If one does a primary care residency in less desirable places, what would be his or her chance of going back to more desirable places? I am okay with getting my residency training in crappy areas as long as I get good education.
However, I do not want to start a family in these areas and send my future children to schools where only 50% of students go to college. Environment and epigenetic matter a lot and I will not let my future children to be disadvantaged by his or her upbringing and surrounding people and inferior infrastructure.
I want to send my future children to nation's top ranked public schools like Thomas Jefferson High School for Science and Technology in Fairfax County in Northern Virginia or prestigious private prep schools like Phillips Exeter Academy. I will be sending them to Ivy League or top schools and then they can follow their passion and make informed, wise decision about their career path, marriage, and other important aspects in lives.
I also want live with neighbors with similar professional backgrounds and standards as mine. I do not want my neighbors to be part of social problems. It would be much better if they are regular church goers too as long as they are not bigots.
So if I unfortunately end up in low tier residency programs in crappy areas, what must I do in order to go back to these so called desirable places? Should I have research gap years and then apply to better places? I understand that I must choose a primary care specialty and be board certified. What are other things to do to improve my chances?