* Different Ranking Systems: Medical schools don't typically publish class rankings in the same way undergraduate institutions do. Success in medical school is measured through a variety of factors beyond GPA, including USMLE scores, research output, and residency match.
* Different Student Bodies: Ivy League medical schools and Rutgers medical schools (assuming you mean the Robert Wood Johnson Medical School or New Jersey Medical School) will have different student bodies with varied academic backgrounds and preparation. Comparing class rank directly is meaningless because the student pools are not comparable.
* Subjectivity of "Success": "Success" in medicine is multifaceted and goes far beyond class rank. Factors like specialization, research contributions, patient care, and leadership roles all contribute to a successful career.
* Focus on Individual Achievement: Medical school is a highly competitive environment, but the focus should be on individual growth and achievement rather than comparing one institution's graduates to another's based on an imprecise metric like class rank.
In short, the statement is based on a flawed premise. Direct comparison based on class rank is impossible and inappropriate. The quality of education and the success of graduates from both Ivy League and Rutgers medical schools are demonstrably high, although measured differently.