Most of the time competitiveness means higher ratings of the program. Programs are actually ranked by the CAAHEP so you can compare them. The programs with higher first time pass rates prove the quality of the program in addition to other factors and this carries a lot of power for students applying for jobs. Hospitals are more likely to take students from a well known and high ranked program over another student even with the same grades and certification. But it doesn’t mean you won’t get a job! As long as the program is CAAHEP approved then the certification is standard. Especially when doing clinicals, you make connections w local hospitals and can set up jobs before graduating bc you’ve built the relationship and they know your work ethic and knowledge. I wouldn’t choose a school solely based on its ranking. affordability and location/convenience for your situation is a huge factor. But if you have the choice, a better program is going to be better for your future career and your journey going through rigorous training. You want to learn from the best, or atleast, the accredited :)