I realize this is probably impossible to do, but I'd like to get ideas about the relative competitiveness of IM residencies. I've been hearing that one should apply to a spectrum of programs and not just all in the same tier, so it would be nice to know which are the ones less likely to rank you. Anyways, here's a crack at it, trying to take into account location and everything...whadya think? Ultra competitive: Johns Hopkins, Mayo Clinic, MGH, Cleveland Clinic, UWashSeattle, UCSF, Stanford Real competitive: Duke, UCLA, Brigham&Women's, WashU, Columbia, Cornell, UChicago, UMich, UPenn Getting better, but not by much: UNC, Northwestern, Mount Sinai, Yale, Southwestern, BU, Emory, Vanderbilt, Baylor, Pitt, NYU, NewEnglandMed, CaseWestern, BethIsraelHospital, UAB, UColorado. I'd just like to say I have no basis for any of this, these are just my impressions. I also have no idea what other programs fit this profile....any suggestions?