Besides wanting to stay on the west coast...
MGH-too big, too high sample volume, way too much work, the facilities are kind of run down and the place has half the space it needs. Residents on surg path routinely have to stay until 10 at the earliest to get all their work done. And I'd have to keep wearing that g-damn short coat (doctors at MGH all wear the short "consultation" coats.) (kidding)
BWH-too academic. I want to do AP/CP training, but they essentially told me at BWH: "WHEN you drop CP, here's all the other great things you can do..." If you know you want to be a dept chair in the future, this is the palce for you, however. One other possible problem is that Ramzi Cotran died suddenly a couple of years ago, and he was what really made the place great, according to a number of people there. Not that the current chair isn't doing a good job, it's just that I got the sense that decisions were being made "because Ramzi would have wanted it that way."
Anyway, these are all rationalizations because in actuality my wife refused to move away from the West coast.🙂