The overall response rate was 64 of 91 (70%) for residents and 11 of 15 (73%) for program directors (one program had codirectors). Using a five-point Likert scale for rating the importance of various factors influencing their decision, residents from three years ranked the following factor as most important: suitable location for spousepartnerfamily (median score = 5). The overall least important factor was an opportunity for pediatric elective (median score = 2)