Yale residents have actually been known to fare a lot better when it comes to obtaining their top choices of fellowships when compared to Boston programs. Having said that, Yale is EXTREMELY competitive to get into, according to many attendings that I've dealt with at other institutions. The program is suited for someone looking for high powered fellowship positions. Interestingly, I know of five Yale medicine residents (traditional program) who adored the program, faculty, and even New Haven (as odd as that may seem). They always talk about very supportive faculty and residents. Residents are not back stabbers either, like in some of the Boston programs. Additionally, and I think of particular note, all 4 out of 5 of these residents began receiving offers from top academic fellowships close to the end of their 1st year! They were all told that Yale has an outstanding rep with the medical community at large and many Yale IM residents were therefore being given early options to interview at these programs! The two people I know at MGH were suprised when I mentioned this to them aand said they never heard of this. That says a lot about the Yale reputation.