<p>If you want to work at a large hospital in Boston or New York, and perhaps in academics, then where you train makes a lot of difference. Since where you go to medical school helps with where you train, then your medical school will matter. You can get into top residencies without attending one of the more prestigious medical schools, it is just harder.</p>
<p>People overdue this ROAD stuff. The most competitive residencies rotate with changes in medical economics. Right now Radiology is declining- worries about future income, oversupply, and outsourcing. Anesthesiology has been undersubscribed in the past when people expected reductions in the amount of surgery. Some of the surgical specialties are perpetually highly sought after (neurosurgery, cardicac…). </p>
<p>If you train in primary care, family practice or pediatrics, then you have lots of choices of where to work, but your income will be much lower than your classmates who become spine surgeons.</p>