Tidal said:
Ok, well I know the Boston, NYC, and California programs are now difficult to get, but what about the more isolated big name places (i.e. Mich, WashU, Dartmouth, etc.)? Any difference? I'm assuming less competitive based on less people randomly wanting to live in these locations (not that they are less attractive, but more obscure). I want to get into the best program possible and my advisor (a pathologist) is telling me that path is now pretty competitive. I'm from a top 50 school with above average Step I and grades. Any advice?
I wouldn't necessarily assume that "isolated" places are easier to get. A lot of people frankly don't want to live in big cities, and the bigger name programs, in the recent past, have had the same difficulties as any other place. Like me, for example, you couldn't get me to live in NYC or LA for residency if my salary was doubled.
Ann Arbor is far from obscure and isolated, and neither is St Louis. There are degrees of isolation though - while Ann Arbor is not Chicago, it's a decent sized city and close to a major airport and a big city. Whereas Hanover NH is 2 hours from anything, and Rochester MN is basically a collection of Mayo Clinic Buildings, hotels for Mayo Clinic patients, and housing for Mayo Clinic staff.
A word of advice: The "best program possible" is going to be different for everybody - do not listen to other people's "rankings" and take them as fact. A lot of people tend to do this - they hear someone talk about certain programs being good and they take it as gospel because that is what they want to hear, at the same time dismissing other praise for different programs because that is what they don't want to hear. You need to look into programs carefully, ask around as to where people have had good training experiences, and open your mind to more than just the whole "top ten" school of thought.
By the way, what is a "top 50" med school anyway? My med school was ranked anywhere between 3 and 80 on a bunch of the lists I saw, so did I go to a top 3 med school or a top 80?
Most people don't care about med school rankings except for pending premeds and med school deans who can use this to attract premeds.