initially had some regrets about ranking a "low ranked" program bc super chill and good vibes/locaiton. now that reality has sunk in i have 0 regrets, will be much happier for 4 years

had same issue went between T5 and literally a program many dont know about and im so glad im going to the other program because my QOL is going to be so much better

Middle tier programs in top tier cities are the best for derm imo

better a big fish in a small pond than the opposite. At the end of the day you'll be a dermatologist and will be able to get a job basically anywhere. Even if you want to stay in academia, people from "lower ranked" programs end up as attendings at Harvard/Penn/etc...

Middle tier programs in top tier cities are the best for derm imo agree, less pressure at work and lots of time to enjoy a fun city!