I took a second look to some west coast programs and even one program in the midwest even though I live on the east coast. I was shocked when I went for a second look at how different one of the "prestigious" programs behaved with me on my second look. I was not welcome, I saw that the residents were being treated in a malignant fashion, and I really found it so strange that people who were so nice to me and who were so nice around me when I was interviewing would behave so differently when I saw them in their natural environment. On the other hand, I found that at the program I did end up matching at, that on my second look all the residents were super nice, the senior attending still came in to the residents room and told a joke in the middle of the day just for fun, and I felt welcomed. I ended up going to this program and saw that indeed, the light atmosphere I saw on the second look was something real and not disingenuine, and although the attendings are often very stern, they genuinely do care about the residency and the residents education and quality of work output. Residency in pathology is a very challenging relationship, because as a first year resident you really do have a big impact on how smoothly things run in the department. Getting to know the attendings as people and evaluating how you might fit in relation to them is something invaluable I think. Although that is still tough to do without being a resident for a long time, even if you were to do a month rotation before the match.