Hi all, I hate to be that MS4, but I would appreciate your advice. I'm in the process of finishing my rank list for IM residencies, and I'm about 95% committed to Heme/Onc. I'm fortunate to be thinking through some great residency options, and I've weighed pros and cons across many different axes (reputation, location, fit, institutional ties, connections). I can't brush off the feeling that the further on in training I go, the more it becomes important to have a healthy level of institutional and faculty connections. My question is whether these factors played a significant part of your experience in matching at your preferred heme/onc programs. Among my options, I'm particularly having trouble deciding between Duke and Cornell. I did love my interview day at Duke. The reputation looks stronger than Cornell, the camaraderie is solid, NC is fine to me, and it seems like I'll get overall stronger training there. If heme/onc was not so strong a possibility for me in the future, I would go to Duke hands down over Cornell. At the same time, it seems for many years, the heme/onc match from Duke seems incredibly restricted to its home program, and those that match elsewhere vary widely in where they go in terms of the strength of fellowship programs. While I think I'll be content where I end up ultimately, I'd love for at least a decent shot for top places like MSKCC for a strong career in academics. Given this, do you think I should rank a place like Cornell w/ direct ties higher on my ROL instead? Again, I apologize for the annoying question. Any insight one way or the other would be helpful. Much thanks in advance.