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MD/PhD Rejections, but still an MD acceptance?


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Does anyone have any unique insights as to what it takes to get an MD/PhD interview? Is a first author a golden key to an interview? Or stellar LORs? A crazy GPA? I'm sure having both would help, but I think also having stellar LORs without any publications is possible, as I've seen some posters interview without any pubs. 

Any unique insights?  

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