I was lucky enough to get IM interviews at BWH, MGH, and BID in Boston and U Penn in Philly, and my wife just got into both MIT Sloan and Wharton for business school. If we're both going off prestige alone, I feel like we're at odds, since Wharton is the most prestigious business school she got into, while BWH and MGH are the more prestigious hospitals (and personally my favorite programs). Has anyone in a dual-career couple made a decision like this before?