These three names come up constantly in candidate research, partly because they're genuinely strong universities and partly because they're the ones people have already heard of. That second reason matters more for your ranking than people realize.
Short answer: there's no single best pick among the three. They differ mainly in cost of living, hospital and clinical training environment, and how much competition their popularity attracts - not in the quality of the medical degree itself.
Milan
A large, international city with a correspondingly large number of applicants ranking it. Strong hospital network, plenty going on outside university life, and a genuinely high cost of living relative to most other Italian university cities. Competition for seats here tends to run high precisely because so many candidates already know the name before they start researching alternatives.
Rome
Similar story to Milan in terms of name recognition and demand, with the added draw of being the capital. Big city, big hospital system, big competition. If city life and being at the center of things matters a lot to you personally, it's a genuine draw, but it's rarely an "easy" ranking choice purely on cutoff terms.
Padova
Our own university, so we'll be upfront about the bias and stick to what's actually verifiable: it's one of the oldest universities in Europe, has a long-standing, well-regarded medical faculty, and sits in a smaller, more manageable city than Milan or Rome. Smaller city doesn't mean lower competition automatically, since Padova is also well known in IMAT circles, but the day-to-day living experience is genuinely different from the bigger cities.
What actually differs, beyond reputation
City size and cost of living, which affects your budget for years, not just your semester. Hospital and clinical training environment, which affects the kind of clinical exposure you get in later years. And competition level, which is a function of how many other candidates already know and rank the same name you do. None of the three is objectively "best" - they're different trade-offs depending on what you actually want out of the next six years.
The part people underrate
Because these three are so widely known, they're rarely where you'll find the least competitive cutoffs. If your priority is genuinely maximizing your odds of a seat rather than a specific city, it's worth researching the wider list of IMAT-accessible universities, not just the three everyone already recognizes.
Trying to weigh these against the less-known names on the list, honestly and specifically? That's exactly the kind of ranking strategy 1:1 mentorship helps you build properly.
Apply for the mentorshipName recognition and actual fit for you are two different things. Worth being honest with yourself about which one is driving your list.