I think board scores will help if certain programs use them as a screening tool. However, beyond that, I'm not sure how they are considered. I imagine that it depends on the program. However, it seems that most programs rely more on your Dean's letter, recommendation letters, clinical grades and evaluations, honors and awards, research, and other outstanding activities than your board score. If you were considering orthopedics or neurosurgery, then board scores may become more important -- these programs look at board scores as pretty reliable predictors of passing the specialty boards -- you know how much programs like to boast a 100% pass rate from their residents. As for medicine and pediatrics, most programs (most of the good ones too) only care if you pass or not. Of course a good board score can make an impression too. I was wondering what everyone's opinion of a good board score was -- how good is good?