"You don't deal with it. You keep your head down and do your best work. These kinds of students generally can't fool the residents and attendings who round with the students daily. They easily recognize this stuff and word gets out. Professors and residents used to be medical students too. No one appreciates grasping insincerity. One month into a clinical rotation everyone knows who the outstanding students are by their fund of knowledge, work habits, organization, willingness to learn, interaction with patients and staff, etc. You as a fellow student can recognize excellent students. Well so can the professors and residents who've been around the block more than a few times. Don't react to the antics of this student. Your goal should always be to improve yourself and ignore the distractions, the detractors, the roadblocks, the assholes. Work hard to make yourself standout by being excellent. After graduation you will keep in touch with a handful of former students through your career. You won't ever see this person or hear about him/her. Don't waste energy on this." David Chan, MD from UCLA, Stanford Oncology Fellowship Source