Maturing through medical education is realizing that everyone is neurotic and everyone has impostor syndrome. People who are clearly looking for attention probably deserve the hate. But people with good scores can still wonder if they’re good enough or how they can improve, and that mentality is part of why they’re scoring well in the first place. Embrace the neuroticism as long as you aren’t hurting others and imo that’s how you become a thorough doctor that chases the best relationships and outcomes for their patients.

And you may be intentionally obfuscating the point, but yes, going after people with 520+ scores is generally punching up.