Basically agree with the above post. I might put Lahey a little lower on the list than the other three, since it is more of a community place (Although irelandesa probably knows more about the place since she is from the area). The other three programs are all pretty much solid and at the same level. I think it's more a personal preference issue.....do u like the subspecialty system at Tufts, the public hospital autonomy at BU, or the overall atmosphere/mutihospital training at Brown? As a sidenote, i noticed the GI placement at Brown was pretty strong, with alot of people going into GI...i remember one resident was going to the Brigham. Anyway, good luck, its almost over.