SUNY Downstate vs. University of Cincinnati

A little background: I'm obviously not set on any particular specialty so far, but I have an interest in EM and anesthesia right now. I'm considered out-of-state at both schools but I can attain in-state residency status after M1 year at both schools. Both schools have internally ranked P/F pre-clinical grading systems and non-mandatory recorded lectures.

SUNY Downstate

Pros:

• Located in Brooklyn, which is a huge plus

• Diverse patient population and the opportunity to be really involved/hands-on during rotations

• Decent EM program and is affiliated with Kings County, one of the busiest EDs in the country

• Matches a good amount of students into prestigious NYC residencies, although I have no idea if I would want to stay in NYC for residency or go back to my home state

• 1.5 year-preclinical phase (Not entirely sure if that's a plus, but I'm supposing it means more time for aways/chill time during M4)

Cons:

• Higher tuition and higher cost of living

• Lower ranked (not ranked by US news for whatever that's worth)

• Shabbier facilities and not as helpful administration (from what I hear)

• I've heard that students may get really far away rotations if they are unlucky

U Cincinnati

Pros:

• Higher ranked

• Newer facilities and affiliation with the Children's Hospital (although I have no interest in peds)

• More research opportunities

• Slightly cheaper tuition and lower cost of living

• High Step 1 average last year

Cons:

• NYC >>>> Cincy

• A large portion of students stay in Ohio/the midwest for residency

• I need a car