I'm now in the 4th year at my school. I would not say that I am unhappy but I am concerned. I go to a newer school in the South East (name left out b/c I don't feel it's important) and this fall meeting lots of students from newer COM and other Osteopathic schools-- we had the same thoughts and feelings. Our schools are primarily about money. They are using the Dr Shortage to make some cash. They are concerned with getting the tuition size up and getting as much money in as possible. There is little doubt, in what I've seen, that quality of education has taken a distant 2nd or 3rd seat. Those I have talked w/ also are concerned w/ the lack of graduate programs. We were definitely miss led in this area. The programs sold to us 4 years ago (told would be in place in a couple years) are no where insight. The programs that are established are small programs and are not attractive, and yes are primary care. Now that we are looking at residency we are pushed to go to Michigan, PA or OH. Nothing wrong w/ those places but that's not what a lot of us were sold 4 years ago. We all know it takes time but these things are obviously not the number one task at hand. Another thorn that many of us feel is the primary care push. One individual said that he would love to see his dean get up and first state, "I make X amount of money but would like you to go and make a lot less starting at X in this small town". We basically feel it is wrong to push people w/ $200,000 of debt into the lowest paying specialties. Sure they use to work in these specialties, but they never will again give up their big salaries and go back to being a working Dr. Also, I thought I knew what I wanted to do before medical school, but now after some experience I know. I would at least like a school that supports the specialty where I am happy. Lastly, do you think that your school is overly tolerant w/ students. I'm all for giving students a chance but I think there should be a line and those that cross it should be dismissed. This was a topic at lunch on an away rotation. Honestly, it had not really crossed my mind, but since then I have wondered why our schools are so tolerant of terrible behavior. Maybe the tuition money is more important than their reputation? I'm sure some of you agree and others disagree, great! My point of this is how do we get our schools to become better. I would rather have a smaller school w/ much better academics and residency options, than a big one that turns out fair Dr's w/ no where to go. When I mentioned this politely to the school leadership; it was a very cold response. If you have ideas or thoughts please voice them. Any and all input is greatly appreciated.