Beaumont hospital and the University (quite a distance apart BTW, as the Oakland is in Rochester and Beaumont hospital is in Royal Oak, about 15 miles apart) are both in nice suburban locations. Wayne State school and hospitals are Downtown Detroit. Beaumont hospital is in fairly direct competition with U of M for patients (and actually has more beds than U of M). Beaumont use to have ads on TV/Radio about "do you have a Beaumont Doctor". The joke at U of M, "Did your Beaumont Doctor train at U of M"? Wayne State has a HUGE underserved population of all kinds of races/ethnicities. Beaumont has probably some, but nowhere near the Detroit population. BTW, at U of M, the medicaid population is only 13%. For Detroit, I'm guessing it is around 50-60%. Beaumont much like U of M.
As they say about Wayne State, "First World Medicine practiced in a third world environment". If you are interested in EM, Wayne State is the place to be, as you'll see it all. Now, Wayne State is a well established, huge medical campus and I think one of the largest medical schools. Oakland is new, and a much smaller medical school.