For real? I respectfully assume that you are still in your pre-clinical years and have not experienced the wonder and joy of trying to arrange third year rotations.
At COMP and COMP-NW, many students will have one, two, or three of their three required third year "internal medicine" clerkships at outpatient offices. AFAIK, as long as the preceptor is boarded in IM, it counts as "internal medicine." This is not apocryphal anecdote. I'm not the only person who has noticed this phenomenon at my school and others. I worked hard to make sure that all of my IM rotations were inpatient as well as being located in the same town at the same hospital. If I had let me school handle it, who knows where I would've ended up. Many of my classmates were not so lucky. I think that the reason you don't hear more about it is because there are apologists out there that downplay the significance of weaker clinical experiences at DO schools and they tend to shout down dissenting voices as self-loathing DO-haters.
At COMP-NW, certain students rotate with a podiatrist for their "general surgery" rotation. IMHO, if there isn't ****, it isn't general surgery. A 3rd year clerkship should be an introduction into the very basics of a given specialty. I'm not saying DPMs aren't surgeons/do surgeries; I'm just saying this that is not at all a foundational experience for someone who has never rotated on a surgical service.
I agree that many osteopathic schools (mine included) have a clear focus on primary care. It's my
opinion that those experiences are what residency is for. Third year clerkships ought be an opportunity to see various specialties in and out of the hospital. In this way, the students have an opportunity to see for themselves what context they would like to practice medicine in. It shouldn't be the default just because we allow the bar to be set so low.
FWIW, I doing think raising the bar has anything to do with changing the initials behind our names.
@meliora27, I am not implying that you're part of the status quo in my second paragraph