Good in-state program or name-brand out of state?

[Entgegen]

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Ok, so I'm applying for residency this cycle and I currently live in a large state in the south. I'd really like to end up practicing in this state when I'm done with residency (it's close to family, etc.). I've gotten interviews at all the programs within the state, some of which are reputed to be pretty good programs. I've also received interviews at a few big-name out-of-state programs. That being said, this is what I'm wondering:

In order to end up in the state I currently live in, would it be better to go to one of the better in-state programs, or a name-brand program out of state and try to get back in when I'm done?

I'd actually prefer to stay local for residency out of convenience, but the allure of the name of a big program on my CV is tempting as well. Any thoughts?

 

[KCShaw]

Eh.

If you're talking about being able to stay in-state at a top-tier name-brand program, if not necessarily in everyone's top 5 or 10, then I think it's a no-brainer to stay in-state. The contacts developed in residency, plus being at a good program, almost certainly would give you the best chance of landing a local job. I would even argue that if you're talking about a stable mid to low tier program, off most people's radar but in-state and ACGME accredited, you're more likely to land a local job coming from them, and still able to get a solid educational foundation.

Ultimately you have to decide for yourself what's more important to you -- are you the type of person who won't be able to sleep at night because you didn't go to one of the top X, Y, or Z? or are you the type of person who doesn't need that kind of self validation?

Yes, so-called top-tier name-brand programs can earn one a harder look than someone else, all other things being equal (but all other things are never equal). But personal contacts go at least as far, if not farther. Every employer may weigh them a little differently, but generally personality and "fit" win out, once you've earned an interview.

If you're really straining yourself, also consider that you could aim for a fellowship at a name-brand institution later, but still develop and maintain the in-state contacts in residency.