you keep cryptically citing these "best teaching hospitals", but I seriously question that. First, I suspect many SDN residents are at places that are among the best in their respective specialties. Yet it really isn't residents weighing in on your side here. Second, some of the bigger named academic centers are the ones with the worst track record in terms of breaches of duty hours. Third, I think you need to be a resident to give a reasonable evaluation of what's good resident training. What looks great to you as a med student could end up leaving you seriously deficient in your training as a resident. You have to realize that during residency your focus will shift. It starts out scary with long houred weeks and long overnight calls. But as you get to the later years it becomes more of a how can I see and do everything I need to before I graduate to attending and start to work without a net issue. A lot of us feel like the number of hours left in our residency are barely enough as is, and we got a much better running start as interns than the people a year behind us. It's why there's another thread on SDN why neurosurgeons are upset with the duty hour rules and why there's some buzz, as described by Prowler above that maybe residency is going to need to be lengthened as duty hours get cut back. A lot of your arguments and your view of what is among the best hospitals for residency are going to change once you get to residency. Best to realize that you don't have the necessary perspective yet, not keep trying to argue that you logged enough hours as a med student to know something about residency training. The whole "I'm not a resident but I stayed in a Holiday Inn Express last night" style argument is not a winner.