OneTougherCookie
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Hi everyone, apologies for creating a second thread of decisions, but my situation has changed enough that it's forced me to rethink my approach to choosing where I'll attend the next 4 years. I'm running through the classic battle of finances vs. prestige vs. resources and having a tough time looking at things objectively. Thank you so much for any advice/insight you can provide!
For some background, I was originally raised in the Northeast, and plan to pursue residency in Psychiatry (with a specific focus on pediatric/adolescent psych for LGBTQ+ communities). I have a big interest in LGBTQ+ health policy/interdisciplinary work as well, with a slight incling to enter politics or the public sector at some point (ex. Working for a municipal department of public health). Also identify as queer which is relevant for some of the school decisions. In addition, I expect to fully pay for school out of pocket (no parental support).
HMS Pathways- ~$50k in scholarships/~$99k estimated COA (Estimated $180-200k of debt)
Pros
UCLA- Full Tuition Scholarship + ~1/3 CoL covered by additional aid (Estimated ~$80/90k of debt)
Pros
Cons
Mayo Clinic (MN)- 90% of Tuition Scholarship (Estimated ~$120k of debt)
Pros
Cons
Breakdown of Comparisons
- What my selection would be if money wasn't a consideration: HMS >> UCLA > Mayo
- Fit of Resources to Niche Interests (LGBTQ+ Health, Policy Work): HMS ≥/= UCLA > Mayo
- School Setting: HMS (Boston) > UCLA (Los Angeles) >>> Mayo (Rochester)
- Cost/Debt: UCLA > Mayo >> HMS
TLDR: Facing a dilemma when considering price vs. prestige at 3 excellent programs. Seeking insight on how heavily I should be weighing the debt vs. the opportunities and academic fit.
**One Quick Addition- I've already appealed financial aid packages at all 3 schools and they have been adjusted. I assume that the FA numbers will not change from this point out.
For some background, I was originally raised in the Northeast, and plan to pursue residency in Psychiatry (with a specific focus on pediatric/adolescent psych for LGBTQ+ communities). I have a big interest in LGBTQ+ health policy/interdisciplinary work as well, with a slight incling to enter politics or the public sector at some point (ex. Working for a municipal department of public health). Also identify as queer which is relevant for some of the school decisions. In addition, I expect to fully pay for school out of pocket (no parental support).
HMS Pathways- ~$50k in scholarships/~$99k estimated COA (Estimated $180-200k of debt)
Pros
- The Big Kahuna- Freshman premed me would be having a literal meltdown if they knew that I had gotten into HMS. It was a genuine shock and to have the opportunity to go to an institution like Harvard is something that's hard to turn down flat out. If money were no object, I would have committed in a heartbeat.
- Excellent Resources- HMS's clinical rankings are nothing to sneeze at, but it stands out even more for the non-medical resources available. Between a top policy school at Kennedy and a premier LGBTQ+ Health Research org at the nearby Fenway Institute, Harvard's got a lot of stuff which makes it a stellar academic fit for my niche, which really takes it over the top.
- Boston- Having grown up/attended school in the northeast, I've often envisioned myself in a similar setting as a medical student. Boston seems to have a great mix of being an academic town, a cultural hub, and somewhere that's relatively acccessible. In addition, I've heard good things about its queer social scene which is a big plus for me.
- Priciest- Out of the three programs I'm mulling over, Harvard's the most expensive by a good bit. Depending how I run the numbers, I could be between $180k and $200k in debt. The financial aid process with HMS has not been fun and I've met a lot of students who have been left with a similar bitter taste in their mouth about the whole thing.
- Rose-Tinted Glasses: As much as I've loved a lot of stuff at HMS, it's hard to look at it objectively. I'm worried that the hype doesn't translate as much as its rankings advertise and am cautious about sinking lots of money into chasing a name rather than making the most pragmatic decision.
UCLA- Full Tuition Scholarship + ~1/3 CoL covered by additional aid (Estimated ~$80/90k of debt)
Pros
- Los Angeles: An excellent city as a young queer person, gorgeous weather and DGSOM has a fantastic location in the city to boot.
- Similarly Excellent Resources: HMS is hard to top with respect to clinics and research, but UCLA still offers a ton within my niche area. In particular, the Williams Institute (an LGBTQ+ policy research group) is one of the best LGBTQ+ research groups in the country and Los Angeles as a city has a lot of additional LGBTQ+/advocacy oriented opportunities. While HMS might offer slightly more in the way of name recognition, UCLA puts a lot of great resources on the table.
- Best FA package: Even with its high CoL, UCLA gave me the best package out of all 3 schools (full tuition scholarship + extra need-based aid). Based on my estimates, it'd be ~$30k less debt than Mayo and about 1/2 as much debt as HMS. Granted, all 3 schools would likely put me in less debt than the national average, and I know the scale of this aid difference isn't as big as many of my peers have to make, but the debt has made me a bit skittish.
Cons
- Just a bit less name recognition: UCLA is highly ranked, but it's hard to not feel like I'm turning down a life-changing opportunity when looking away from HMS/Mayo. Perhaps it's pride or just an instance of "chasing the dragon" when it comes to name recognition, but having dreamed of going to a med school like HMS, it's hard to simply ignore those opportunities.
- Having to own a car: Having to own a car as a medical student is something I've dreaded and it's pretty much mandatory at UCLA, whereas both Boston and Rochester are navigable on foot/via public transit. Having gone to both undergrad and grad school in places where I didn't need to own a car, this is a big downside (granted, I'm probably being petty).
Mayo Clinic (MN)- 90% of Tuition Scholarship (Estimated ~$120k of debt)
Pros
- It's Mayo Clinic: Hard to argue with the name recognition and its clinical resources are debatebly the best in the country.
- Very solid financial aid package, only need to pay for CoL + 10% of tuition (estimating I end up with ~$120k in debt). Rochester seems very affordable.
- Welcoming (but culty?): This plus is a bit of a mixed bag. I've had nothing but good interactions with Mayo Clinic staff and students, which is more than I can say for most institutions. They're generally some of the friendliest and nicest people I've ever met, and the academic/clinical environment is extremely patient-centered. That being said, the lack of "black marks" in my interactions has been a bit disconcerting at times. Perhaps it's just my cynicism, but having never heard a single bad thing about the student body/admin is a little weird to me.
Cons
- Rochester: Mayo's location is something that's really hurt it in my eyes, especially as a queer individual. While the city doesn't seem hostile by any means, it really seems to lack the social opportunities that HMS/UCLA offer.
- Non-medicine opportunities: I've got a big interest in health policy/LGBTQ+ advocacy and I've found Mayo's interdisciplinary opportunities to be rather limited. The "fit" outside of the classroom seems weakest here, when compared to UCLA/HMS.
Breakdown of Comparisons
- What my selection would be if money wasn't a consideration: HMS >> UCLA > Mayo
- Fit of Resources to Niche Interests (LGBTQ+ Health, Policy Work): HMS ≥/= UCLA > Mayo
- School Setting: HMS (Boston) > UCLA (Los Angeles) >>> Mayo (Rochester)
- Cost/Debt: UCLA > Mayo >> HMS
TLDR: Facing a dilemma when considering price vs. prestige at 3 excellent programs. Seeking insight on how heavily I should be weighing the debt vs. the opportunities and academic fit.
**One Quick Addition- I've already appealed financial aid packages at all 3 schools and they have been adjusted. I assume that the FA numbers will not change from this point out.
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