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I was really suprised when i first saw the us news rankings that tufts was in the 40s. I grew up in MA and tufts med is one of the first schools i heard about, and it was always mentioned in a very prestigious light.
I'm not weighing in on this, but Infinitydrop's thought raises an interesting point. Namely, that regional bias plays a big role in how medical centers are perceived by the citizenry. I'm from a small town in Northwest Florida, and I can tell you that everybody from Pensacola to Orlando thinks that Shands at UF is the best hospital around. The fact is, it's the only academic medical center within about 250 miles that is in Florida. UF is my alma mater and Shands is a great hospital, and I might go to med school at UF, but it's no MGH, HUP, or Hopkins. I mention this because UF is similarly ranked to Tufts, and I heard the same stuff about UF growing up. This, despite the fact that UAB and Emory are also around 250 miles away. My guess is that a lot of this stems from (1) folks who have been treated there for somewhat obscure cases and received good care (I know several of this type, including my own grandmother) and (2) many local MDs are UF alums and people happy with their docs get a good impression of their alma mater, among other things. My guess is that levels of specialty care received at academic medical centers and the amount of NIH dollars they get every year aren't highly correlated. So, the folks are right. Shands at UF is the best hospital around. They can go there and get treatment for things that Dr. Red Neck back home in Bugtussle couldn't cure. They don't care about grants and papers in Nature...just food for thought.
Thanks for the interesting conversation.
Gator