BlueFalcon,
It's not as if there's this grave shortage of physicians
Er, yes, there is. A quick google search on "physician shortage" will turn up some very good articles right near the top, if you're interested. For a little more depth, you can also go to the NHSC website and take a look at how long some of those positions have been open. The one in American Samoa's been open since I started monitoring them years ago.
I know off the top of my head of one clinic that has to rotate physicians into the surrounding villages because of geographic limitations and manpower issues. Further, distance-to-treatment isn't the only problem in underserved areas; I'm sure you know all the others. Regardless, it's statistically more likely that someone at the bottom of their class will go into a noncompetitive (read, more-likely-than-not-underserved) FP or other primary care spot. This particular student is near the top of their class, and will I imagine make an exceptionally competent physician, and perhaps after this even a humble one, which judging by the thread here is a quality in short supply.
Boomer,
I don't recall saying that a sense of integrity is unimportant; rather, satisfying that sense in a bunch of outraged med students is less important than getting physicians into practice. That seems self-evident to me. As for why you shouldn't cheat on your boards if the penalty is (as you seem to think) pretty minor, I'm sure you can think of a few, integrity not least among them. I should think that an ethical med student would avoid cheating regardless of the severity of the penalties. If you're one of them, good; his penalty doesn't affect you.
and finally,
cooldreams,
I'd encourage you to read over my posts again, if you have in fact read them. I haven't said anything "bad" about rural family practice. Underserved areas are generally undesirable places to practice; that's why they're underserved. That's definition, not aspersion.
As for why I'm "defending this loser": not my focus; I'm defending the school's/NBOME's decision, which seems to me a pretty good balance between justice and pragmatism. I do think, however, that it's rather on the judgmental side to condemn a person of whom you know almost nothing. I'm defending this person because I know of good doctors who have been pilloried for isolated mistakes, often unrelated to the safety of their patients. Mercy's not just for those who deserve it.
And to address your not-so-subtle suggestion that any defense of this student is a desire to justify one's own cheating, well, I wouldn't be a very good cheater if I drew attention to myself like that, eh? Besides, I've fortunately no pressure to make that ethical lapse--being set on rural FP, high grades and good board scores are luxuries, not necessities.