to get into any medical school.

以進入任何一所醫學院。

But is there value in putting in extra effort to get into a top-ranked program?

但是，為了進入一個排名靠前的項目而付出額外的努力是否有價值？

How much does medical school ranking matter?

醫學院的排名有多重要？

Let’s find out.

讓我們拭目以待。

Dr. Jubbal, MedSchoolInsiders.com.

Jubbal博士，MedSchoolInsiders.com。

When discussing the importance of medical school ranking, it’s common to look at it

在討論醫學院排名的重要性時，人們通常會將其視為

through the lens of residency matching, as that’s the next step in training.

通過住院醫師匹配的鏡頭，因為這是下一步的培訓。

Additionally, getting into residency has become increasingly competitive in recent years.

此外，近年來，進入住院部的競爭變得越來越激烈。

This is especially true for students who choose to pursue a highly competitive specialty such

這對於選擇攻讀競爭激烈的專業的學生來說尤其如此，如

as plastic surgery, ENT, or dermatology.

如整形外科、耳鼻喉科或皮膚科。

When it comes to medical school ranking, there are often two sides to the argument.

談到醫學院的排名，往往有兩方面的說法。

On the one hand, some believe that it doesn’t matter where you go and that matching into

一方面，有些人認為，你去哪裡並不重要，與之匹配的成

a competitive residency is all about individual metrics such as Step scores, research, and

一個有競爭力的住院醫生是所有關於個人的指標，如步驟分數、研究和

letters of recommendation.

推薦信。

On the other hand, some believe that medical school ranking is incredibly important and

另一方面，有些人認為，醫學院的排名是非常重要的，並且

there are better opportunities at top institutions that help with your scores, research, letters,

頂尖院校有更好的機會，可以幫助你提高分數、研究、信件。

and other factors.

和其他因素。

But who’s right?

但誰是正確的呢？

Let’s explore both sides of the argument and answer the question once and for all:

讓我們探討一下爭論的雙方，一勞永逸地回答這個問題。

how important is medical school ranking?

醫學院的排名有多重要？

One of the most common arguments in favor of attending a top-ranked institution is that

贊成就讀排名靠前的院校的最常見論據之一是

you will get a better education and have opportunities that aren’t available at lower-ranked programs.

你將獲得更好的教育，並擁有低級別項目所不具備的機會。

The average Step 1 score for students from a top 20 medical school is 238 while the average

來自前20名醫學院的學生的平均步驟1分數是238，而平均

Step 1 score for all schools is 232.

所有學校的第1步分數是232。

This lends support to the idea that top medical schools offer a better education thus increasing

這支持了頂級醫學院提供更好的教育的觀點，從而提高了

your chances of matching into a competitive residency.

你有機會進入一個有競爭力的住院醫生行列。

The counterargument, however, is that it is typically more difficult to gain admission

然而，反駁的理由是，通常情況下，要獲得錄取的難度更大。

to a top medical school.

進入頂級醫學院。

As such, students who attend these institutions are stronger students at baseline.

是以，參加這些機構的學生在基線上是更強的學生。

The average MCAT for matriculants at top 20 medical schools is 520 whereas the average

前20所醫學院的預科生的平均MCAT為520分，而平均

MCAT for all matriculants is 512.

所有預科生的MCAT都是512分。

For reference, a 520 on the MCAT is a 97th percentile score whereas a 512 is an 84th

作為參考，MCAT考試的520分是第97個百分點的分數，而512分是第84個百分點。

percentile score.

百分之百的分數。

In addition, the average GPA for all medical school matriculants is 3.75 whereas the average

此外，所有醫學院預科生的平均GPA為3.75，而平均GPA為3.5。

GPA at top 10 programs is 3.88.

前10名項目的GPA為3.88。

As such, the differences we see in Step scores may have to do less with curriculums or instructors

是以，我們看到的步驟分數的差異可能與課程或教員關係不大。

and more to do with individual differences between students.

而更多地是與學生之間的個體差異有關。

This lends support to the argument that medical school prestige doesn’t matter as top students

這為醫學院的聲望並不重要的論點提供了支持，因為頂尖的學生

are likely to perform well regardless of the medical school they attend.

無論他們在哪所醫學院就讀，都有可能表現良好。

That said, it is impossible to determine whether this is a chicken or an egg phenomenon.

也就是說，無法確定這是雞還是蛋的現象。

Will going to a top-ranked program make you a better doctor?

去一個排名靠前的項目會使你成為更好的醫生嗎？

Possibly.

有可能。

On one hand, national standards are rigid and implemented in every school.

一方面，國家標準是嚴格的，並在每所學校實施。

On the other hand, some schools teach these better than others.

另一方面，有些學校在這方面的教學效果比其他學校好。

Ultimately the work you put in is the most important factor in whether you become a great

歸根結底，你所投入的工作是你是否成為一個偉大的人的最重要因素。

doctor, but the medical school you attend can shift that up or down in terms of both

但你所就讀的醫學院可以在以下兩個方面提高或降低你對醫生的認識。

effort and outcome.

努力和結果。

Another important factor to consider is access to clinical rotations in your specialties

另一個需要考慮的重要因素是能否在你的專業領域進行臨床輪訓

of interest.

的興趣。

Larger, top-ranked academic institutions are much more likely to have programs in your

規模較大、排名靠前的學術機構更有可能在你的專業領域設置課程。

desired specialties or subspecialties than lower-ranked schools.

與排名較低的學校相比，理想的專業或亞專業。

Since over 50% of medical students change their intended specialty, there is further

由於超過50%的醫科學生改變了他們的預期專業，是以有進一步的

utility in attending a program with wide specialty exposure.

參加一個有廣泛專業接觸的項目的效用。

While this isn’t a hard and fast rule, as some lower ranked institutions have access

雖然這並不是一個硬性規定，因為一些排名較低的機構可以獲得

to large academic hospitals with a wide breadth of specialties, the trend holds true.

到具有廣泛專業性的大型學術醫院，這一趨勢是真實的。

Having access to your desired specialty is important.

有機會接觸到你想要的專業是很重要的。

This will allow you to network with doctors in the field and gain much more experience,

這將使你能夠與該領域的醫生建立聯繫，並獲得更多的經驗。

research, and strong letters of recommendation with less effort and friction than attending

研究，以及強有力的推薦信，比起出席會議的努力和摩擦更少。

a medical school without that specific specialty.

一個沒有該特定專業的醫學院。

Can you match into ENT without having an ENT program at your medical school?

如果你的醫學院沒有開設耳鼻喉科專業，你能與耳鼻喉科匹配嗎？

Absolutely, but it will be more challenging.

當然，但這將是更大的挑戰。

That being said, there are numerous other factors that you need to consider when choosing

話雖如此，在選擇時還有許多其他因素需要考慮

a medical school outside of prestige, curriculum, and access to specialties.

在聲望、課程和進入專業領域之外的醫學院。

This includes location, cost of living, family, and much more.

這包括地點、生活成本、家庭以及更多。

We have an entire blog post discussing the various factors to consider when choosing

我們有一整篇博文討論選擇時需要考慮的各種因素

a medical school - link in the description.

一所醫學院--描述中的鏈接。

Now that we’ve explored how medical school prestige affects students, how much do residency

既然我們已經探討了醫學院的聲望是如何影響學生的，那麼住院醫生的聲望又有多大呢？

program directors care about medical school rankings?

項目主任關心醫學院的排名嗎？

According to the 2021 NRMP Program Director Survey, a large proportion of residency program

根據2021年NRMP項目主任調查，很大一部分住院醫師項目

directors do consider medical school reputation when deciding which students to interview.

董事們在決定面試哪些學生時確實考慮了醫學院的聲譽。

In terms of the more competitive specialties, approximately 46% of plastic surgery PDs and

在競爭更激烈的專業方面，大約46%的整形外科醫生和

36% of ENT PDs consider medical school reputation when deciding who to interview.

36%的耳鼻喉科醫生在決定面試對象時考慮醫學院的聲譽。

For lower-tier specialties, the numbers are similar with 40% of internal medicine PDs

對於較低級別的專業，數字相似，40%的內科醫生

and 30% of family medicine PDs considering medical school reputation.

和30%的家庭醫學博士考慮醫學院的聲譽。

Another way to interpret these numbers, however, is that between 50-70% of program directors

然而，解釋這些數字的另一種方式是，50-70%的項目主任

do not consider medical school reputation in residency matching.

在住院醫師匹配中不考慮醫學院的聲譽。

As such, you are likely to find a great deal of variation between individual programs.

是以，你可能會發現個別項目之間有很大的差異。

Program directors at top residencies are more likely to consider a student’s “pedigree”,

頂級住院部的項目主任更可能考慮學生的 "血統"。

meaning the quality of their medical school and even undergraduate institution, more so

指他們的醫學院甚至大學院校的品質，更多的是指

than program directors at less iconic programs.

比起那些不那麼有代表性的項目的項目主任，他們更有信心。

Put simply, while medical school ranking is important, not every program director considers

簡單地說，雖然醫學院的排名很重要，但不是每個項目主任都會考慮到

it.

它。

It is important to note, however, that as of January 2022, USMLE Step 1 has become a

然而，需要注意的是，從2022年1月起，USMLE Step 1已經成為一個

pass-fail.

通過-失敗。

Given that this exam was one of the most important metrics in determining one’s competitiveness

鑑於這一考試是決定一個人的競爭力的最重要指標之一

for residency and it will no longer be used to stratify students, other metrics such as

在居住地，它將不再被用來對學生進行分層，其他指標，如

Step 2 score, number of publications, AOA status, and medical school prestige may be

第二步的分數、出版品的數量、AOA的地位和醫學院的聲望可能是

weighted more heavily moving forward.

前進中的權重更高。

Although much of the weight from Step 1 going pass-fail will likely be passed onto Step

雖然步驟1中的大部分通過-失敗的權重可能會被轉移到步驟1中。

2CK, we may see medical school prestige become a more important factor in residency admissions.

2CK，我們可能會看到醫學院的聲望成為住院醫生錄取中一個更重要的因素。

So how important is medical school ranking?

那麼，醫學院的排名有多重要？

In short, it matters but there are still other factors you need to consider.

簡而言之，這很重要，但仍有其他因素需要考慮。

At the end of the day, going to a top medical school doesn’t guarantee you a good match,

說到底，去頂級醫學院並不能保證你有好的匹配。

nor does going to a newer or lower-ranked school doom you.

去一個較新的或排名較低的學校也不會對你不利。

It is important to consider your personal and professional goals and choose the medical

重要的是要考慮你的個人和職業目標，並選擇醫療服務。

school that aligns most with your priorities.

與你的優先事項最一致的學校。

Should you turn down a full-ride scholarship to your state school to attend a top 20 medical

你是否應該拒絕本州學校的全額獎學金，而去上一個排名前20的醫學院？

school?

學校？

That’s a question only you can decide.

這是個只有你能決定的問題。

You need to think about your desires, priorities, and what you’re hoping to get out of a career

你需要考慮你的願望，優先事項，以及你希望從職業中得到什麼

in medicine.

在醫學上。

If your dream is to get into a hypercompetitive specialty, become academic faculty at a top

如果你的夢想是進入一個競爭激烈的專業，成為頂級大學的學術教員

research institution, or get into a high-ranking position at a hospital, then medical school

在研究機構工作，或在醫院擔任高級職務，然後進入醫學院學習。

prestige may be more important for you.

威信對你來說可能更重要。

On the other hand, if you know you want to practice family medicine or pediatrics in

另一方面，如果你知道你想在美國從事家庭醫學或兒科工作，那麼你就可以在美國從事家庭醫學或兒科工作。

your home state, medical school prestige may matter less.

在你的家鄉，醫學院的聲望可能不太重要。

One thing to consider, however, is that the majority of medical students change their

然而，有一點需要考慮的是，大多數醫學生都會改變他們的生活方式。

minds about what specialty they want to pursue during medical school.

思考他們在醫學院期間想從事什麼專業。

For this reason, attending a higher-ranked medical school with greater access to a variety

由於這個原因，在排名較高的醫學院就讀，有更多機會接觸到各種類型的疾病。

of specialties may allow you to keep more of your options open.

的專業可能讓你保持更多的選擇。

You should also keep in mind the law of diminishing returns.

你還應該牢記收益遞減的規律。

The benefits of attending a top 5 institution versus a top 20 institution are going to be

在排名前5位的機構與排名前20位的機構相比，其好處是

less than the benefits of attending a top 20 school instead of an average or lower-tier

比上前20名的學校而不是普通或較低級別的學校的好處要少。

medical school.

醫學院。

For instance, when I was accepted to UC San Diego, which was ranked number 14 at the time,

例如，當我被加州大學聖地亞哥分校錄取時，該校當時排名第14。

I was still considering other top 5 schools.

我仍然在考慮其他排名前五的學校。

But after looking at the pros and cons of attending each program, I determined that

但在研究了參加每個項目的利弊後，我確定

UCSD better fit my desires and preferences over other top 5 programs with more name recognition.

與其他知名度較高的前五名項目相比，UCSD更符合我的願望和偏好。

Although attending a top-tier medical school may give you an advantage over other medical

雖然在頂級醫學院就讀可能會使你比其他醫學專家更有優勢。

students when it comes to matching into your desired residency program, it is far from

當涉及到匹配到你想要的住院醫生項目時，它遠遠不是

the most important piece of the puzzle.

拼圖中最重要的一塊。

Factors such as your Step 2CK, clinical grades, research experience, and letters of recommendation

你的步驟2CK、臨床成績、研究經驗和推薦信等因素

are much more important in determining your acceptance into a program.

在決定你是否被一個項目錄取方面，這一點更為重要。

What primarily separates those who are successful from those who are not isn’t the school

將那些成功的人和不成功的人區分開來的主要原因並不是學校

that they attended, but rather their willingness to adapt and push forward.

他們參加的，而是他們適應和推進的意願。

If you find yourself getting discouraged because your dream specialty is highly competitive

如果你發現自己因為你的夢想專業競爭激烈而感到氣餒

or your medical school isn’t highly ranked, stop right there.

或者你的醫學院排名不高，就在這裡停下來。

Your ability to match into your desired specialty is less a function of prestige and more a

你的能力與你所期望的專業相匹配，與其說是威望的作用，不如說是一種能力。

function of proper preparation, constantly improving, and putting in the work.

適當的準備，不斷的改進，以及投入工作的功能。

If you’re applying to medical school, do everything you can to get into the best program

如果你要申請醫學院，要盡一切努力進入最好的課程

possible.

可能的。

But once you’re in medical school, don’t worry about prestige and focus on the other

但是，一旦你進入醫學院，就不要擔心聲望，而要關注其他方面的問題

factors within your control.

在你控制範圍內的因素。

At Med School Insiders, our mission is to empower a generation of happier, healthier,

在Med School Insiders，我們的使命是讓一代人更快樂、更健康。

and more effective future doctors.

和更有效的未來醫生。

From medical school and residency application help to crushing your MCAT and USMLE, we’ve

從醫學院和住院醫師申請的幫助到粉碎你的MCAT和USMLE，我們已經

got your back.

有你的支持。

We know what you’re going through and can help you excel on your exams and help put

我們知道你正在經歷什麼，可以幫助你在考試中取得優異成績，並幫助把

you in the best light possible with your medical school and residency applications.

在你的醫學院和住院醫師申請中，你可以得到最好的結果。

And our results speak for themselves.

我們的結果不言自明。

We’ve become the fastest-growing company in the space with the highest satisfaction

我們已經成為該領域內發展最快、滿意度最高的公司。

ratings.

評級。

See for yourself and learn more at MedSchoolInsiders.com.

自己看，並在MedSchoolInsiders.com瞭解更多。

Thank you all so much for watching.

非常感謝大家的觀看。

If you enjoyed this video, be sure to check out How to Get Into Medical School with a

如果你喜歡這段視頻，請務必查看《如何進入醫學院，並獲得獎學金？

Low GPA or this other video.

低GPA或這個其他視頻。

Much love, and I’ll see you guys there.

非常感謝，我們會在那裡見到你們。