Originally posted by Ischemia
Dr Kevin,
I think it depends on how much of a "no-name" school it really is. I think someone with a 4.0 from a small, private college that has absolutely no affiliation with research, is essentially a 4 year community school, or is a school that rich kids go to because they know they wouldn't make it at a tough school, would not be given the same weight as a 3.5/3.7 from Harvard, and it rightfully shouldn't. However, there are plenty of universities that could easily be considered 'no names' that have great things going on and are just as academically challenging. A prime example would be the New York state universities (SUNY). For undergrad, I was accepted into Columbia, Cornell, NYU, and the rest of the state schools (I only applied to NY schools). However, I didn't receive flattering financial aid packages and so I didn't go to one of these 'name' schools but instead a 'no-name' state university. Here, I work harder than many at 'name' schools and my GPA is quite high. In fact, that helps me to stand out quite a bit. I know many others just like myself. I highly doubt that a 4.0 from my school would be frowned upon in comparison to a 3.5/3.7 from Harvard, where, like many other 'name' schools, grade inflation is known to be a serious issue.
Although my school isn't stellar, it is certainly good enough. Unfortunately, New York doesn't pride themselves in education as does California. It's a sad fact, but one that has to be lived with. I'm sure most other states are like this. It does not, though, take away from the quality of your own education. No matter where you go, you learn only based on how much effort you put into it. I think, or at least certainly hope, that many adcoms recognize this.
I realize this post is about getting into residency. I think the situation is similar. Sometimes a big fish in a small sea stands out over a small fish in a big sea.