People who have actually studied economics and game theory know there is a lot of randomness to the match algorithm and that this randomness increases as the number of spots per program decreases. The risk of random outcomes is highest for specialties like neurosurgery: if one applicant or one program changes its rank order by one, suddenly you match to your first choice and some other applicant winds up unmatched. The match algorithm is no longer widely used in economic modeling for this and for other reasons. Physicians and particularly neurosurgeons don't really have a good intuitive sense of how numbers work, and so you get a lot of malicious, uninformed, anonymous trolls on forums of questionable repute such as this one telling you its your personality. It's not. It's just one of many possible outcomes.
Somebody please correct me if I am completely offbase about this:
I was under the impression that due to the way the algorithm works, it doesn't matter if programs rank several applicants they are unlikely to get before applicants they are likely to get, the same way it does not matter if an applicant ranks Reach programs over safe programs.
I always found it strange that programs would invest a large amount of effort and time gauging your interest in their program with the So Why here? questions, rather than spending that time teasing out details of the applicant.
biggest example arnau to BNI last year. that person can't run the floor and failed step 1 twice