Residency Placement and Geographic Location

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WingsBelieve84

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I've noticed that many residency placements are in the same geographical region as the medical school attended. So for example, NYC med school graduates stay in NYC/East Coast. Do you guys have any thoughts on why this might be?
 
1) students have a family, roots in the area where they go to school, so they stay there for residency

2) schools themselves have greater exposure and renown within the region itself
 
I've heard that it's harder to get out of state placement, so another round of state/location bias in another application process is on it's way. I'm going to want to go OOS probably. I heard also that doing abroad electives in the state you want to be in helps.....since usually they aren't as familiar with the clinical programs @ far away schools. And maybe also bias, Idk
 
vn2004 said:
1) students have a family, roots in the area where they go to school, so they stay there for residency

2) schools themselves have greater exposure and renown within the region itself
3) Profs at the school probably have business contacts with people in the same region, and those are the ones writing LORs.

As a counterpoint, many of the docs I've spoken to strongly suggest folks to do their residency in a different place from where they went to med school. Docs also generally practice in the area where they did their residency. (though, the guy who was my inspiration to be a doc went to JHU for med school, MGH for residency, and CU to practice! Ah, the pull of the Colorado ski season!)
 
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