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Well thanks so much GreenShirt. This is encouraging.
I guess my frame of reference is the few CHCs I've been a part of, which have all been multidisciplinary clinics with lots to offer but certainly not hospital-like in any way. Salud in particular (part of Yakima Valley Farm Workers Clinic) in Woodburn, OR is the one I'm thinking of in particular, as well as the Indian Health Service clinic in Grand Ronde, OR where I did my family practice rotation.
Thanks again
L.
I guess my frame of reference is the few CHCs I've been a part of, which have all been multidisciplinary clinics with lots to offer but certainly not hospital-like in any way. Salud in particular (part of Yakima Valley Farm Workers Clinic) in Woodburn, OR is the one I'm thinking of in particular, as well as the Indian Health Service clinic in Grand Ronde, OR where I did my family practice rotation.
Thanks again
L.
Let me start with an anecdotal story: The accreditation committee recently visited SOMA for a routine inspection. They liked what the school was doing and gave it a favorable review. However, they were hung up on one thing: Why on earth had SOMA decided to do their rotation in a bunch of clinics instead of hospitals like other schools? In response, the deans piled the committee members into a van and drove them to Tuscon CHC. The committee was apparently absolutely dumbfounded by what they saw there (in a good way). It was giant modern hospital complex with hundreds of inpatient beds and multiple sprawling satellite clinics. They had thought that the CHCs were just mom and pop type facilities. On the ride back to Phoenix they were absolutely giddy with praise for SOMA for choosing the NACHC as a partner for clinicals.
Back to your concern: Medical school is really about learning the basics of medicine (taking history and physicals, writing SOAP notes, knowing your bugs and drugs...which you probably have down with your PA experience...so you may get a little bored with med school). Most of the higher training beyond that will occur, as you have pointed out, during your residency. Seeing inpatient is probably adventitious in the sense that it helps expose you to hospital culture and the way things are done in tertiary rather than ambulatory setting but you will not likely be able to master all the skills necessary to care for critically ill patients as a 3rd of 4th year med student. Again, if you are in the 90% of physicians that practice on an out-patient basis, understanding the intricacies of inpatient care is not as useful to you and understanding those of outpatient care. But remember, at SOMA you will have plenty inpatient exposure.
I guess the caveat to the whole argument is that the best current students can give you is educated speculation on the subject since no one has gone through the program yet, a lot is just theory at the moment. However, I feel that the CHC will provide us with an individualized environment in which to learn the basics of medical practice (we're their students and their future) and the opportunity to see continuity in patient care (we use the intergrated clerkship model).
Best thing to do: Apply to many places and see which ones speak to you on interview day. I frankly did not think I would end up at SOMA when I looked at it on paper (it was too weird), but on interview day, I fell in love and didn't want to go anywhere else.