I've seen a lot of discussion about how the reputation of certain residency programs (MGH, for example) can't be used to judge certain fellowships there in terms of competitiveness and desirability (IR, for example). Overall, I've seen a trend of people generally insisting that MSK training at quality institutions is the most competitive/desirable. If this is indeed true, what about MSK makes it so ideal? Is it better for PP vs. Academics or urban vs. rural etc. So far the only reason I've read is that certain specialties (ortho) might want a fellowship trained MSK rads to help them if needed, but in that case, I could see neurosurg needing neuroRads, etc. Is the quantity of referrals going to play a part in this? I can see lifestyle playing a part, maybe less "emergencies" and better lifestyle opportunities than say, IR. Any insight would be great.