They're really confirmatory evidence of your file. If you have a strong file with solid letters, but poor test scores, Kelley Skeff believes the file over the scores. Both New York and Boston programs may ask whether you have family, friends, or other support system in that city. Geography itself may influence your decision, but should not be the foremost concern. Keep in mind that you're not in total control of your life and career path.
Life is full of chance.
You may never meet the mentor who will change and mold your career plans unless you choose the program that's the right fit for you. You're learning will be not only in the hospital as a resident. Seek out the richest experience and environment. Ask yourself if this is a place that will take you to a different level. Don't rank a program if you don't fully understand it by the end of the interview day.