If I could comment on this question -- they want you to be interested in whatever medicine you find interesting. The RMed program exists, and if you are interested in spending some of your clerkship in a rural area with a community hospital, they have a pathway for you to do that. Additionally, the Syracuse and Binghamton clinical campus selection for MS3 allows you to tailor the type of clinical experience you will be exposed to. In my cohort, several people are participating in the RMed program, and 1/4 of the class will spend their third year in Binghamton. But as much as rural populations need access to good medical care, urban environments also see a large disparity in access to healthcare. I haven't felt that anyone has wanted the students to be interested in rural medicine vs. primary care vs. a specialty.