Industry opinions are hard to change. That's particularly difficult with prestige, where brand name is the ultimate currency. In consulting, McKinsey is the leader by a mile, holding the top spot in Vault's ranking since its inception. Overall, prestige remained the same among the top three programs, with the big shakeup coming after PwC dislodged Booz Allen Hamilton from the Top 5. At the same time, A.T Kearney snuck into the Top 10, as The Parthenon Group and GE Healthcare joined the Top 20.