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I believe UVA is 50/50 IS and OOS. Much more geographically diverse then UNC. I've also read nothing but good things about surgery at UVA. The ranking difference is absolutely negligibleHaven't been to UNC but liked UVA a lot when I visited. Their curriculum seemed well-established. If you like small towns then Charlottesville seemed awesome. Between UNC and UVA I'd probably personally say there really isn't a difference in reputation but I did notice that UVA seemed to place a lot of people outside of VA for residency (I have no basis of comparison for UNC in that arena though). If the cost is ~equal go to the school you felt more comfortable at. Keep in mind that most students at UVA will probably be IS as at UNC but I don't really think being one of a few OOS students is a huge deal (since I'm also in that situation).
UVA is pretty much 50/50 IS/OOS
I know the estimated COA at UNC adds up to the number you posted, but is cost of living in the area really going to be $30K/year?
At this point, I am learning towards UNC but any feedback would be great, considering that attending OSU and Miami would be $30K cheaper. In addition, they seem to have less of a focus on primary care than UNC.
Having lived in the area for some time.. I can say NO CoA won't be even close to $30k/year.
update: I'm also considering UVA very favorably now that I received the $24K per year need-based aid. Is it true that the difference in ranking between UNC and UVA is pretty much negligible? I like UVA's innovative curriculum and national pool of applicants a lot better and I'm worried about being a guinea pig for the new curriculum at UNC.