I don't know if it is really an issue of caring what others think about their rank list - at least, not for me. I concur with Fenster that it is often hard to get a good feel of a program, especially only being there for a day, as many programs do start blending together and it's hard to tell them apart. I would also like to add that my ability to find out what I needed from a program changed over the course of interview season. In the beginning I just wanted to impress, and I really didn't know what questions were more important for me to be asking programs - but with subsequent interviews, a particular feature or two may have stood out at certain programs, and then I started asking other programs if they had options for that as well. So my ability to judge latter programs became more refined, but now I'm perplexed about some of my earlier interviews as I have a lot of unanswered questions that I wish I could go back and ask about.
Some of us also process things by bouncing off ideas on others - which isn't necessarily a bad thing. On one hand, I do appreciate your and Nasrudin's decisiveness, as being able to trust your own intuition and judgment is probably a good skill to have in a psychiatrist. Maybe others of us haven't yet gotten to the point of trusting sufficiently in our own gut feelings about things yet. Maybe we are trying to use logical reasoning to solve an emotional dilemma. But I don't think it is always a case of a person not being able to trust his/her own intuition or caring too much what others think, as it's sometimes just about not having enough info, and wanting to throw a program out there to see if anyone has any 'juicy tidbit' that they can add some information about. I don't necessarily find other people's rank lists to be as helpful as the *reasoning* given for ranking one program above another (if it's based more than just on gut feel) as that is something I can consider for my own list. It's the next 4 years of our lives after all....
A lot of the programs blended together for me, too, but from that I have concluded I will be fine at a bunch of different programs, so I focus more on the location as the tiebreaker (what separates #1 from #2, so on). That is the essence of my process in a nutshell, that with a list of acceptable programs, location is the key.
I started "researching" programs and locations 2 years ago, relying heavily on SDN to make up my app list, and also checking out cities through other sources like city-data forums, etc. So by the time the app list got boiled down to the 12 programs and cities where I interviewed, I had a pretty good idea about the pros and cons of both the programs and the locations. I still got surprised, mostly pleasantly, by some of the locations I wasn't as sure about that ended up being "better" than what I expected. Only one city "disappointed" me, but I liked the program and will still rank it, just near the bottom of my list.
I have thought about it, and I think this is a huge factor in what helped me be so decisive: for nearly every interview in a city I had never before visited (which was most of them), I spent an extra full day looking around, checking out neighborhoods. It cost more money, and an extra day of my precious time (but I interviewed during a vacation period, so the time factor wasn't much of an issue), but it was well worth it. If all one did was drop into a city after dark, spent the next day inside a building answering the same questions and seeing the same stuff you have seen everywhere else, and then you rush off to the airport, I can see how not only programs but locations are hard to differentiate. When I spent the extra day, it was usually the day after the interview, especially for places I flew to. I found it was very difficult to schedule a return flight the evening of an interview, anyway, so I just stayed an extra day, looking around.
Bottom line: I don't think there is just one perfect program or location for me, but I am not restricted by family considerations in this process, and I don't have to worry about a job for a spouse or sig other (got neither), or schools for kids (got none), nor do I need to be near aging parents (mine are pretty spry). As for programs, I am simply looking for solid clinical training (I have no research or academic interests, and I am undecided about fellowships at this point) in a non-malignant program with reasonable workload, populated with friendly/happy people, in a city where I can find diversions when I get some time off. As for locations, climate matters a lot to me; no more snowy cold winters for this guy, and I care about reasonable cost of living, and I would prefer at most a medium sized city with good transportation options (either less driving involved, or the majority of program sites are in a single location, or if there is lots of driving, it isn't a burden, with easy parking, etc).
One final thought on the "not caring what others think" thing: What I mean is that nobody can really help me with this decision - only I know what matters to me, and as much information as I can provide as to my process, I seriously doubt if anyone could come up the rank list I now have. I do trust my process, and my judgment, and I do have people I bounce ideas off of, but there is nothing someone could tell me at this point that would affect the order of the programs on my rank list. Shorthand for the above is "I don't care what others think."