DocGibby,
I owe you an apology as well, as I really didn't want to come across as sharply as I did.
I am not sure I agree with your statement that all our core rotations are in PC medicine. As I type this,I have in front of me the official required rotations for my class and the breakdown is:
8 blocks of PC rotations (family med, IM, peds)- however 2 of these blocks can be used for a sub internship
1 block of psych (I chose to put this into a separate category as some consider it primary care and others don't)
7 blocks of non primary care rotations (surgery, EM, critical care, cardiology, etc)
In addition you must have 4 blocks of 4th year electives in whatever you want.
I think there is a balance between primary care rotations and non primary care (8 PC+1 if you count psych. vs 7 non PC + 4 in whatever you want). Obviously there is the oportunity of getting plenty of PC over everything else, if one wishes to do so. However, this schedule gives someone who is not interested in primary care, the chance to have less PC rotations.
A friend of mine graduated from a MD school a few years ago and her core rotations in PC were:
1 block of Family med
3 blocks of IM
1 block of Peds
1 block of Psych
Basically, she got 3 months less of core PC than we will. And at that, one can argue that someone who aspires to be an endocrinologist, for instance, will have to take lots of IM rotations, which falls under the category of PC. And yet, this doesn't mean at all that the person or the school is oriented towards primary care.
To me, a school that would be heavily geared towards PC, would be Pikesville for instance. They have some very long rural rotation requirements.