By this, do you mean selecting tracks with sites that are ward-based?
More or less. I had a few main criteria that I used: 1) surgery at arrowhead 2) NOTHING at chino valley, garfield, or alhambra 3) no patton state or SBC for psych 3) somewhere other than westernu "medical center" for FP 4) OMM within the state, preferably within so cal (surprisingly difficult this year - only about half of the tracks met this criteria) 5) Vacation either over winter break, spring break, or summer so that my wife (who is a teacher) and I can spend some time off together and last but not least 6) no rotations in some dude's office, I have first-hand knowledge that some PDs frown on COMP because traditionally, quite a few students from here either get stuck with, or opt to rotate in some dude's office, which is seen as inadequate. Note that these PDs have other DOs in their programs, they just didn't like COMP because of the "some dude's office" phenomenon.
I ended up with vacation in summer and FP, Surgery, Psych, OB/Gyn, and Peds at Arrowhead because I felt I would get the most exposure there, despite the fact that I'll be commuting 77 miles each way. It was my choice to live on the beach, and my choice to commute that far. The remaining rotations of IM1, IM2, IM3, and elective are all close by. My OMM rotation is in some dude's office, but I could give two ****s about it, and I doubt any PDs will care either.
Do most tracks have a blend of many different sites, or can you pick tracks that allow you to do the majority of your 3rd year rotations between two or three sites only?
It depends, the rotations people like to set things up so that each track has a sampling of different sites because they think this is good
. Some tracks are more homogeneous than others from the start, but it doesn't really matter. Once you get assigned a track, you have a week to trade the entire track with someone else, then another week to trade individual rotations within the track for the same rotation at a different site (for example, you have IM at chino valley in december, they have IM at arrowhead in december - those can be traded).
For your amusement, I have uploaded our original tracklist so you can see first hand:
http://www.mediafire.com/?jkgmexx0wyc
Note that practically everyone made at least 1 trade, so the tracks as they are listed there aren't applicable anymore. The legend is on the 2nd tab when you open the spreadsheet.
Also, how do your grades from 3rd year work? I see that Western has 8 weeks of internal medicine during one block, and then another 4 weeks of internal medicine in another block. So does that mean that you actually get three separate grades for internal medicine (IMI, II, and III), or do they average the three grades and just have one IM grade on your transcript?
Each rotation is an individual grade - honors/pass/fail. Most are 10 credit hours with the exception of Peds and OB/Gyn which are 15 each (6 weeks instead of 4). You will have separate grades for each 4 or 6 week rotation, even if you rotate in the same field at the same site multiple times. So yes, you will have 3 separate grades for IMs 1-3.
Thanks for taking the time to answer.
np