^ it’s true that fourth tier or unranked schools don’t fare well. As for directionals, it depends on the state’s strengths. The situation is different if you live in Oklahoma or Virginia. However because few students at directionals have the skills needed to make it into medical school, they do not divert their resources toward premeds. Texas state for example isn’t very good for premeds, and a student admitted to Trinity, Southwestern, Austin, St Edwards, UtD… would be better off. UTD, Texas Tech, UT… will have better resources than UTSA, Tamu cc, etc…