+1.
This and graded curriculum are two main negatives I’ve seen
To answer the question about HCA, yes it is unfortunate and isnt ideal but I think the thing to keep in mind is that this is potentially 3 years out for you guys before you start rotating. By that time the hospital we are building should be up and running and you might be able to start getting rotations through there. If not, admin has 3 years to figure out new hospitals and rotation sites which they WILL. The other important thing is you get to experience various different atmospheres t different hospitals, EMR'swork with different personalities and people, etc.
2.) Grading really isnt that big of a deal and let me tell you a few reasons why.
a.) Pre-clinical grades are of little relevance when it comes to applying for residency. The biggest factor is your Step 1 score so you do well on step nobody is going to sit and question the B you got in Biochem. And even if schools are P/F for M1/M2, they still are internally ranking you to some extent so that residency directors know where you stood in your class but again Step 1 is important.
b.) The grades that do matter are 3/4th year grades which most schools are on some form of grading, very few schools are true P/F for 3/4 years. Honors, high pass, pass is effectively the same as A, B and C so we arent that different than most schools.
c.) The graded system does not create a competitive environment. The classes arent curved, its on a set scale so 70-79 is a C, 80-89 is a B, 90+ is an A. There are no +'s or -'s for grades. Also we are tested on very high yield information, not a ton of minutia or irrelevant material. Our first exam this year (M1 year) had an 87% average on it.
d.) Edit* Also if a school is P/F for pre-clinical what does a residency director have to assume that a student got in a class with a P on their transcript? They have to assume a "C", how can they assume everyone with a P got an A or above. And again pre-clinical grades dont matter, Step 1 matters!
Don't sit here and worry about Step 1 score or match lists when it comes to deciding on a school. Match lists are a product of interest for that specific year which is going to vary drastically. You also can't assume everyone wants to match at Mass Gen for residency so some of the "smaller" residency programs may have been chosen out of preference for that specific person. Step 1 score is also a product of your work ethic, no school no matter if its Harvard or UCF is going to guarantee you a 260 on Step 1 you have to work on that yourself.
So in essence, go where you will be happiest and you vibe most with the students because medical school is HARD and you want to ensure that you're surrounded by a great group of people who are going to help build you up when you are struggling, not a class of gunners who arent going to care. Also money is extremely important to take into consideration and I can only speak for myself but UCF really had a great financial aid package for me and their financial aid office was very transparent!
Plz PM if you have further questions.