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Message: <blockquote data-quote="Espressso" data-source="post: 22298145" data-attributes="member: 765269">This answer is very speciality specific I think. But I think for a general rule of thumb, you want a teaching service with residents for the speciality you plan to apply to. For something like IM, much more team-based focused, rounding the hospital, you definitely want that with a resident team. If you do inpatient IM with just a preceptor, odds are the day-to-day schedule would be chill for you (that's nice) but it's going to be "go at the docs pace" and you'll spend a month or whatever doing it their way. If however you do it with the teaching service (residents and attending), you'll get a much better idea of how you're supposed to act, function, and your true expectations in a year or two as an intern. I'm applying IM so I feel confident discussing this more than other specialities. If you're planning a non-surgical speciality, then you don't necessarily need or even want a teaching service for your gen surg rotation, that would be miserable, just rotate with a surgeon and try to go home early lol. Also, I think with rotations that are with preceptors and no residents or trainees, it's a coinflip if that preceptor is a good teacher, or even going to teach much at all. Looking back on my third year rotations, some of the rotations in specialities I'm not currently applying to were comical in how little these old docs taught. They've been out of real teaching for so long, they just wanted to chit chat with a younger kid about politics or whatever. It was a true waste of time. Compare that to an attending who works with residents daily, they more often than not are in a constant state of throwing out teaching points and pearls during rounds, at the computer stations, in the hallway walking towards lunch. Their main focus is to consistently teach residents because its the residents that are doing all the patient care for the attendings patient list. It's really a night and day difference. TLDR: preceptors for specialties you're not applying to, resident/teaching teams for the speciality you are applying to.</blockquote>

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