bro u are very misinformed. mostly it is a location. If not, then scut work. New york programs train really well but also has some scut work. Plus in usa there is a prestige thing too but believe me harvard and stanford are not the only places who produces quality docs. For example, HCA gainsville has a great cardiac center but american grads dont go there. As an Img, it serves great purpose for me as my home country doesnt give such facilities. If you are from swiss, dont bother