<p>@eadad, I think it’s a bit of a stretch to say that it’s not even close. Both are great hospitals, and both are great schools (even the USNWR rankings aren’t that different.) Both have great medical schools as well. I agree with you that a little hand holding is nice, but all I’m trying to say is that if you find a good advisor, some good professors, they will be just as good of a support system that would be handed to you at Case - it’s not something that really should be a deal breaker unless the OP feels that he/she is really incapable of seeking out resources, which I think is highly unlikely. While it’s nice to have that handed to you, the OP seems to be more concerned about the environment Case provides. You can get ANYTHING you need at Ohio State, and the academic difference (and difference in opportunities) is not significant enough to choose one over the other. Both are great schools that are similar academically, and for pre-med, it comes down to fit. If the OP feels that he/she would thrive in an environment like OSU with large amounts of resources, lots of people, and a city like Columbus (which he seems to be leaning towards) I don’t think that it would be a foolish decision to make. Thriving in college is based largely on where you feel most at home.</p>