UTSW (full tuition) vs UCSF vs BCM

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Papabless21

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Hey there, first time posting. I've been having a hard time deciding between my current school list, and was hoping I could get some input.
Some background: TX resident , STRONG interest in neuro/neurosurgical specialty, interest in making a career in academic medicine. (Have not received financial aid packages from BCM, nor UCSF)

UTSW
PROS:
  • Would be closer to family
  • Full tuition
  • Great basic research institution
  • Strong neuro program
  • Enjoyed atmosphere/ talking to current students seem happy
  • Parkland Hospital (strong emphasis in helping underserved communities)
CONS:
  • Not as highly ranked as other two (have heard this is important for competitive residencies)
  • Avg. USMLE Step 1 scores not as high as BCM
BCM
PROS:
  • National average USMLE Step 1 scores among the highest
  • TMC is impressive.
  • Enjoyed atmosphere
  • More research funding than UTSW (more research opportunities?)
  • Great IS tuition
CONS:
  • Neuro program not as highly ranked as UCSF (less opportunities?)
UCSF
PROS:
  • Leader in neurosurgical research/best funding
  • Has among the best neurosurgery and neurology residency programs in the country
  • Loved they Bay Area
  • Was very impressed by students, and the facilities there
  • I observed the most diversity within the student body out of all 3 campuses
  • Big emphasis on both research and primary care
  • Most prestigious out of all 3 schools.
CONS:
  • So expensive to live in Bay Area!
  • Not likely to get as good of a financial aid package as other schools
  • I'm a bit wary of the new Brigdes curriculum. Does taking STEP 1 in year 3 really improve scores?
  • Does not emphasize STEP 1 preparation as strongly as BCM, from what I've heard.

Any input on this would be greatly appreciated!
 
Absolutely UCSF if you're thinking about neurosurgery. The extra cost is worth it in terms of residency placement.
 
UCSF is undoubtedly the place to be if you are very serious about neuro/NSG. That said, something to consider is that UCSF is known to have quite a malignant neurosurgery program. For the strength of the med school and reputation of the residency, UCSF med school does not tend to match very many into neurosurgery. I wonder how much of this is due to negative experiences with the residency program. A full tuition scholarship at UTSW, where it sounds like you would be very happy, seems to me like a great deal.
 
First of all, congrats on all these amazing acceptances! I'm biased as a current UTSW student but a full scholarship is nothing to sneeze at. UCSF is so, so expensive comparatively. If they give you a decent fin aid package it may be worth it but at sticker price I don't think so. UTSW is still a great school even if it's not quite as highly ranked as UCSF, and based on recent match lists they seem to match the same # of students to neurosurgery (though UTSW obviously has a bigger class).

One thing I just wanted to highlight as a UTSW student is that even if UTSW does receive less research funding than Baylor, it is definitely more highly regarded in research of the two (especially in basic science, I know the Nobel laureate thing gets touted incessantly to interviewees but it's true!) My classmates and I are definitely not hurting for research opportunities -- it took sending 1 email to 1 professor to get my (clinical, not basic) summer research position. Feel free to PM me if you have any questions about UTSW 🙂
 
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n=1. I am aware of an applicant accepted at BCM and Mayo in Mn. They let BCM know about Mayo's scholarship offer. BCM desired them so much that it came up with a full scholarship which they accepted.

Consider letting BCM know ASAP about the UCSF offer. Perhaps you can also wrangle full tuition from BCM.
 
I'm probably in the minority with this opinion, but I honestly don't think UCSF will provide you with opportunities that Baylor won't. Among those, go to the one that is the best fit and cheapest.
 
UCSF >> Baylor >>> UTSW

I've worked at two of your prospective schools (as a student or surgery resident) and visited the third. I agree with the above ranking, generally. UCSF has the most prestige, but Baylor and UTSW are also very well regarded schools.

Starting right now, you have to be a value-oriented shopper. Would you really spend $182,000 (cost of 4 years OOS at UCSF) at of your own money for a new Ferrari if someone was willing to give you a new Audi RS5 (~$80k value) for free? I'll field this one for you: NO.

If your ultimate goal is to match to UCSF's neurosurgery program, have a look at the residency's website and research the background of their trainees. 6/19 have MD-PhD degrees, only 1/19 graduated from UCSF without an MD-PhD. That $182,000 doesn't guarantee a spot in their residency, and might not even help that much.

There seems to be an opinion that going to med school at UCSF will give you a definite, but poorly-defined advantage in the neurosurgery match. UCSF's online match summary shows that in most years since 1997, they have matched 1 or 2 students into a neurosurgery program, rarely 3, and once, 4.

UTSW matched two students into neurosurgery programs in each of the last two years.

I submit that your chances in the match depend more on your grades (relative to your classmates) test scores, research background, and interview skills than where you went to school.
 
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If you eventually want to match at UCSF, 100% go there. I currently work here with many surgical residents and medical students. As much as people are saying you have an equal opportunity elsewhere, there is a saying around here that UCSF is also known as "U Can Stay Forever." They like to train students and keep them in their system
 
According to a UCSF SOM "match results summary" available online, 16 of their students matched into neurosurgery programs in the last 7 years. Of the residents in their 7 year program, only 3 are UCSF graduates, and two of those also obtained a PhD. You might be able to stay forever in a medicine subspecialty, but the neurosurgery program is difficult to get into, even for UCSF grads. One applicant matched in seven years with a straight MD doesn't seem like much of an advantage. Perhaps the other 13 are all training at Stanford , Hopkins, or UCLA, and perhaps not. It's not even stated whether or not all applicants matched in neurosurgery.
 
If you know you want to NSG then I think you'd be crazy to turn down UCSF. Everyone knows everyone in such a small field and having some big names go to bat for you/ doing top notch research matters much more than a few points on boards (which comes down to personal prep anyways). The scholarship is a big factor too but if you want to do NSG then probably matters less in my opinion.
 
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