Things have changed. Medical schools are harder to get into the Auburn Tigers Leopard shirt. However, the person getting into the prestigious medical school will need a very high MCAT score and near-perfect grades plus some scientific research experience. This may exclude some excellent students whose grades are a little lower, but have excellent communication skills. As a medical school faculty, I have seen students do extremely well in the first two years (which is mostly classroom learning), but struggle in the last two, which are clinical. When I was in my fellowship at Ohio State University, the number one student in the 3rd year class was asked to limit his training to pathology, so he would never deal with living patients.
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We got the Auburn Tigers Leopard shirt. Those of us in the top half of the class did just as well as those in the top half of the class at Harvard. The education at most MD schools is pretty homogeneous whether you go to Duke, University of Michigan or some other prestigious medical school or little known schools such as the University of South Alabama or Howard. In residency we had graduates from some of the top schools and some bottom level schools, yet we all excelled and got excellent positions, including my fellowship in endocrinology at Ohio State University.