I've really stewed over my rank list for a while, mostly putting it off cause I don't want to think about it. But the time is approaching, so I'd appreciate any thoughts. Here's my tentative order:
1. MGH - I liked the program, including the set up of the Bigelow system, the good share of outpatient time, and had a good interaction with the residents. I wouldn't say it was my favorite program, but it was top 5 and the fact that it will make any fellowship opportunities that much easier makes me inclined to rank it number 1. That being said, I think my chances of being ranked to match are minuscule, so I feel it's a moot point.
2. UNC - I think this is the main source of my anxiety. I think my chances of matching here are exceedingly high. It's my home program and I really like it. I like the subspecialty inpatient organization, have gotten along super well with the residents, really like the attendings for the most part, etc etc. I also have family/friends/significant other in the area or within an afternoon's drive so that's a big factor as well. That being said, I just felt like I was ready to move on and get a new experience. I also worry about the fact that the program is a solid step below a few of the other programs near the top of my list.
3. Vanderbilt - Would probably be my number 1 if it wasn't for location and the fact that MGH is MGH. Has the subspecialty organization of UNC, block system, enjoyed the residents, new program director seemed very receptive to changes, good research opportunities and fellowship match. Just not sure if I like it so much more than UNC to move that much further away from my SO and family (we're talking 5-7 hours difference driving).
4. Duke - Was my number before interviews, but I just didn't love the program when I visited. Residents seemed a little overworked, the schedule is not very forgiving (daily admitting, q3 call on icu months, weekend call on consults). That being said, it's an ideal location for me; I love the fact that the residents seem so confident in managing any kind of patient early on and seemed really smart during conferences. I also had a good time with them at dinner and know a couple interns already. I've gone back and forth a dozen times, including ranking it 1, but my gut is steering me here.
5. UVA - Pretty similar to UNC in a lot of respects. Liked the fact that they're moving to 3+1. Overall residents seemed maybe a little happier than at UNC, but I think the differences are enough of a wash that I don't see myself ranking it higher than UNC.
6. Yale - Really liked this program, had great interviews, like the 4+2, curriculum, etc. But can I really spend the next 3 years in a city where I know no one and have to drive an hour to the airport and then fly another 2 hours to see my family/SO? I don't think I can.
7. JHH - Liked the autonomy and how confident the residents were. But I didn't have a great vibe with my interviewers; seemed kind of stuffy and serious. Residents were okay though. And it's Hopkins; can't deny the training. I guess I think JHH-Duke is analogous to UNC-UVA for me; felt similarly about both programs so location is kind of the trump card here.
Anyways, I'll leave it at that, since while there were other programs I really liked, I don't think it's worth discussing for practical purposes. Thanks again for any input.