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I chose INOVA on my secondary (and actually got it) because of some personal reasons, though I'm from Cali. However, it doesn't make sense for me to go there anymore, but am wondering if it's a worthwhile change from the MCV campus? Is it a nice area? also, how expensive is living there?
Cost of living is cheaper than say, San Jose/ San Fran, but higher than Richmond. Look at Craigslist Northern Virginia to get an idea of rent. I would say the cost of other expenses is negligible (maybe 5% higher cost for food, fuel) compared to Richmond.
I agree w/ above post that the major difference clinically is the trauma service. I also think Richmond has a much higher Afr-American pop. (as in black americans) vs INOVA's immigrant pop (as in, a little of everything, esp Asian and hispanic but also immigrant Africans). You also meet a lot of Amer. citizens who immigrated from other areas to be in DC, from WWII vets who stayed here to work for the gov't, to former diplomats who live here because the US is home, but they don't quite fit in where they grew up.
The high percentage of military personnel, combined with the immigrant pop, gives our area a different flavor than other places. Some people describe it as a cleaner, safer, smaller, more laid-back/southern-style NYC. It feels suburban but is culturally diverse.