premed316 said:
Hey all, I wanted to get some of your opinions....
Do you think it is worth it to go to a better (Einstein or Sinai) vrs a lower ranked but MUCH cheaper state school (downstate).
I have been thinking about this a lot lately and am not sure if its worth the extra 80 thousand dollars more you would in debt.
Do you think the school u come from makes a difference in your match or is it primarly based on board scores??
The school you come from can certainly make a difference, but with all respect to Einstein and Sinai (which are both fine institutions), it's not like you're talking Harvard, Hopkins or Wash U.
With that in mind, personally I'd want a bloody good reason to spend an extra 80K plus interest. For the most part med school is med school. You spend two years jamming the same wad of info into your head no matter where you are. You sit around in some hospitals for a year and then apply to residency. State schools tend to attract homebodies who gravitate towards primary care, and that is reflected in their match lists.
I will admit some bias, as I went to a state school. We had excellent instruction our first two years (99% Step 1 pass rate in my class), and our urban campus serves 98% of the state's indigent population. I challenge anyone to find a sicker, and therefore cooler, group of patients. The vast majority of my classmates matched at one of their top three programs, although you could clearly detect the lean towards peds, psych, IM, and FP. Most of the top people in my class went into primary care. Still, we sent people into optho, ortho, plastics, ENT (one to Harvard), etc. 100% of our nine rads applicants matched. Go figure.
The happiness issue is difficult to address. Some folks are happy anywhere and some are happy nowhere (believe me, you will meet some of the latter no matter where you matriculate). Unless Downstate really made your skin crawl, you'd need a crystal ball to forsee your future level of personal joy.
Oh, and before I forget, let me recount the exact moment that solidified my med school choice.
Financial aid lecture at state school: "Listed here is the amount of tuition and fees, and the amount you will receive to live on each year."
Financial aid lecture at private school: "You will begin by taking the maxium Federal subsidized and unsubsidized loans. Then you will take out these loans, then these. Then this one. That leaves you with only about $8,000 each year to cover with private loans of your choosing."
I thank my luck stars ever time I get a statement from Direct Loans.
Sincerely,
Havarti666, MD, PhD, PGY-1