<p>
I heard that, unlike college, the majority of “best” med school students on the coast choose to not go to the residency program on the other coast (unless their hometown is on the other coast.
If this is true, “inbreed” and “incest” may be more common than we would expect. It could be the case that many positions for the many “highly sought-after” specialties are often taken by these local students. This may be the reason why some students choose to do away rotations – in order to get the “semi-affiliation” status.</p>