Personal experience, I live in a “not so trendy place”. We have been criticized for “living in the middle of nowhere”.
Hmm...I guess I should clarify that I would be VERY happy living in the "middle of nowhere". My comment on trendiness was that med-school-ville had an atmosphere of growth, excitement, and upward mobility, whereas residency-ville seems more staid and unambitious.
If anything, some self-reflection has left me leaning away from research and fellowship and towards a calmer life somewhere where I can find meaning in nature, hobbies, etc. If I decide I want that, I'll be upset at the wasted efforts I put into a more high-powered research-oriented career, but that's obviously sunk cost.
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