SDN Members don't see this ad. (About Ads) Situation is this: I have been told I'm ranked to match at Program A which is considered "top tier." Program B, which I liked the best, is not even "high 2nd tier" according to most people, although it's well regarded. I am pretty sure I would match at either program if I rank it #1, although I know program directors sometimes mislead applicants. What do you think? For those of you further down the residency/fellowship line, do you have any insight? I do want to stay in academics. How much does the prestige of the program matter? Again, the one I like best is very good, it's just not what you'd call elite. I am torturing myself about this... I need some perspective.