Thanks Mindy. What you say about the program is good to hear. Similarly, one recent MGH graduate I talked to referred to it as "boot camp." It was very tough for me to not rank MGH 1st. I have seen people who trained there and have been impressed at the breadth of knowledge they have and the way they approach diagnosis. I also had a great interview day and was impressed by the reception I received, both during the interview and in the months after it leading up to the match. As I said, I would have been thrilled with either of my top 2 choices. I think the end decision was made by Ann Arbor over Boston. Being local I have been here long enough to see Boston for most of its faults and strengths, and for the time being at least I wanted to move on.
That being said, the way it is at Harvard hospitals is that there is much more of a hierarchical system than many other areas of the country. The attitude is more of expecting residents to do their job, do it well, and provide the atmosphere of learning. Not much hand holding. One has to be somewhat of an aggressive advocate for your own education. Not saying this is bad, just different. In today's society, MGH is perhaps something of a dinosaur. The trend these days is to shift towards compassion, open and supporting environments, attendings and residents acting like colleagues, etc. Being a traditionalist, I find this current attitude somewhat lacking. I don't want to be berated and smacked around, but I also want to be able to earn respect, and show respect to people who have earned it more than I have. I want to call my attending, Dr so and so. So I am willing to go to a more "supportive" environment, because I believe the education doesn't suffer for it at all, but that was really not a huge factor in my decisionmaking. I based my decision more on how the residents are educated, how well they learn, how the residents interact with each other, and the location the program is in.
My 3 cents.