Does anyone have strong opinions about programs that are under Internal Medicine instead of their own department? Does that make a big difference in teh training or the decisions that each program can make? < It very much depends on the program. Dermatology at Wash U is a "division" under Internal Medicine and I don't think anyone would reasonably say it's a weaker training program for not being it's own department. For the longest time, I believe Vanderbilt Derm used to also be a division as well and it's hardly a weak program. Being a division is more about logistics in terms of revenue brought into the hospital system, which tends to more affect things above a resident's paygrade in terms of things that are important on an educational level