7+ Year Member
15+ Year Member
Sep 13, 2002
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Ok, I'm getting to that point of finalizing the ROL. But I'm stuck between #1 & #2. This may be a silly question, should one choose a program that is mid/low tier but is the place I'd like to go the most, or should one go with a top tier program that may be a less desirable place to live but whose reputation is awesome? I guess what I'm asking is does a programs reputation make that much of a difference when it comes down to getting a job in the real world? I don't really have an interest in pursuing an academic career, hell i just wanna get out, start working and hopefully get paid :). thanks for any input....GOOD LUCK ALL with the match!!!!!!!!


10+ Year Member
5+ Year Member
Feb 10, 2005
I agree 100% with the above post. You should choose where you want to go and not base your decision on someone else's rank/tier system. I was just in the same boat you are and was trying (for program #3 & #4 on my ROL) to decide between the location/program that would make me happiest vs. the program with name/reputation.

I went down and spoke with my department's chairman and he highly encouraged me to go where I would be most happy/fit in the most. His reasoning was that a resident will shine brightest at that program and will likely learn the most if they are happy where they work. Also, 4 years is a long you want to be unhappy just for reputation's sake. It's all about your priorities, though, so in the end you will have to decide what is important to you. I chose happiness, because even the program that I was looking at that had the lesser reputation was still an excellent place for residency training.