I am having some difficulty deciding between two residency programs. One program is located in an ideal location where I would like to be long term (it would be nice to build a contact base there). This program is not as well established but provides more flexibility in that I can create my own niche within the program. I won't have to conform to their rigidity. However, I do not feel that their didactics are as strong. Furthermore, they do not have a PM&R sports fellowship, which at this point, I intend to pursue. The second program is in my hometown and close to family, but not really where I want to be now or long term. It is more well established and they have strong didactics. However, I would not have as much flexibility within this program. Also, they have an ACGME PM&R sports fellowship. What it really boils down to is that I would prefer living in the location of the first program and I think I can create some good opportunities for myself there. Yet, I have questions about the didactics and exposure to MSK US. The second program is stronger but not in my ideal location. Plus, I wouldn't have much flexibility there. It is an issue of happiness/life outside of medicine and flexibility vs a more well established program with a sports fellowship. Do any current residents or recent grads have any advice for me? Since you are there now, what do you see as most important? Also, since I want to do a sports fellowship, is it better to go to a program that has a PM&R sports fellowship in house? Any advice or pointers would be much appreciated.