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Since you emphasize that this school is verrrrry faaaarr away (and yes this might impact your residency chances-esp depending on your specialty choice), I would lean toward the T30 school.

If schools are similar, cheaper is better but this is different.
 
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I would vote for the T30 then, though it would matter what twice the cost means. 100k vs 200k or 250k vs 500k, even with the latter one could still make an argument for T30 since there seems to be an obvious winner if cost was not an issue.
 
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Expectation is Step 2 score will become a factor. Does lower rank school has residency programs in competitive fields you are interested? Did you look into research opportunities?
 
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  • Match rate doesn't matter. If a student fails to match it's not because of the school, especially at a highly ranked one.
  • The dean's letter (aka MSPE) is formulaic and impersonal no matter where you go.
  • You can only stand out as an amazing student if you are an amazing student. Don't underestimate how smart and competitive your classmates will be wherever you go. On the other hand, every student at an elite school benefits from the weight of that school's reputation.
  • It's highly unlikely that anyone you've met during the admissions process is going to end up writing you a letter for residency. In all likelihood you won't even meet any of your letter writers until your clinical year at the earliest, some probably not until a month or two before you submit.
  • 2x the cost could mean it's 400k or 40k. You said you got a VERY generous financial aid offer from the one school, so if the other is twice as much as very little, that's still not much.
I would choose the higher ranked school unless we're talking about a 150k+ difference.
 
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iamFutureMD2024 said:
Thank you for such detailed response. if the T30 is more than 150K difference, will that change your answer
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I might start to feel ambivalent. In that case I would want to know what your career goals are, how serious you are about a competitive specialty, and which specific schools we're talking about. Feel free to PM me if you want to discuss further.
 
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longhaul3 said:
I might start to feel ambivalent. In that case I would want to know what your career goals are, how serious you are about a competitive specialty, and which specific schools we're talking about. Feel free to PM me if you want to discuss further.
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+1 ... Really think about your goals and see if the 150k+ is really worth it bc ultimately you’ll get the same degree from both schools.
 
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T30 all the way.
I know they’re going to be the same degree, but it seems like you’re leaning towards the T30 cause it’ll open more competitive opportunities.

I’m sure you’ll be happy either way tho [emoji847]


Sent from my iPhone using Tapatalk
 
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If I were you, I would think about which competitive specialty you might be interested in and contact the lower school (or even both schools) and ask them what you would need to do to be competitive. If they have a wealth of information to share, examples of students that have done it, especially in recent years, then I would go where you feel supported and save the money, especially if it is a large difference. It would be a shame to go deep into debt and decide primary care or IM is your calling. In fact, knowing you have the debt will probably make you less likely to even consider a lower-paying profession despite an interest in it.
 
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