Honestly, they have had insane matches (i.e. Harvard Dermatology, Harvard Optho, Columbia Plastic Surgery, Penn Neurosurgery, to name a few). I think there are many strong candidates, who have been accepted to and have interviewed at higher-ranked medical schools, but they choose to go to RWJMS because of closeness to family and friends if they are an in-state applicants (including myself). Match lists are very dependent on the candidate, their professional background, and how hard they had worked throughout medical school.