I agree with Magendie's comment above - based on the outcomes of 2013 match, after talking to many people, it does seem that if you have your heart set on a specific one of the, say, "top 5 neurology programs" in the country, you should consider an away rotation and doing a fair amount of research on that program too (e.g. find someone at your school that went there, etc). If you are not set on one of those, it appears a bit easier to get your #1 without such directed targeting of a particular program (i.e. you don't need an away etc). Alternatively, if you don't care which of those "top programs" you get into (assuming you've got interviews at them) you're probably good to go also.
My personal approach was to find 3-4 programs I could set my heart on, and I tried my best to maintain that I didn't care which I got -- this is WAY easier said than done b/c uncertainty is much more uncomfortable than starting to make future plans. The season is long, and uncertainty gets annoying, so I think a lot of people start thinking about neighborhoods, calling friends, making decisions in their head. But if you can manage, I would recommend trying not to get attached. It is unfortunate that we are forced to rank programs because I noticed that as soon as people started making the rank list they started getting attached -- even if they actually didn't care two days prior to ranking!
So, in summary, stay strong, and maintain in your mind that there are several "perfect" places (which there are!). Get excited about 3-4 places, do some second looks , meet future mentors at each place, don't just put in the effort to your top 1-2 programs. Maybe even refuse to tell people your final rank list and only tell them your top 3-4 programs if they ask; this may reduce the tendency to start making mental declarations. It is all a mind game. Maybe even use this as an opportunity to practice your meditation skills of non-attachment. There were a lot of disappointed people this year (not just in neurology!), and I think much of it was unnecessary disappointment. Hope this helps : )