SYRACUSE, N.Y. -- Friday could have been called the 'Super Bowl of Medical School.' Fourth year students from Upstate Medical University's College of Medicine have been waiting for Match Day to come. 

"It's really exciting, the world is, there's a world of possibilities. And you wait and you can envision yourself here and there and you kind of go through scenarios in your head," said medical student Ramzi Elhasan.

But they don't have to use their imagination anymore. Their future in the medical field was printed in white envelopes. We watched as Joe Kalet opened his up. He got his first choice to train in anesthesiology for one year at Upstate and then continue at Beth Israel in Boston.

"I wanted to get somewhere different from Syracuse,” Kalet explained, “I've been here my whole life. It's just a beautiful city, wonderful program, the people are amazing, so I am excited.”

Healthcare is an ever-changing industry as far as protocols are concerned. Right now there’s much debate about the Affordable Care Act. But the people in this room said they remain focused on patient care.

"I just try to think of myself as in their shoes and what I would want to have the doctor do for me if I was that patient and just try to take of them to the best of my ability," said Kalet.

College of Medicine Dean Dr. Mantosh Dewan said, “They need to be aware of what’s changing and they need to lead the change, but in the end it’s always one doctor and one patient that makes it.”

The College of Medicine Class of 2017 has 149 students. 63 will remain in New York State including 17 medical residents at Upstate University Hospital and 6 at St. Joseph’s Hospital Health Center.