Duke or Michigan

Started by aazaz
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aazaz

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Short Version

I am a Michigan undergrad deciding between Michigan and Duke. Michigan has in-state tuition, is closer to home and family, and has a better campus environment. Duke has better weather and great people (haven't met Michigan med school people yet), and a Duke degree is probably slightly better for my career. Where would you go?

Long version
(I wrote this mostly for myself at the airport, but I figured someone out there might get something out of reading it)

Some wise man once said that you should base the important decisions of your life, like who to marry and what occupation to pursue, on what your gut says. Problem is, my gastric system is not very clear sometimes. I am faced with a very big decision right now – deciding between Duke and University of Michigan medical schools – and I am torn between the two. Maybe trying to write down what I am thinking with as much honesty as I can will help me interpret what my gut is telling me.

I’ll admit that this is a nice dilemma to have. The other day, I was reading some joke in The Onion about some guy deciding between Princeton and Yale, and the gist of the joke was ‘cry us a river, you ****.’ I realize that my situation could be a lot worse than what I have right now, and I don’t intend to come across as a pretentious bastard as I write this.

I just got done with Duke’s second look weekend. I have to say, I really like it there. Everything is so… pristine. The hospital and the medical school building are beautiful, and the undergraduate campus is like a vacation spot. The weather is sunny, the buildings are beautiful, and the breeze always feels nice.

The campus is much different that Michigan’s big state-school small-city environment. Duke has like, less than 10,000 students overall… it feels so much smaller than Michigan’s like 40,000. Streets don’t cut into campus, and the campus seems kind of isolated from the rest of the world. There is no concept of street parking. It may be prettier in places than Michigan, but it doesn’t have the charm that Michigan’s campus has on a sunny day.

I get a vague sense of regret and nostalgia every time I think about leaving Ann Arbor. One of my favorite places to be is in the diag in the middle of April, when the sun is out and everyone is relaxing and mingling. I enjoy chilling in Café Ambrosia and walking past NYPD and working out at the CCRB. It will be sad to come to a point in my life where I won’t have access to that anymore. Duke doesn’t have anything to really match the feel of Michigan that I have grown accustomed to.

However, Michigan is only nice and pleasant like that like 4 to 8 weeks out of the school year, if that. The rest of the time there, it is miserably cold and dark. Only forsaken souls venture outside during those times, shivering in their jackets trying to conserve body heat as they get from one building to another, running from packs of crows that play out games of fecal Pearl Harbor from up above. In Durham, the weather is nice year-round. Right now, as I type, it is sunny, seventy degrees, with a pleasant breeze and birds chirping. This is perfect weather for anything.

The undergrad student body at Duke seems to be a little less than diverse. I got the impression that they are mostly privileged kids with popped collars. Michigan has such a good mix of all kinds of people – its nice to consistently run into people who look like you – and duke undergrad, well, not so much.

I’m not sure how much of a difference the lack of undergraduate diversity is going to make in med school. The medical school student body at Duke is very diverse and fantastic in general, I got along well with everyone I met, and they will be the people I will be spending most of my time with. Besides, when I am spending sixteen hours a day in rotations, the ethnic make-up of the undergrad student body wont really matter that much. Really, to be honest, I’m not really sure how much of a difference Michigan’s diversity makes right now, while I’m an undergrad here. I can connect with most people just fine, and ethnic background is usually a tertiary issue in most of my friendships.

What does matter is having some kind of social support network. I will have a ton of family and friends around in the Michigan area: my sister and her husband’s family, a couple of cousins, my parents, and a bunch of friends that I have made over the years will be around. I don’t know anyone in Durham besides my classmates who I just met. Again, I would meet people outside of the med school over time, and I don’t really need a massive group of friends outside of med school to survive – but ditching a great group of friends and family and starting from scratch is a depressing thought.

Duke’s curriculum is great. Only one year of basic sciences. That is huge. Sure, that year may be a bit harder than first year at Michigan – but it is only one year. My student host said that he couldn’t stand the thought of being in basic sciences for another year, and he is really glad that he only has 3 more months of it, while his colleagues around the country have 15 months. The second year is clinics, after which, the hard part of med school will be done. I will probably get some kind of second degree during the third year – maybe an MPH, maybe an MBA – or maybe I’ll do research. Who knows? But it will be nice to have that year to do whatever I want.

I was comparing residency match lists of Duke and Michigan. Michigan grads match okay – there are a fair number of students who get top notch residencies in schools like Harvard, Hopkins, UCSF, etc. However, there are also a fair number of students who match at lesser known hospitals. For Duke, however, matching at schools like Stanford, Harvard, UCSF, etc. seems to be the rule. Almost every single person from last year’s class went to a residency in some obscene institution like the ones listed above. I am really getting the impression that the Duke name is more prestigious in the medical community than Michigan, and it will probably be better for my career if I go there.

If it seems like I am infatuated with Duke… I am. However, the thought of leaving Ann Arbor really bothers me. Even as little as a month ago, I did not anticipate leaving it behind. I didn’t honestly believe that I would get accepted into Duke, and I had pretty much mentally prepared myself to go to Michigan. I even signed a lease on an apartment in Ann Arbor for next year, which I have since cancelled. I have a lot of emotional investment in this university and city, and it really makes me sad to think about leaving it.

That’s what it comes down to. I really like Duke, but I would be sad to leave Ann Arbor. Resistance to change and fear of something unknown are powerful motivators... but I have found that change is never quite as bad as you imagine it to be. I think I’m just resistant to the idea of having to move on in life. I don’t want to be in Michigan this December, miserable and cold, wishing I was in North Carolina. On the other hand, I don’t want to be in Durham in December, missing everything about my family and Ann Arbor and Michigan football. I may just have to mentally prepare myself for the idea that my time in Ann Arbor is coming to an end, and I am about to begin a new chapter in my life.

Go Blue [Devils]!
 
I must say that I've experienced what you're feeling now but over something more short term. I remember the few months before I was going abroad halfway around the world. As much as I wanted to go travel and meet amazing people, I didn't want to leave my social support I had back at my home university. My undergrad is only a few hours from my family and from the colleges my home friends attend. Plus, I love my friends at school...that coupled with the fact that I was falling hard for this boy I just started dating made me really torn about leaving the country for 5 months. I'll never forget that feeling while waiting for my plane to board. I was furiously writing in my journal about how I was giving up on opportunities at home to try something that could potentially be an aweful, lonely experience. But, you know what? It was the best time of my life. The people I met while abroad were so incredible that while I thought about my friends and family back home, I wasn't sad. The change in my life was for the better.

Personally, I would go to Duke. However, this is something you're gonna have to figure out on your own. Ultimately it's your decision and if you let someone else make it for you, you will only regret it in the end.
Good luck!
 
Both schools would be great. Id say, go where you feel most comfortable, which really depends on you. I have two warnings here, I didnt read the long version and Im on the UMich waitlist, so my comments may be biased for my favor 🙂

But anyways, Im particularly partial to getting an environment change... I want to get out of WSU and into somewhere else (UMich for me, on waitlist). I want to go somewhere where I will feel at home, safe, and comfortable. I dont get that commuting to WSU, and I think I will in AA. For you, would you feel more comfortable in Carolina (mmmmmm, warmer weather), or in AA. Like you said, family is here, and you are already familiar with AA.

But then again, I HATE THE COLD!!!! 😉

If it were my choice, Id go with Duke if my gf wasnt in AA, but she is, so Id go to UM.

Just my 2cents.
 
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"walking past NYPD and working out at the CCRB"

Ewww, greasiest pizza Ive ever seen. I hope you walk past NYPD and go straight to the CCRB!!!!!!!!!!!!!!!!!!!!
 
If you feel nostalgic about Ann Arbor, consider doing the Duke 3rd year there for some research project (unless you decide to pursue a 2nd degree instead).
 
AStudent said:
I got this far before I stopped reading.



My condolences 🙁


Man what happened Saturday, they couldnt shoot ANYTHING but were still in it for the first half!!!!
 
For real, I was watching at the bar and got teargassed as I left 😡

Oh well, at least the ladies will win it all 👍

gbiz said:
Man what happened Saturday, they couldnt shoot ANYTHING but were still in it for the first half!!!!
 
AStudent said:
I got this far before I stopped reading.



My condolences 🙁


HAHAHAAAAAA :laugh:
Mine too!

But in all seriousness, go where you feel you will be the happiest and utilize the resources given to you the best. There is nothing worse than a student that just selects a med school based on prestige, location, aesthetics etc. where there are people that would give anything to be in their shoes because they feel that a certain school matches their core. In my opinion that is a spot wasted. 4 years of your life and a large some of your money are not worth taking a gamble just to be adventurous (join Doctors without Borders instead or go climb a mountain)...just my 2 cents.

Think smart and think like the kind of physician you aspire to be.
Good luck!
 
If in-state tuition at Michigan doesn't make a difference (not that it's significantly lower than out-of-state! 😛 ), and if you can bring yourself to make that leap, it really sounds like you know you would be happier at Duke--from your monologue ( 😉 ) I think I can imagine you going to Duke with no regrets over turning down Mich, whereas the flipped scenario doesn't seem to come out as strongly.

Congrats on having this decision, and good luck! :luck:
 
AStudent said:
For real, I was watching at the bar and got teargassed as I left 😡

Oh well, at least the ladies will win it all 👍


I stopped watching a little after the second half started and UNC remembered how to shoot. I mean MSU could not shoot the entire game, yet had a 5 point lead. What happened to ANderson!

THey said MSU was shooting 31% and UNC 77%, then MSU shot 4 in a row and missed all 4 (one play), I said to my bro "thats going to hurt their shooting percentage" 😉

Oh well, they did great getting that far, when they got no respect all season. I was hoping for a Big10 showdown for the championship, but MSU didnt make it :/


My friend from Western was in ELansing for it, and she got tear gassed 4 times; for just being in a roudy crowd. She didnt do anything, as most people in the crowd didnt!!!! :/


Yeh, go Lady Spartans (why is it Men's BB, but for women its Ladys!!!!).
 
One of my friends at met at a summer camp we lifeguarded at went to Ohio State for undergrad. I still get phone calls like this at ~2am:

~Rinnnng~
Me: Hello?
Ryan: Hey "AStudent" what's going on, hey I have a quick question for you.
Me: ~groggy~ Umhmm.
Ryan: What time is it?
Me: ~groping around the headboard for my clock, can't find it~ I dunno I think-
Ryan: It's 1:58AM, and Michigan STILL SUCKS!!
Me: :laugh:


Yeh, go Lady Spartans (why is it Men's BB, but for women its Ladys!!!!).

Because "physiological androgenous female" basketball just doesn't have that ring.....


Scrubz67 said:
HAHAHAAAAAA :laugh:
Mine too!
 
Hey, sorry aazaz for departing from the topic!!!!

If you go to Duke, no routing for BlueDevils over Wolverines EVER!!!! 😉

Man, if I actually end up at OSU, ew. Id get tickets whenever I can for the UM-OSU game, and quietly root for blue.
 
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shawty ya'head said:
North Carolina!
C'mom and raise up! Take ya shirt off, twist it round ya head...spin it like a helicopter! 😀

My new theme song :meanie: Too bad that songs so old now 🙁
 
gbiz said:
Hey, sorry aazaz for departing from the topic!!!!

Oh yeah, I forgot about the original topic. Life must be hard deciding between 2 top 10 schools, one with in-state tution. Obviously must be single too....


If you go to Duke, no routing for BlueDevils over Wolverines EVER!!!! 😉

Agreed. The only school even remotely as bad as scUM.

and quietly root for blue.

You were cool until about 3 minutes ago 👎
 
AStudent said:
You were cool until about 3 minutes ago 👎


OH COME ON ASTUDENT!!!!

You know I go to WSU, who the h3ll am I supposed to root for!!!!! I root for MSU and for UM, MSU in bball and UM in football. And Big10 conference in general over any other conference, I even watched OSU (ohio) annihlate OSU (oklahoma) in their bowl last year, rooting for, gasp, the buckeyes.

You know damn3d well Im rooting for the Illi over UNC, and the Lady Spartans too!

Things would be much different if I went to a school with any sort of sports program, but I didnt, so I get to pick and choose 🙂
 
But you have tons of PROFESSIONAL sports teams within 2-3 miles 😀 And you can't root for UM in football and MSU in basketball, might as well switch you're screenname to "bandwagonbiz" :laugh:

I'm looking forward to WSUSOM next year. With 1/4 being UM undergrads and 1/4 being MSU undergrads I hear it gets pretty fun around the MSU/UM game and the next Monday there's always people who lose bets and have to wear something ridiculous.

gbiz said:
Things would be much different if I went to a school with any sort of sports program
 
Its not bandwagon...

First off, I was raised watching UM football, so I have to, its programmed into me!

Okay to get down to business, I root for Michigan schools, because I am from Michigan. So in hockey, that one is tough to choose a team to root for since MSU, UM, Northern, and Ferris usually have good teams, and Tech used to and even WSU had a decent team 3 years ago.

I didnt actually go to State or to UM, so I dont have any dividing emotions. In football, I do choose Michigan over MSU, b/c I was raised watching UM football. But I love to see State do well too, just UM over them. But now because I do choose UM over MSU in football, I am not fully sure why, but I have always chosen State bball over UM bball, even with the "fab five". Maybe thats why I dont like UM basketball, b/c they cheated for the Fab Five. I dont like cheaters.

To tell you the truth, I dont even really watch much sports. I just started watching college football 2 years ago. I hate pro football, the game is just so different. Basketball, I find it incredibly boring to watch. I watched the Pistons in the playoffs last year b/c they were in the playoffs, so I had to! Other then that, its boring. 🙂


Yeh, okay this didnt make a hell of a lot of sense of why its not bandwagon, but its not; its more of a any michigan program first, big 10 second (or cha for hockey).



Well Im proud to stay on topic here, oh wait, ooops :laugh: :laugh:
 
definitely go to second look weekend before you make a decision. maybe the michigan students will be just as great as the duke ones.

also, don't be afraid of change. you'll make new friends easily and you'll have other pizza places to walk by and other workout facilities to go to if you go to duke.

definitely consider how far in debt you think you are willing to go. i'm assuming instate at umich is much cheaper than duke's tuition.

good luck!
 
AStudent said:
I'm looking forward to WSUSOM next year. With 1/4 being UM undergrads and 1/4 being MSU undergrads I hear it gets pretty fun around the MSU/UM game and the next Monday there's always people who lose bets and have to wear something ridiculous.


Not sure where you got your numbers from, but 2003, it was i think 82 people from UMich undergrad, 28 from WSU as second highest. Third highest was MSU, in the teens.

So thats about 1/3 of the class from UM, 10% from WSU, and even less from MSU.

Ill check these numbers...
 
oh yeah, and i think the reputation at either school is good enough to do whatever you want afterwards as long as you do your part of kicking ass on the boards.
 
gbiz said:
So in hockey, that one is tough to choose a team to root for since MSU, UM, Northern, and Ferris usually have good teams, and Tech used to and even WSU had a decent team 3 years ago.

Basketball, I find it incredibly boring to watch. I watched the Pistons in the playoffs last year b/c they were in the playoffs, so I had to! Other then that, its boring. 🙂


haha, you just made yourself sound like more of a bandwagon fan.
 
LauraMac said:
haha, you just made yourself sound like more of a bandwagon fan.


I know I did, but the end explained it... for hockey, WSU has an alrgiht ACTUALLY D1 team, so I choose them first, then I choose Michigan schools over non-Michigan schools, then CCHA over non-CCHA.

So Im a state of Michigan fan!
 
Okay AStudent, I got updated stats on WSUSOM, this is 2003 info so I must have had 2002 before.

86/256 UMich = 33.5%
34/256 WSU = 13.3%
34/256 MSU = 13.3%
8/256 UM-Dearborn
 
Matrics Applicants % of total app who matric
(from respective school)
University of Michigan 86 367 23%
Wayne State University 34 104 33%
Michigan State University 34 152 22%


gbiz said:
Okay AStudent, I got updated stats on WSUSOM, this is 2003 info so I must have had 2002 before.

86/256 UMich = 33.5%
34/256 WSU = 13.3%
34/256 MSU = 13.3%
8/256 UM-Dearborn
 
Funny. I had the same heart-wrenching decision--only on the undergraduate level. I chose to attend Michigan, and now hope to end up at Duke Med.
Best of luck. I've lived in both Ann Arbor and Durham, and I definitely understand your love for Ann Arbor!

But Duke is great, and it has a great energy.

aazaz said:
Short Version

I am a Michigan undergrad deciding between Michigan and Duke. Michigan has in-state tuition, is closer to home and family, and has a better campus environment. Duke has better weather and great people (haven't met Michigan med school people yet), and a Duke degree is probably slightly better for my career. Where would you go?

Long version
(I wrote this mostly for myself at the airport, but I figured someone out there might get something out of reading it)

Some wise man once said that you should base the important decisions of your life, like who to marry and what occupation to pursue, on what your gut says. Problem is, my gastric system is not very clear sometimes. I am faced with a very big decision right now – deciding between Duke and University of Michigan medical schools – and I am torn between the two. Maybe trying to write down what I am thinking with as much honesty as I can will help me interpret what my gut is telling me.

I’ll admit that this is a nice dilemma to have. The other day, I was reading some joke in The Onion about some guy deciding between Princeton and Yale, and the gist of the joke was ‘cry us a river, you ****.’ I realize that my situation could be a lot worse than what I have right now, and I don’t intend to come across as a pretentious bastard as I write this.

I just got done with Duke’s second look weekend. I have to say, I really like it there. Everything is so… pristine. The hospital and the medical school building are beautiful, and the undergraduate campus is like a vacation spot. The weather is sunny, the buildings are beautiful, and the breeze always feels nice.

The campus is much different that Michigan’s big state-school small-city environment. Duke has like, less than 10,000 students overall… it feels so much smaller than Michigan’s like 40,000. Streets don’t cut into campus, and the campus seems kind of isolated from the rest of the world. There is no concept of street parking. It may be prettier in places than Michigan, but it doesn’t have the charm that Michigan’s campus has on a sunny day.

I get a vague sense of regret and nostalgia every time I think about leaving Ann Arbor. One of my favorite places to be is in the diag in the middle of April, when the sun is out and everyone is relaxing and mingling. I enjoy chilling in Café Ambrosia and walking past NYPD and working out at the CCRB. It will be sad to come to a point in my life where I won’t have access to that anymore. Duke doesn’t have anything to really match the feel of Michigan that I have grown accustomed to.

However, Michigan is only nice and pleasant like that like 4 to 8 weeks out of the school year, if that. The rest of the time there, it is miserably cold and dark. Only forsaken souls venture outside during those times, shivering in their jackets trying to conserve body heat as they get from one building to another, running from packs of crows that play out games of fecal Pearl Harbor from up above. In Durham, the weather is nice year-round. Right now, as I type, it is sunny, seventy degrees, with a pleasant breeze and birds chirping. This is perfect weather for anything.

The undergrad student body at Duke seems to be a little less than diverse. I got the impression that they are mostly privileged kids with popped collars. Michigan has such a good mix of all kinds of people – its nice to consistently run into people who look like you – and duke undergrad, well, not so much.

I’m not sure how much of a difference the lack of undergraduate diversity is going to make in med school. The medical school student body at Duke is very diverse and fantastic in general, I got along well with everyone I met, and they will be the people I will be spending most of my time with. Besides, when I am spending sixteen hours a day in rotations, the ethnic make-up of the undergrad student body wont really matter that much. Really, to be honest, I’m not really sure how much of a difference Michigan’s diversity makes right now, while I’m an undergrad here. I can connect with most people just fine, and ethnic background is usually a tertiary issue in most of my friendships.

What does matter is having some kind of social support network. I will have a ton of family and friends around in the Michigan area: my sister and her husband’s family, a couple of cousins, my parents, and a bunch of friends that I have made over the years will be around. I don’t know anyone in Durham besides my classmates who I just met. Again, I would meet people outside of the med school over time, and I don’t really need a massive group of friends outside of med school to survive – but ditching a great group of friends and family and starting from scratch is a depressing thought.

Duke’s curriculum is great. Only one year of basic sciences. That is huge. Sure, that year may be a bit harder than first year at Michigan – but it is only one year. My student host said that he couldn’t stand the thought of being in basic sciences for another year, and he is really glad that he only has 3 more months of it, while his colleagues around the country have 15 months. The second year is clinics, after which, the hard part of med school will be done. I will probably get some kind of second degree during the third year – maybe an MPH, maybe an MBA – or maybe I’ll do research. Who knows? But it will be nice to have that year to do whatever I want.

I was comparing residency match lists of Duke and Michigan. Michigan grads match okay – there are a fair number of students who get top notch residencies in schools like Harvard, Hopkins, UCSF, etc. However, there are also a fair number of students who match at lesser known hospitals. For Duke, however, matching at schools like Stanford, Harvard, UCSF, etc. seems to be the rule. Almost every single person from last year’s class went to a residency in some obscene institution like the ones listed above. I am really getting the impression that the Duke name is more prestigious in the medical community than Michigan, and it will probably be better for my career if I go there.

If it seems like I am infatuated with Duke… I am. However, the thought of leaving Ann Arbor really bothers me. Even as little as a month ago, I did not anticipate leaving it behind. I didn’t honestly believe that I would get accepted into Duke, and I had pretty much mentally prepared myself to go to Michigan. I even signed a lease on an apartment in Ann Arbor for next year, which I have since cancelled. I have a lot of emotional investment in this university and city, and it really makes me sad to think about leaving it.

That’s what it comes down to. I really like Duke, but I would be sad to leave Ann Arbor. Resistance to change and fear of something unknown are powerful motivators... but I have found that change is never quite as bad as you imagine it to be. I think I’m just resistant to the idea of having to move on in life. I don’t want to be in Michigan this December, miserable and cold, wishing I was in North Carolina. On the other hand, I don’t want to be in Durham in December, missing everything about my family and Ann Arbor and Michigan football. I may just have to mentally prepare myself for the idea that my time in Ann Arbor is coming to an end, and I am about to begin a new chapter in my life.

Go Blue [Devils]!
 
AStudent said:
Matrics Applicants % of total app who matric
(from respective school)
University of Michigan 86 367 23%
Wayne State University 34 104 33%
Michigan State University 34 152 22%


Ya those percents are percent of those who apply from that school who matric to WSU. So for um, 86 matric out of 367 apps = 23%, not 23% of the class is from UMich. So for percent makeup of class, UMich is higher then WSU and MSU combined!

They should just stick to their own school instead of infesting WSU, JUST KIDDING!!!!!!!!!!!!!!!!!!!!!!!! 🙂
 
Based completely on your explanation of your situation, I think you should go to Duke. It seems like that's where you want to go, but you're just scared to leave Michigan. You'll find tons of little things you love about Durham, it'll just take some time.

Based on my own personal opinions, I still think you should go to Duke. Better weather is huge for me, and you can't beat Duke's curriculum, reputation, or students.
 
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ultimately it's your decision, but I'll say go to Duke. change of environment is good for the soul, plus if it's tuition you are worried about, if you decide to do research during your 3rd year at duke, you won't have to pay tuition that year.
 
first of all, do not let perceived reputation skew your judgement...there is no appreciaple reputation difference. If you are dead set on a particular subspecialty (which you probably shouldn't be at this point, but a few people are), then find out which school has a stronger department, but otherwise, i promise, you will not be prohibited from doing anything at either institution.

i'm finishing med school in a couple months and hindsight as well as conversations with colleagues have made me realize how important a support network is. if you are at all inclined to believe that you may need that support network at any point in med school, please think hard about staying near them. on the other hand, if you feel that it truly is your nostalgia impeding you from leaving, then that shouldn't hold you back. med school in ann arbor will be nothing like college in ann arbor and you will not have many of your college friends around, and you could very well get sick of the place.

on the other hand, if you think you will end up as a doctor in michigan, umich is the premier place to be in that state, and there is nothing wrong with settling into life in michigan and accepting it. if you think you'll end up wanting to go to a different place for residency etc, then maybe you should start now, by leaving michigan and showing yourself that you want to do it, and after 4 years, you'll find out if you really want to keep living like a rolling stone or if you want to return to michigan and settle in.

if you feel you'll be more comfortable in michigan for the next 4 years, don't beat yourself up for making the easy choice, it doesn't make you weak. just decide what you want with your life...something new and different, or the important comfort of family and home. some people don't need home, but there are definite times of stress in med school that some people handle better than others. i personally have moved away from home for med school and now am happy to be moving back close to home where my family and friends are (of course, i'm forever thankful for having lived in nyc for 4 years and i'm so glad i got to do it).

good luck, but don't let reputation be come into play at all!
 
tulips said:
Based completely on your explanation of your situation, I think you should go to Duke. It seems like that's where you want to go, but you're just scared to leave Michigan. You'll find tons of little things you love about Durham, it'll just take some time.

Based on my own personal opinions, I still think you should go to Duke. Better weather is huge for me, and you can't beat Duke's curriculum, reputation, or students.

I think this post is right on the money. You really seem to be leaning heavily towards Duke, but are hesitant to leave a familiar and comfortable place. Remember though, medical school is VERY different from college; your life will no doubt be different even if you stay in Michigan. I too was scared to leave my home state in New England to come to Durham, but I knew I had to stick with my gut and go where I felt I'd be most happy. For you, that place sounds like Duke. Don't worry too much about Durham...I worried a lot about it and I ended up totally loving the area! In fact, I'm hoping to stay here for residency! As the above poster noted, there's a lot to like about Durham once you give it a chance (plus, it's been over 70 degrees all week!). This place really sucks you in!

In any case though, good luck with this decision...although it's difficult, it's definitely an enviable position to be in! Feel free to PM me with any questions about Duke or Durham. I'd be happy to help in any way I can!