You've got to fulfill basic requirements for your core and elective clinical rotations, so you might as well take the opportunity to do them in a city that you think you will enjoy. You should do some upfront research (especially if you've never been to the city). See if you can find a city that matches your personality. If you are really brave, make it a city that you've never been to before, but think you might really enjoy.
It's just one of those things: if you surround yourself with something that you like, you're more likely to be successful doing it.
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