<p>"At my school at least, when it’s time to actually apply to residency you get to see your MSPE letter (to make sure there isn’t a factual inaccuracy or something missing) which indicates which quintile you’re in. "
-It might be the case at D’s school. But it is way way too late. You got to get your electives and other requirments covered, otherwise you do not stand a chance. At that time it is way too late to switch as your electives and your research will not match to residencies that you have applied.</p>