You may reconsider going after a 4 year MD/MBA program. I'm in the Texas Tech program and just am about to finish my first summer session of courses. It's a big overload on busy work and not much time is left to go after preceptorships/internships away since you're in class basically all the time. I'm thinking it over this w/end whether or not I want to stay in the MBA program or if I'd like to actually have a summer next year (and this July off). MD schedule during the year is a lot of material as is. Adding on 1 or 2 more classes just makes it even more of a struggle.