cornell is probably the best program in nyc in terms of training and living arrangements... but it is far from being in the top tier of academics with jhu, mgh, washu, umich, etc. i wanted to love cornell, and i did when i interviewed, but you have to look beyond the $700 a month upper east side subsidized housing if you want to be in a top tier program. they simply have too many deficiencies... 1.) they have been sans chairman for too long 2.) they have too many fellows in CT/Thoracic/Surg Onc/Lap, and the sections they don't have fellows (transplant and peds) are the sections they do not have any cases 3.) they have too many VIP patients which translates into look but don't touch in the operating room....don't get me wrong i think you can become a great surgeon at any program, it is really up to what you make of it (just like med school), and getting a fellowship is not as hard as it is made out to be (except maybe for peds)...so that is not a great indicator. if you really want to be in NYC then you should go for it, and if you are not AOA then do a subi. but look around at other places to get a sense of what you want....and if what you want is an academic program, then you might just have to leave the tri-state area.