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I think Utah should definitely be above Cedars. Your point about the socially conservative nature of Utah is well taken, but SLC is a fairly liberal/tolerant pocket in the state. I'm not you and can't make any promises, but I think you'll be fine.Really going back and forth on my ROL now... particularly the middle. I would like to be in the West to be closer to family now that my sister is pregnant, but I'm afraid the IVs I got in the West are less prestigious and won't open as many doors as the others farther away (interested in academic medicine, 90% sure I want to do GI). So far:
1. UC San Diego
2. Vanderbilt
3. U Chicago
4. Icahn/Mount Sinai
5. Cedars-Sinai
6. Baylor
7. UC Irvine
8. Utah
9. NYU Tisch-Kimmel
10. NYU Trad
I loved UCSD and have no issue ranking it 1 even though I like the programs at Vandy and UChicago slightly better (that X+Y scheduling... hrrghhh). But I'm struggling with where to place Cedars the most, to be honest. I get the impression it is a lower-mid tier IM residency and you'll always be second banana to UCLA, plus the impression I got that many patients aren't even seen/touched by residents due to the high number of private physicians affiliated with Cedars. But I'd also really like to be in LA, at least, more than NYC or Houston. And while I liked the people at UC Irvine, and I thought the program coordinator and program director were awesome, I felt strange vibes from the residents (although they were all exceptionally nice, I ended up getting the impression that it is much more of a workhorse program than the others on my list). Utah I also really enjoyed (TBH, I liked all of the places I ended up interviewing at, so I guess that's a good thing), although I worry what life would be like as a gay man in SLC.
I suppose I'm just really hoping I get my top choice at this point... but you never know.
But honestly, with the list you've got, lock your top 3-4 in and prepare to go there.
Good luck.