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1) I will enjoy the big city, but the cold I doubt I'll be a huge fan. Definitely will have to make a better appraisal when Im there, and one of my favorite parts of the 3 Year Program is that I can apply out to other residencies, and others have successfully done so. If I don't like NYC, I will likely leave for residency.As mentioned above, the majority of your cons for NYU are moot points, given that you have a guaranteed spot in NSGY at NYU.
Before I can give my opinion on the matter, there are two very important questions you must ask yourself:
1) Are you certain you want to stay in NYC for residency? You’re about to make ~10 year commitment to living there, so you want to be sure that it’s the place for you.
and, far, far more importantly
2) Are you absolutely, 100%, beyond a shadow of a doubt positive that you want to do neurosurgery? Have you spent extensive time getting to understand each and every implication of choosing that as your career path? Neurosurgery is unlike many other specialties; it will not be your job, it will be your life. The best way to describe it is that neurosurgeons often refer to nsgy as their calling… again, it is not just a job. Are you certain it is your calling? Are you ready to give up time with your family? Are you willing to give up time for hobbies? Are you sure that being a neurosurgeon is far and away the most important thing in your life? Because if you do this and realize down the road you didn’t fully think this through, you will be a miserable, miserable person.
If you answered yes to both of these questions without hesitation, go to NYU. If you paused and had a creeping doubt come over you, go to Columbia and allow yourself a lifeline. I can imagine a 3 yr accelerated track will screw things up if you try to jump ship to another specialty. Let us know what you decide, I’m curious.