Thank you all so much for your thoughtful responses, you all have made great points that I am taking into consideration! I'd like to provide extra info, I know for a fact that I want to go into a surgical specialty (I spent two years in primary care) and am unsure 100% of which because I haven't shadowed the other surgical fields. Part of me thinks Brody may be the better choice because I could potentially be happy as a general surgeon (they have a program for that, but I realize gen is still really competitive). But I am currently shadowing ortho and feel that it would be incredible to be able to do orthopedics. A debate I had with my mom was that Tulane would probably be better for all surgical specialties, but I have a strong feeling like Dominus suggested that I'm not sure if it's worth $200k + that will likely compound to a greater number. I also like the small class size of Brody, and feel that weirdly there may be less competition for surgery opportunities since Brody is a primary care school. I talked to a successful Brody ortho applicant over the phone and she said that 2/6 ortho applicants were matched, and remarked on how there isn't much support without having a home ortho program. The 2/6 statistic doesn't make me feel great, and if having a home program increases my odds by 2-3x for ortho it may be worth it. Another factor is I have an interest in neurosurgery and I feel that would be out the window at Brody since there has been no matches since 2017 and they have no program, while Tulane does. The orthopedic surgeon I shadowed instantly recommended Tulane because the president of ortho is down there, but part of me feels that there will be alot of people at Tulane going for ortho because of this and the opportunities may be competitive. Bottomline, when you come from a poor family with no one in the medical field it makes everything complicated and I feel that no matter what I choose I probably will have regrets (if I dont match I will regret choosing Brody, If I dont match at Tulane I WILL REALLY REGRET IT due to debt). Another aspect is the research, Tulane appears to have great opportunities while Brody appears to have very limited opportunities. Alot of vids on youtube recommend choosing the cheapest medical school but I don't think that is taking all factors into consideration (like no program).