Both of these programs are very similar- more alike than different. Top cardiac, pain, ICU at both. Peds edge to Hopkins. Both programs have a ton of fellows (with all the good/bad that entails). 2 big differences strike me after interviewing at both- regional and didactic strength. Regional strength definitely goes to Duke - I remember them saying that residents routinely get over 200 regional blocks vs Hopkins would get like 100-150 (after taking max amount of regional electives including HSS). As far as didactics, huge advantage to Hopkins. Dedicated/protected entire day ("College Days") every other Thursday where you have structured lectures, group learning, anatomy lab, simulation, etc. Duke had 1-2 hours a week of lecture from 5-6pm. Another small difference- Duke is primarily categorical while Hopkins is advanced only.
In reality, these differences are pretty minimal and you'll be a rockstar anesthesiologist graduating from either one. Best of luck in your decision! ...and maybe we'll be classmates at one of these places 😉