PM&R is an up-and-coming field, that is not well known among U.S. medical students. there are only about 80 PM&R residency programs with about 315 residency positions available each year. how important is it where you do your residency training? it would be ideal to go to a top 10 ranked PM&R program or a highly reputable program for obvious reasons. but if you end up going to program that you are comfortable with and get good PM&R training, does it matter if your residency program is not highly ranked? the reason i am asking is because i know several IMG"s who have gone to "lowly ranked" PM&R programs. but they are good physiatrists now and have successful practices now. will going to a "lowly ranked" residency program hurt your chances of getting a fellowship?