I've been wondering the same thing. Are people not ranking it or is the program not making a long enough list? As far as education, the case diversity and acuity definitely seem to be there. I did get an unexpected vibe from one of the senior residents. He was very unhappy with the didactics and said something like "we work way to hard to not get taught". So Rush might be a "worker" program as much as it is a "student" program. That might have scared people into not ranking it the last few years.