Now that interviews are winding down, I'm trying to put together my rank order list. What I'm finding difficult is deciding between staying in prime metro locations like NYC, Philly or at least prime-metro-adjacent places, which are mostly lower-tier academic or decent community programs, or going for the more "prestigious" academic spots, some of which happen to be in places I don't have any particular desire to live or practice in afterward, at least right now. My question isn't how to rank these places, but how much of a difference it makes where I go. Are the decent community programs in NYC comparable to the mid-tier academic places in terms of job opportunity, prestige, fellowship placement, etc? It is very difficult to judge as a 4th year medical student. What career opportunities open to me going to a place like URochester or Stony Brook or Yale that a place like Maimonides or St. Luke's Roosevelt does not? I'd really appreciate any input, because this is really my only dilemma in terms of ranking.