone what you're made of.

sometimes the truth isn't nice :/

Or maybe you shouldn't take out your frustriations on random people online.<<with that mindset, people wouldnt match from external schools then

not true, the girl who matched penn whose brother is a derm resident at harvard went to northwestern. and to the other person, that's pretty presumptous of you - I'm just being honest. How you decide to take that honesty is on you, not me.<<well thats exactly what im saying, barring no other "real connections" how do people match at a program they are not from.

to be clear, outside of the top 10 programs it's a whole different world. This level of neoptism is almost unique to these programs. <- equivalent of legacy status for undergrad

I knew an applicant who's father-in-law was the chair of a derm department....so needless to say they got an interview at that institution. Other "ties" are research. Some programs really favor their research fellows....who can spend one year or MORE doing research for the department. Often unpaid or super low pay. There's a lot of politics. I'm sure other fields are similar but because derm is small, the effects feel (and probably are amplified).

to add another great story, my friend told me that one of the people who matched to cornell last year? her mom is derm at cornell. connections are everything!

But they must know their dates conflict with other big research centers since they are suggesting we look at the calendar...<mayo arizona, UCSF, and hopkins all have same dates :'[[[[

but it sounds like they're willing to work around it?<thats what i was trying to gather...are they though?

they are not....they won't allow us to interview on another day :(

< AH!!! Congrats!! Are you an internal or rotator by chance?? Holding onto hope over here!!!<<yes, internal/rotator

AYYY congrats friend!! <external, no connection here<also internal/rotator here with invite : )

I think first batch was external and second batch was internal/rotators!?!

Congrats!!!!!! (as I refresh my email nonstop) x3

fml

is it over now..?

I'd love to go pretty much anywhere x7

<< first get the interview invites, then worry about ranking. << I think its reasonable to think about now, especially considering the possibility of having IV overlaps and having to drop a program

After talking with the lay public (my parents), going to a program with brand name recognition helps even if you're in private practice, since that's one the things people consider when choosing their doctor. But I have also been told med school prestige matters more.

Brand recognition and tier don't always match up. Hopkins and Vanderbilt are probably better known as names to average americans compared to UCSF. << probably matters more to people more familiar with medicine. Most don’t care about where a private practice doc trained. And echo that lay people don’t know strong training

The public knows about 10 big names. They care how nice their doc treats them.

Yea i would argue most patients do not know where their doctor went to med school or residency (or what residency is). I know many IMG docs who have busier practices and higher patient ratings because they have put more time in to hustle for their practice than their ivy league collegues.

<Another consideration is the type of training. You get exposed to cool rare things in top places, but their programs may advertise that majority go into academics and that is where their connections are. Lower tier places advertise the opposite since their connections are in other practice settings. <-- Yeah, this is not accurate. "Private practice connections" are mostly local (e.g. in the metro area a particular practice is in), regardless if a program is a "top" program or lower ranked. Having a "top" brand name attached to your name would still be valuable in private practice (both locally and outside the metro region of your program) - private practices like advertising "Harvard-trained" doctors, etc. It's silly, but a small consideration. Point being, lesser ranked programs are not going to have any more connections in private practice compared with a highly ranked program.

Top tier: UPenn Harvard UCSF NYU Mayo Michigan, Emory, Henry Ford?) and Michigan and Mayo are not top tier. Would add Stanford, Hopkins, and UCLA instead)

would also add UTSW https://www.mdedge.com/dermatology/article/157864/practice-management/us-dermatology-residency-program-rankings-based/page/0/1 <<what is the difference between this article and the doximity rankings? Is there more validity to one vs the other? << lol, someone put UCLA in top tier (UCLA isn't even a Department, it's a Division) >> lol UCLA low tier for sure << realistically, probably middle to low, great overall health system but will always have hands tied and no real ability to grow

UCLA is a solid program, strong surgical training, lacks the super complex patients of some more intense programs but it depends on what you are looking for in your training << I don't think anyone's saying it's a bad program, just not a top tier, that's kind of silly

UCLA is the perfect example of a low-to-mid tier program that is nonetheless quite competitive given it's in California. Again, there's often a disconnect between prestige/quality of training and competitiveness. Location, location, location.

No way that Hopkins and UCLA would be top tier over Michigan and Mayo

Mid-tier: OHSU, Iowa, Minnesota, UPMC >> Would probably put MN as low tier? >> Thoughts? Why? >> Minnesota would probably be in same tier as OHSU, Iowa, UPMC. Iowa has great faculty, but I think it does suffer from being in a relatively non-diverse, predominately white, smallish-city in Iowa. Minnesota, OHSU, and UPMC are in more urban environments with at least UPMC and Minnesota having more ethnic / racial diversity, (Portland is super white as well). Also, no one should trust that MDedge nonsense x5

To be fair they tried to make an objective measure. Many of the opinions here leave out some good programs and add in top medical schools that are not top derm programs

MN, Iowa as med-high tier? Would drop UPMC to low tier (just feel like no residents really enjoy it there but maybe that's just me lol)? And Iowa usually as a top 20 program on almost all ranking systems (though you cant always trust these things so who knows). I think its one of those places that suffers in many peoples minds because they have a not-so great med school and its in the mid west, but the derm program is actually extremely well-respected independednt of those facts

1. Penn 2. UCSF 3. NYU 4. Harvard 5. Stanford 6. Northwestern 7. Emory 8. UTSW 9. Hopkins 10. Wash U 11. Mayo 12. Michigan 13. Iowa 14. HF 15. OHSU 16. Colorado 17. Minnesota 18. Utah 19. Cornell 20. Vanderbilt

<-What is this list based on? Its totally inaccurate. Hopkins and Vanderbilt are mid tier programs at best. No Yale? No UW? No Wisconsin? No Miami? No Sinai? Cornell over Columbia? UPMC is definitely mid to top tier. Also, tiers maybe, but I dont understand how you can possibly rank 1 vs. 3 vs. 8 off the cuff << yeah, 1-3 is pretty standard, gets messy with next 5 I was about to post how accurate this list is. Some of the programs listed above are no way in the conversation. You can maybe disagree with Wash U/Cornell to the left tho. I'd agree Vanderbilt too high too

<Yale for sure. x4 . Think that list is pretty accurate for top 20 minus Wash U, Cornell, and Vanderbilt. Would replace with Yale and Columbia. And Cleveland Clinic maybe. <<I question the order of some of these too. Hopkins is not a top 10 (but it is a top 20 probably). I agree that Sinai, miami, Columbia would also be top 20. Vandy should not be on that list and neither should a few others.

<How good are the following programs: UPMC, Hopkins, UCSD, Miami.

I think those are all decent programs (mid-top tier?). I would say that I typically view Hopkins as a mid-tier program (they don't have a lot of diversity in terms of training sites, though Hopkins itself is a great hospital). Miami is typically considered a Top 10 program - but they also are quite disorganized, old facilities, longer hours (Saturday clinics). UPMC takes a lot of MD/PhDs and has great Mohs training, though I never found their program actually attracts people who want to be there. UCSD is solid, somewhat basic-science focused. It's outshined by other programs in California (e.g. Stanford, UCSF, USC) and San Diego has great weather / beaches, though admittedly isn't the most exciting place to live / lacks a lot of arts / culture compared to most bigger cities in the United States.

name me a state with better Mexican food tho

They're all top 10 programs. Mostly depends on what you want to specialize in and where you want to live<<could you elaborate more on these programs and future specialization ? x3

Harvard and Penn are very similar academic programs with strong emphasis on research and inpatient derm. NYU has better clinical volume/training. << NYU has probably the most "different" vibe of those - great clinical training...but a very large program with MANY facult, long hours, and historically not the happiest residents. Penn is great - probably a bit more "supportive" and "coddling" than UCSF or Harvard.

I just want them to be nice

I don't know, I've met a plenty of nice people who I'd rather not work with for one reason or another.

Is it because they can be passive aggressive?

YES, niceness and pass-agg seems to come in hand-to-hand for some bizarre reason. Saw plenty of that in FM and Peds

huh ok. I'll change my criterion to "genuinely nice" then. b/c I've met residents who are nice w/o being passive aggressive. Mostly in surgery/derm. oh also neuro << some of the applicant's attitudes and responses here make me think that they're actually OB/Surgery because of their uptight malignancy

I'd prefer surgery's outward malignancy, because at least they are forthright and they will tell you if they don't like you or if you are incompetent.

you know what this is so true, im with you on that passive aggressiveness then! // more attractive than me or smarter than me but not both at the same time// LOL

<< same here because that's me! i think i get along better with people who are really honest and work hard, having a great sense of humor is a cherry on top - meme > I feel like the admissions committee at my school selected against people with a sense of humor; so hard to come across. But lots of people who are honest and hard working

Did your school have grades or P/HP/H for preclinicals? I feel that schools with a more emphasis for grades end up with more serious students. I don't know whether that's associative or causative.

nah we're P/F. maybe we're just boring

< don't get me started on the bullshit that is grading. my school has restricted honors for the top ten percent of the clerkship overall, while other schools have a set number you have to score above. talking to other students on away rotations really opened my eyes to how much each school is different and how little programs care besides seeing the "H" next to the subject.

I went to a school with unrestricted honors. After getting some of my feedbacks, such as ([Name] was one of X students getting honors for this rotation), I realized that in the end, only 15-20% of students ended up getting honors anyway. They set the goalpost (specificed ahead of time) knowing that anyone could meet that standard, but very few people would actually make it. Ultimately, I think this was the right approach because people could still work hard for themselves, regardless of whether or not they met the challenge. << yep this is a great attitude to take to it if the goalposts are properly set! someone's schools had to get 90% on evals, 80% on shelf, unrestricted number. i was like....lol what.

Thoughts on UCSF testing straight P/F grading for clinical clerkships?

In general, I don't think UCSF has an amazing match list compared to Harvard, Penn, and Stanford if we remove the in-home matches. I do think that it will make things harder for the PDs << it might also skew towards the name. P from Harvard? Who even cares, it's Harvard. No H from MidTierStateU? LOL what a pleb. So i dont think UCSF policy will really change anything in the MSPE. << also would reduce the stress level for clinical clerkships. << P/F curriculums may have shifted pressure onto Step 1, could P/F clerkships put more pressure on Step 2?

possibly. Or more pressure on the LORs

Maybe they will move us over to EM's standardized letters of evaluation. I know that some admins in dermatology wanted to do that this year but they were not able to do so. >> 2 cells over in E

I understand that most derm PD's or people reading apps have a sense of individual schools and what the typical grade distributions are << it was made better this year by including graphs in the MSPE

really? I hate those graphs. fucks over half the people in the class << i mean im the OP in the cell to the left. it clearly shows <20 people in my class getting honors directly next to the text for my evaluations so IF, and big IF, the person actually reads why i didn't get honors, they can see that it was only a select few who did. idk, from the underachiever pov, it looks good. << Point taken

i think it'll start depending more on school prestige and LOR maybe like you said, and of course step scores. good school prestige begets good LOR so it's a trickle-down system all the way to the interviews haha. holy shit i forgot about SLOE, imagine that in Derm! hell no, fuck SLOEs. Hate being reduced to a single number/grade as if I were a cow << lol look at the charting outcomes and step score distribution, or like filters that exist already. i hate it too but sometimes its gotta be done

I'd rather be evaluated on the quality of my LORs than another hoop to jump through. Step 1 (and to a lesser extent, Step 2) is enough of an objective measure.

But still, you'd be surprised. In the state of California, Stanford and UCSF had middling average Step I scores compared to places UCLA and UCSD, probably because the students knew that Step I wouldn't matter as much for them in the perspective of other program directors would be happy to have some Stanford/UCSF students as part of the program.

do we have official numbers on these? I don't doubt that it exists, but it'd be nice to know the extent of the disparity of avg Step 1 scores of accepted derm applicants from top vs mid schools

I don't know, I go to a top 3 school. I got a slightly above average score for derm, and my Dean and PD told me that I should be "competitive anywhere" although they did warn me that the places that I'd get interviews may seem random and that I may not get all the interviews that I wanted (and I didn't)

Also at a top 3 with derm average step and don't have many interviews (but others here do). maybe trickles will come

<< prestige man, prestige. its exactly what you said, they'd love to have a person from x program on their resident and potentially staff roster. for us mid-low tier schools, we gotta kick ass on step 1 and etc to have a shadow of your position, potentially with not as good LORs << do we need more hoops to jump through, though? I don't think the answer to leveling the playing field for students not from the top tier schools is to create yet another metric. We have to do so much already, from getting a good Step 1 score, to kicking ass on clerkships, doing research, etc << true man. someone down the sheet suggested having a set number of programs to apply to, like 20 or so, i think that might really be playing with fire and lead to a LOT of people unmatched or SOAPing, both applicants and programs << for sure. we'd need a transition period or something. couldn't ERAS spend a fraction of their $$$ to hire a data scientist to study the optimal number of programs to apply to? << they did that, for derm it was high 30s. let me see if i can find link

https://students-residents.aamc.org/applying-residency/filteredresult/apply-smart-data-consider-when-applying-residency/ i think that is what we are discussing - meme

How are you doing, Meme? Did this week bring you any good news? << not at all! still sitting on 1 interview since late october. << Sorry man, thanks for your positive attitude through it all. << its all good, i think working out and memes really help, hope your application cycle is going well!

Krispy kreme and video games.... But also got rejected for med school and undergrad, hurts less every time

Oof, the last time I got an interview at Harvard was for the college. And rejected at that too. Still stings, even after a decade. I wish my head could let things go. headspace.com helps a lot

<< lmao its me again from the bottom cells, i work out 6 days a week now, and post a ton of memes here. also teaching myselff some basic life skills so that i doont die in intern year

< For harvard just look at the Boston temp and all of the different locations you would have to bounce between. << i did a rotation in NYC and this applies to the NYC schools as well. ~1 hour times between their satellites.

and in san fran, $4000 gets you a studio apartment! lol

<- I think you have to tell yourself (and to some extent believe) that everything happens for a reason. You didn't get interview at the programs you wanted, but honestly maybe you wouldn't have been happy there to begin with. So really it's just saving you time/energy/money wasted. At least that's what I tell myself

yea i've been trying to do this too

what do you mean by separate focuses?

< I was wondering about this as well since I was trying to swap 1/15 for 1/8. Any takers? <exactly what I'm trying to swap for. Hopefully we can find folks who'd like to switch dates

Heads up: more NYC dates coming 1/8 week

UCSF interviews all their 2 candidates on the same date but there are non research track people that date also. The 2 is a 2 day thing with the research part the day before the regular interview.<thanks for the clarification.

<When the program is so good that they know they don't even have to confirm <sometimes I go back in my call history to make sure it happened

lmao i was just thinking this same thing this morning re: doubting the call

<should have missed the call. haha, j/k!

I interviewed there a few years ago (I'm the lurking resident here haha) and I checked back on my email - I think I got my invite around the same time you guys did and wasn't contacted with details until a week from now.

congrats! how many interviews does Harvard usually give out?

~30 << not true

more? less?

def more. they have 8ish spots. << wahhhhh I wanted this one!!!

probably closer to 60 invitations

seems like a lot. their yield is probably high <lol no WAY is it 60

It's probably the same as most other programs, ~40. But if you look at the match list from last year, for example, not a single person on that list wasn't connected in some strong way. So likely applicants are ranked before interviews and it doesn't change much after interviews.

Fake news. Not everyone last year was connected to the program

Who wasn't? x2

Even the non-Harvard rotators had gone to Harvard for undergrad << This.

This also applies to Penn. x2 << Basically applies to every top program in the country

Based on my extensive sleuthing, it 100% applies to Harvard, Penn, and Yale. As in you're SOL if you don't have a strong connection of some kind. To a much lesser degree, it applies to Stanford and UCSF

Definitely less with UCSF since they don't have an undergraduate college :)

but you have to have CA ties

Stanford and UCSF to a much lesser degree yes, but CA ties are almost required

disagree no california ties and got UCSF

aren't you a special cookie? We're talking about people who matched, not interview invites you snowflake

I was going to say what this person to the left said, but not as rudely. Yes I'm talking about people who MATCH, not get invited for an interview.

lol got it. thanks for the non-rudeness person #2 i get what ur saying<<what exactly do strong connections mean for these top programs? Like regional, rotating there etc?

reposting from edit history:

congrats superstars!!! are any of you external without any connection/away?

myself x5

that's so awesome, congrats friend!

thank you amigo/a!

Are you guys from other top schools though or have 260+ Step scores? There must be some method to this madness, it can feel so random sometimes x2

I think if it were just 260+ they would still have a lot of work to do to pick candidates. Doubt a place like HMS has to go just based off stats to pick their bunch.

Not true, there's only around 40 applicants with step 1 scores > 260 and they likely interview around 40 candidates" >> as an interviewee, I can tell you the assumptions above are not true x4

what assumption? x2<<needing 260+ step scores.

<hey guys is harvard a good program; first time hearing about it

I think they’re relatively new, I wouldn’t rank personally

yeah my PD asked if its a community program when I mentioned it

My PD didn't recognize the name, is it DO? << I thought it was in the Caribbean, I didn't apply for that reason.

oh SHIT it was spelled with an H in the front; been calling it ARVARD

either way, I think the program is low on brand recognition. who would go there?

yeah the interview date conflicted with a race in my city (which I organized, for just myself) so I declined it

yeah probably not worth the money of flights and hotels, tbh. good call. <I've seen ads for this school inbetween my youtube vids I think

:'D >> Heard Harvard is on probation and might not get accredited next year :/ Pretty poor reputation

LOLOL

Rotated at Harvard. They have overall good breadth of training with MGH, Brigham, BIDMC, few other sites. Lots of research opportunities and seems supported by the department. I found the resident surgical skills, dermatoscopy skills, and skin cancer screening skills were subpar at least in comparison to my home program. The department is great and has lots of leaders in derm - but it has a bit of of a very "old-school" feel with lots of white-haired, Caucasian males at the top of the leadership chain. It definitely has an old-school, East Coast medicine feel. This was sort of a turn off for me. Some of the faculty are primarily research clinicians who work 1/2 day a week in cinic - some of these attendings have really not maintained good clinical skills / not particularly interested in clinical medicine and it clearly showed. The number of faculty is huge - which means many residents don't get a lot of exposure to working 1:1 with a smaller group of faculty (there a few expections - for instance, Kroshinky who runs the inpatient service and is just overall the best person ever). Overall, my take home from my experience there was that Harvard has good training and great research opportunities, but that "prestigious" programs aren't necessarily everyone's preference / despite Harvard's own self-perception as "the holy grail of medicine", you can get similar high-quality of training at other less prestigious institutions.

did you get an interview?

no

oh no! you seem really nice, I'm sorry. thanks for the write up! x 2

< Is Kroshinsky nice? I've heard not as positive comments about her, but I much prefer to believe she's as nice as some people have said. Did you interact with Mostaghimi or Chen while you were there? I thought they are both big on inpatient? Were they nice? << Kroshinsky is a superstar x3

are you 3 internals?

not me. Did a research year with her

oh so you're matching Harvard? ;)

<-- Korshinsky is nice. So is Mostaghimi. I didn't work with Chen.

thank you!

Dr Chen is seriously the nicest person on the planet, encourages even med student autonomy in clinic/inpatient

Have heard conflicting things about Mostaghimi though. Heard he can be hard to get along with from an external rotator there

Are you serious?? Hard to get along with in what way? He seems like he'd be so nice and funny! << seemed judgmental and not very friendly << maybe he just has RBF (resting bitch face lol)?? I really don't want to believe he's not as nice as seems :(

< did your friend who was a rotator recieve an interview? << yup

<< white-haired white dude leadership is a thing at a lot of derm programs.... suprised it's still a thing I thought we were in more modern times

< that would be suprising. do you go to a low tier school? Mid-tier

that was a stupid question on my end. what even is high/mid/low tier? like top 10/40/100 or something? but to harken back to your situation, the only things I can think of that could be adversely affecting you other than being from a "low" tier school would be not taking a research year / limited research or your geographical area. <I agree with you. I can't really think of much else besides geography and below average research. I have read all but one of my letters and they were strong. I really don't know what to do at this point.

I'm sorry, friend. I'm assuming it is then the combination of geography and below avg. research. But I'm also SURE you're going to get interviews. Just hang in there! Nothing else you can do now, and with a 260 you clearly worked hard already.

Yes minus the 260 :D

Glad to have you on my team << 260+ can give you that same "top tier" school curse where some programs may think you're out of their league. Hang in there, we're with you

im <260 but PhD (non-research track) and it doesn't look good. low tier school, did good aways, got LoR, SILENCE, it's crazy that this is happening.

0 interviews at all? <aside from internal no << did you get interviews from your aways?<--any updates for you?

top tier med school, 260+ Step 1, 15 publications, great LORs, 0 interview invitations. I'm devastated

Yooooo that SUCKS. Are there a lot of applicants from your school with your stats or better?

yes. double digit applicants, all similar .

damn I'm at a double digit school with way worse stats...now I know why I'm not getting invites

dang OP of this cell, man I feel for you. That is rough, but there is no way you do not match and get a lump sum of interviews at some point.

TBH, OP, if you're at a Harvard/Yale/Stanford etc. school, chances are you're going to match your home program. You're fine.

As someone from a top school with a top home program, not true. I wish that I could match into my program, but the schools want a residency class filled with the best folks from other great institutions to add influx of new idea, skills, and connections to the class. This is true ESPECIALLY if there are a ton of us.

im really starting to realize how big a factor the # of people applying from my school is

# of people applying is a factor but applicants from top schools are typically safer with fewer invites at top programs compared to non-top school candiates with mid/low tier interviews. Top programs want applicants from top schools so you're competing with a small pool of applicants for all the spots at Harvard/Yale/Stanford/Penn/UCSF etc.

This . If you look at the people in the Y/H/S/P etc. schools, 80% of residents are from that program, 15% from another Y/H/S/P etc., and MAYBE 1-2 a year from a more "random" school—and that person 100% either had a 100th percentile Step 1 score and/or connections. Also, if you look at their match lists from the past couple years, not a SINGLE one of those programs had an unmatched applicant. So not sure why you're "devastated" when you have a 100% chance of matching—and likely at your home or another top program (unless your personality sucks).

Swap out Yale for NYU, and you have the proper list of top programs.

I seriously dont know how this process works. thats insane . <<Not OP (have way lower stats than that lol), but as someone who goes to a top 5 place I can say with fact that there is not a 100% chance. I do not know how all top programs work, but the fact is even though we have more residents than the average program, the number of applicants from our school is greater than th enumber of spots. On top of that, our school does not rank its own first (but yes 1/2 the porgram tends to be our own/research/rotators). It is a top programs and it wants the best from the country. If you look at our match list it looks AMAZING, but it never mentions the people who do not match. I know for the last 3 years, there was 1 or more unmatched derm. We're all in this shit together

<--- I review applications. While there are some programs that highly value Step 1 score -- I think applicants overestimate how much most programs care about these things. I don't think there are any functional differences betweeen applications with a 240 versus 260 on Step 1. Again, the more important differentiators are clinical grades, letters of recommendation, research, and personal statement (probably in that order). << Agreed, and same is true for whether Top/Mid med school

< It's really heartening to know that, thank you! Do you know if most programs feel the same way you and the program you're at does about scores? And what programs really do care a lot about scores?

< does anyone know if school look at clinical grades out of 6 or 7 rotations? (aka including neurology or not?)