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There's also the school of thought that home programs don't take home applicants very often in surgical sub-specialties. The reason put forth that they don't want to train someone who will eventually become their competition in practice some day.
Don't know if its true or not. But I'd much rather train at my home program. Having gotten to know a number of locally trained ENT surgeons, I'd like to also say that I trained in the same program as them, under the same attendings.