<p>“All will be competitive. Premed classes tend to be larger, lecture halls in every college.”</p>
<p>The above statement runs counter to my experience.</p>
<p>Tufts culture is known for  exhibiting less competition between students than most colleges. This book was written at Tufts:</p>
<p>[No</a> Contest: The Case Against Competition - Alfie Kohn - Google Books](<a href=“No Contest: The Case Against Competition - Alfie Kohn - Google Books”>No Contest: The Case Against Competition - Alfie Kohn - Google Books)</p>
<p>Premed classes will have more competition between students than other classes at Tufts, but typically less than other comparable schools.</p>
<p>In terms of class sizes,   large lecture classes at Tufts tend to be associated with introductory classes in popular majors (International Relations, Econ) or required subject areas .  Given the following data on populations and class sizes, I think it is safe to assume that Tufts will have much fewer large classes and more personal attention. </p>
<pre><code>                                 Undergrad  population          Grad Population
</code></pre>
<p>Tufts                                 5,138                                    4,379
Penn                                 10,301                                   11,028
Cornell                               13,975                                     7,000</p>
<p>% classes with more than 50 students</p>
<p>Tufts      5%
Penn       9%
Cornell   19%</p>
<p>“As an international, you need prestige, which rules out Tufts IMO since it is not very well known outside of the NE.”</p>
<p>Not sure what data was used to form this opinion, but given that Tufts is ranked #7 in the country in terms of impact of clinical research, one would think that within the medical community  (i.e. the places that will matter to you) it has significant prestige.  </p>
<p>[U.S</a>. University Top Tens - Harvard, Stanford Still Tops](<a href=“http://archive.sciencewatch.com/nov-dec2006/sw_nov-dec2006_page1.htm]U.S”>http://archive.sciencewatch.com/nov-dec2006/sw_nov-dec2006_page1.htm)</p>
<p>At the worldwide level (Times Higher Education), in the clinical area, Upenn is ranked 13, Cornell 29 and Tufts is ranked 36. This is based on reputation (17,500 academics surveyed), volume of research and quality/impact of research. Tufts scores highest on quality/impact of research, but does lag in volume of research and reputation - which tend to correlate to size.  So you will have to decide if the benefits of the smaller size of the school, less competition for grades and the smaller classes is worth a potential reduction in name recognition.</p>
<p>My advice is to focus on prestige by accomplishment rather than prestige by association. You should try to determine which school best matches your personality/strengths/interests and will therefore bring out the best in you. </p>
<p>That will have the biggest impact on your success, not a perception of relative prestige  especially at this level of differentiation.</p>