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While your T20 schools have higher board scores in general, the difference in average board scores alone isn't enough to explain the vast disparity in match lists between them and your average run of the mill school. The reality is that for grads from many of these programs, their applications do have greater weight and get greater consideration simply because of the pedigree associated. Yes, you have better opportunities for research and yes, you get letters from big names in the field. But the pedigree matters, alot.
Obviously if you already go to a top program and you're a competent student, you'd want to stay. With that said, the arguments you're giving don't make sense - it's not like NYC, Philly and St Louis have great public schools that a resident at Columbia, Penn or Wash U would be dying to send their kids to. More typically it's good students at top programs who establish good relationships with the attendings and residents that decide to stay, with those leaving choosing to do so for family, career & lifestyle reasons. With that said, you have a much easier time matching at a top program with unremarkable stats if you go to a top school, there's no doubt about that. A 230 from Yale applying in anything moderately competitive like EM, IM, OB-GYN, Gas or Neuro will get interviews at top programs even though their board scores are average for those fields. Meanwhile, a 230 from a random unranked state school would need a killer CV to get the same interviews, and a DO wouldn't have a snowball's chance in hell at a top tier residency in any of those fields.
How are you suggesting that my conclusion is that 100% of H students crush Step? I didn't suggest anything like 100%. I said at least half. That's not 100%, right?
I would lol too if that was a suggestion. I guess if you want to lol, then you twist someone's post to make it a joke.
Do you disagree that maybe 50% of H's MS4s have high enough stats to get ranked/matched into one of H's hospitals?
And since H has so many hospitals, it stands to reason that many of their students would match at one of them.
People have been commenting on how many top schools had their own students match into their programs. That isn't really surprising because that happens everywhere. Many students, for a variety of reasons, really want to stay in the same area. Maybe they're married or whatever, and they've "settled" in that area and don't want to leave. We saw a number of matching students show up with children in tow. Those peeps often want to stay put.
Obviously if you already go to a top program and you're a competent student, you'd want to stay. With that said, the arguments you're giving don't make sense - it's not like NYC, Philly and St Louis have great public schools that a resident at Columbia, Penn or Wash U would be dying to send their kids to. More typically it's good students at top programs who establish good relationships with the attendings and residents that decide to stay, with those leaving choosing to do so for family, career & lifestyle reasons. With that said, you have a much easier time matching at a top program with unremarkable stats if you go to a top school, there's no doubt about that. A 230 from Yale applying in anything moderately competitive like EM, IM, OB-GYN, Gas or Neuro will get interviews at top programs even though their board scores are average for those fields. Meanwhile, a 230 from a random unranked state school would need a killer CV to get the same interviews, and a DO wouldn't have a snowball's chance in hell at a top tier residency in any of those fields.