I have noted intense tribalism in neuro-oncology, and everyone seems to have good things to say about where they trained. I’m not kidding, I have scarcely ever heard someone say something negative about their fellowship. This seems especially true of the junior folks who trained over the past 10 years; this is anecdote so someone else correct me if their experience is different. I trained at one of these places, and really liked where I trained, so I fit this stereotype. A few important things to consider, how many fellows do they train per year? MSKCC, MD Anderson, Harvard train 4 or more fellows per year. UCSF may be on that list as well. The other programs on the list are relatively small and may train 2 or fewer fellows per year. But some of these smaller programs, for example UCLA and Cleveland Clinic to the best of my knowledge, have trained people every year over the past 5-10 years. For the small programs, I would want to know how many fellows they have trained in the past 5 years. Some of the programs on this list are just getting started (Michigan) so that is not a completely fair question to ask. I know I didn’t rank them, I consider myself too biased to do so.