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Only the upper tier programs (either due to reputation, location, or both) seem to be getting more competitive. The middle tier (ex. Mayo) is still very attainable for average and below average applicants, especially in "less desirable" areas such as the Midwest.
Is Mayo really mid-tier though? I realize it's not elite like MGH or Yale psych and the location isn't the most desirable, but I thought it was still considered an "upper tier" program.