Blade, I've been quietly following this forum for years and have come to respect the tremendous wisdom and experience you and several of the other "elder statesmen" here share so freely.
My question is what kind of data are you using to form your loose rankings? As an applicant I'm having a hard time knowing what is truly important and what's just noise. Of course I know you can't really quantify the intangibles like "fit", location, and name recognition. But I'd like to have at least some objective analysis. How much weight would you give to some of the things below, all of which I've seen advertised on different program websites.
- Is a program where residents have done 2x the minimum ACGME cases by the end of CA2 better than a program where residents only do 1.2-1.5x the minimum? A few programs directly report this info on their website, but is it published anywhere by the ACGME?
- How important is the full-time faculty : resident ratio?
- Should I avoid programs that have not obtained the maximum re-certification cycle length?
- As noted already, the % who sub-specialize on doximity are inaccurate (data is derived from doximity profiles alone), but even if it were accurate is that an important figure to pay attention to?
- Some programs clearly have more intense didactics than others... is weak didactics acceptable if the trade-off is getting to go home earlier to read?
- How important, really, are simulation labs? Every program has one, but some seem to integrate them into the curriculum more than others. Does this matter?
- Does it matter if your training is spread out evenly among several different facilities vs all of your time at just one or two facilities?
- Does it make a difference if you train at a large public hospital vs academic ivory tower (e.g., mayo)?
- Does the number of faculty who are oral board examiners really matter?
I'm a US MD senior, step 1 250s, step 2 260s, half honors, half high pass, good-to-great LORs, one big research project over MS1-MS2 with publication (non-anesthesia) but nothing since then - I don't hate research but honestly I'd rather be taking are of patients than writing papers. My goal is to be a rock star anesthesiologist, either in a high-acuity private practice doing big cases or in academics on a clinical track.
I hope I'll be a fairly competitive applicant, but I also have strong ties to a particular area. If I have the opportunity to leave and go to a "top 15" program, should I do so? Or will it not matter in the grand scheme of things to stay near home at a respected but definitely middle-tier, top 40-60 academic program?