similar midwest programs in my experience. residents boast about good lifestyles. both are known for benign ortho staff and laid-back residents. senior residents traditionally obtain top fellowship spots. ann arbor and madison have a lot in common too. both midwest college towns, liberal atmosphere, brutally cold winters. madison is a slightly bigger city, with a nice location on a lake. ann arbor is great for college sports and close to outdoor activities. pick a place you feel comfortable. where do you want to live for 5 years? neither program is in the top 10, but both programs will train you well -- if you put in the effort.