Do you think it makes a difference to your chance of matching if you tell a program you are ranking them #1?
I've heard some people (PD's) state they like this info and it will give you a better shot.
Others have said it doesn't make any difference.
I have a couple of places that I would be totally happy at, but for very different reasons.
Beyond my top three, my happiness on match day would go way down.
If the "i love you best" note really pulls some weight, I might be more inclined to use it at the place I already think I have the best chance of matching.
One of the places I really like, might be a harder match.
I don't want to waste this card, and end up matching at a place I don't really like.
End neurotic med student rant...