I am a CCLCM student and I am really shocked at this tirade but I am also realizing with increasing certainty that this may be a student who was removed from the institution for a gross failure to meet expectations.
Every school has its issues, and I will acknowledge ours as honestly as I can. Additionally, I share the sentiment of this poster regarding the one-sided nature of CCLCMs representation by a single individual (CCLCMer) as biased. Mostly that is because I generally dont agree with her explanations of the way CCLCM functions or her viewpoints, but not because it is unnecessarily rosy. With a small school (we have 32 a class), there simply arent going to be as many people posting- statistically that makes sense.
To start, I agree with very little of what has been said and in some cases I feel that these descriptions are far enough off base that I wonder what the agenda of this individual could be at this time beside anger and frustration at their dismissal.
Research:
The first research block is rough in terms of the basic science curriculum and in my opinion not quite appropriate in depth. Most students end up studying pertinent biochem on their own. The most important component of the first basic summer is learning how to function in a group setting (PSS groups are the precursor to PBL). No, its not the most efficient use of your time, but neither is PBL. I felt the actual research component was excellent and I had a great experience. Many of my classmates continued their research into the year and were able to publish their work. Regarding the proposals, these were extremely helpful to me and to the majority of the people Ive spoken to. I know several people who literally copied and pasted their research proposals and submitted them to receive grants because the quality was so high. This goes for the second research block as well. I think writing these proposals and having feedback from people who legitimately write these grants and routinely get them funded was a good experience and I think it made me a better scientist.
The second block is nuts with biostats and statistics. It is essentially a masters level course in biostats and epi in the span of 1.5 months. I disagree with the idea that people left not knowing the basics of stats when they left. If you are paying attention during this block and have any sense of scholarship, you will not leave feeling that way. The portion about reproducing P-values from NEJM is completely untrue. If you want to screw around and learn nothing, you can probably do that too. I had a good experience with my research and so did many others. One of the benefits of this school in general is that you can pick your clinical research advisor from any of the faculty. That means you can be working with the best (insert specialist here) in the world as an M2 and make excellent connections that may last you through your career (many people have done this). It is generally a more laid back block and again the mock IRB proposal was very helpful.
This year we had 5 HHMI Cloister Scholars, 2 HHMI Fellows, a Doris Duke Fellow, a CRTP Fellow, and a Sarnoff Fellow. I think were doing OK with writing grants.
The egregious examples of thesis abuse are news to me, and given that there are so few of us, I think that wouldnt be the case if it was true. There is always a way to spin things to make them sound terrible but usually there is something else going on that makes things happen the way that they do. No one is out to get you and this portion sounds relatively paranoid and personal.
Overall, yes there is too much biochem, mol bio, and epi for a medical student to need or ever use, even in research. The good thing is that no one is testing you on this. If you want to be a superstar, you can. If not, dont.
Clinical:
This is more off target than anything else written here. I think at one point the poster is complaining that Clinic students dont do enough scut (?). Scut is not something you need to learn, its something you do if you need to help the team when they are short or if you go to a residency program where you dont have enough ancillary help. It is not instructional, it is not formative, and it is really not necessary when you have the kind of resources the Clinic has. Yeah, you dont need to deal with tracking down phone numbers or info for your patients because we have people at the Clinic who have that as their only priority (patient service reps). Boo hoo.
As far as the instructional experience, I completely disagree. If you are hardworking and affable, staff loves you and because of the low student: faculty ratio, you can be exposed to whatever you want. I really believe the clinical education here is what you make of it (This is a theme you will hear repeated). If you want to see and do everything, you can. If you want to hide and do very little, you can get away with that too but you will probably hear about it in your evals. The observer-ship business is simply untrue and I find it pretty unsavory that anyone would belittle the educational environment that tremendously in such a boldfaced manner. And all of this business about students hiding in the lounge makes no sense. Ive never seen this is in my years in there except for the occasional M3-5 on call.
Dress Code:
This is a complaint? Youre between the ages of 22 and 30 at this stage in your life. Most people have real jobs and have to get dressed. Our school is in a hospital and patients are walking by- have some respect for them if you dont for yourself and put on a shirt with buttons.
PBL:
PBL is not an efficient learning method. Not at CCLCM, not at HST, not anywhere. It is not built for efficiency. Personally, I could have done without PBL but I fought through it like everyone else. The students policing students is a bit off but there is some truth to it. If you upset your classmates, you will hear about it and I think that there should be a better method than simply the evaluations because they can get to be a bit much. Also, this is a small school and there is no individual who fit your long dark hair anecdote. Sorry. Also at no point were there any instances where individuals were forced to do PPT presentations in my class or in those before and after that I know of. I routinely did chalk-talks in M2 and they were well received. Hell, a few times I even just put up one slide and had a 15 minutes discussion on the topic sharing what I had learned.
I will admit freely and openly that your education at the Clinic is too dependant on your PA. If your PA is lax and easygoing, you may not get enough direction. If your PA is overbearing, they can make you pretty miserable at times. Something needs to be done about this and theres no sugarcoating this issue. The PA meeting committee is superfluous in my opinion and needs to be addressed. The administration needs to chillax a little all around and stop micromanaging in the preclinical years and let us out from under the magnifying glass. Thats my biggest issue with the school to date.
Curriculum:
If you dont want to go nuts over a seminar and read all the assigned reading, dont. Dont care about a research topic? Go to seminar and then move on. No one is testing you on it, so you dont need to memorize it. We dont even have class on Thursday! I always say that CCLCM gives you a skeleton in which you need to fill in the remainder. Like everything else at this school, you have the resources and you need to study on your own to learn the material. You wont learn it from PBL and seminar alone. You need to read and study. Just like any other medical school. We are barely in class compared to many places so I dont feel like thats hard.
Cleveland as a city:
I make myself feel better by remembering that Hopkins is in Baltimore. 😳
In General:
Every school has its problems. To be this entirely consumed by issues like this is worrisome and I hope the individual posting has some way they can resolve this issues to get some relief. It does seem like some things have been greatly exaggerated or completely falsified for effect and thats just not cool. Also, I'm mad at you for getting me riled up enough to have to take the time to write this counter-rant (crant?). The vast, vast majority of students at CCLCM will not agree with what this poster has written.
To sum it up yes there are some issues the school needs to address. I am not a blind cheerleader for the school (in fact some times Im pretty critical) but Im happy I came. This is really a place where you get out what you invested in your education.
I think we have some of the brightest students, best faculty, and one of the best hospitals in the world at our disposal and those are three things that its really hard to complain about.