You have put a lot of thought into this decision! While I can’t speak to VAMD, I can say that the 3-year program is more appealing for someone like yourself as you have described yourself. Personally, I have always been one to seek my own experienced and learn with what I have, so the distributive model fascinates me and it sounds like you are assigned a clinical mentor to keep you connected and on track to succeed at UAZ. I am in the boat of go to Tucson especially if it will be the same price as your instate. That is a no brainer if it were me. Good luck with your decision. Virginia is beautiful, i went to undergrad in WV and have fond memories of Appalachia and the Atlantic coast.