So you wouldn't take a year off to do the MPH? Because every med student I know who took a year off to do an MPH loved it.
I graduated from the MD/MPH program at Tufts last year and really enjoyed it. It does have its kinks to work out, but what school doesn't? Overall, you do the MD and MPH in four years - so it's unique in the way that you don't take a year off. That's nice for people who like to graduate with their friends and people that they know. HOwever, it does not preclude you from taking a year off to work on your public health project (the applied learning experience - ALE - as we call it) or from just taking a year off. Usuually, most people do the 4 year track, but about 3-4 each year take a year off to work in public health. It's by no means a requirement, but Tufts gives students that flexibility (whether or not you're doing the MPH).
It's true that it doesnt' allow you a concentration, partly because to get it done in 4 yeears, you take most the same classes as other MD/MPHers in your year (which is nice because you gain a lot of cameraderie. There are also DVM candidates who are getting their MPH). However, for your elective classes, you can take whatever you want in the selection. Sometimes, if you plan ahead, you can take classes with the non-MD/MPHers, which affords you more variety in terms of class options.
I hope that helps. It's just a matter of finding the right fit. I thought it was a great opportunity (and I looked at schools that specifically allowed me to get an MPH or had an MPH program).
You're welcome to PM if anyone has any questions specifically about the Tufts program.
