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There are about 5 or 6 programs that almost everybody would agree are "top 10". The order can vary, but people will generally agree on a handful as being truly elite. There are probably another 10 or 20 programs that will get plenty of consideration and mention for being in the "top 10" by people, but they might vary from "top 10" to "top 30" by various people.
For example, I think most people would agree MGH is a top 10 program. Is it #1? Is it #5? Is it #7? I don't know, but I'd bet if you asked 100 anesthesiologists around the country that at least 90% would place it in the top 10.
I'd say probably 11