I have seen a lot of talk on 'carrying weight' of a residency and was wondering if anyone can comment on how much this actually becomes a factor after residency. I have seen it used in two scenarios. The first one is obviously fellowship opportunities which I think we can all agree on plays a part, but the second is the location in practicing after residency. People have said things along the lines of "I like X program, but not sure it will carry me as far as program Y in terms of wanting to go back to the West coast." Is this a real thing I should be considering (essentially factoring in reputation vs fit)?