I have been a long-time "lurker" of this forum as a guest and it seems like there are so many genuine and knowledgeable people on here. Now that I've gone on all of my interviews and rank list decisions loom, I could really use some advice from the senior members on this board who have gone through this process. For the #1 program on my rank list I am deciding between a program from list A vs. list B (below) List A: RIC, Spaulding, UWash vs. List B: Colorado, Temple, MCV As for whats tying my stomach up in knots: Based upon my interview experience - I feel that the programs on list A have more resources, stronger overall faculty, better national reputation in the field, more consistant fellowship matches, etc. However... I have a stronger gut feeling about the "personal fit" at a certain program on list B, it's closer to friends and family, in the region I ultimately want to settle down and work and has a strong alumni base in that area. My goals: Likely private practice and I want an opportunity to have a legit shot at a landing a strong Sports and Spine (or maybe Pain) fellowship if I choose to go that route. The question: Am I crazy, stupid, naive, etc for wanting to rank a program from list B #1 above a program on list A?!!