What was a dream program in the past, may not be a dream program in the future. I think that current dream programs i.e. Partners, Columbia, UCSF are linked to the research reputations of the these institutions which have produced some excellent neuroscience researchers in the past. In the distant past the great professors of neurology/neuroscience all rotated through the same watering holes. But in today's world of neuroscience research, a public midwestern university may well have the world's expert in neurologic disorder X. And doing your PhD, or fellowship at institution y in the midwest does not rule out a bright future in neuroscience. So, the apparent advantage of having gone to Partners or Columbia may be diluted by the fact that you will be able to affiliate yourself with excellent clinical neurologists and neuroscientists at many other places. I think that more and more med students are considering location, location, location in terms of residency, realizing that whether or not you excell in residency is more important that perceived prestige of a program, and you are more likely to excell in a program that is in the right part of the country for you. My guess is that in 15 years the best neurology residency program will be located in california, probably UCSF, as people seem to gravitate to that climate, and some programs not on people's radar's like those in Texas and Florida might be pushed into the top 10.