First time poster here... I'd like to hear from some current house staff on their balance of education and service in their program and how they feel it's effecting thier training. Honestly, in this department, I'm having a hard time deciding what I want. This most clearly came into focus recently, as I just interviewed at Michigan and Mayo-Rochester. Both are excellent programs with impressive match lists. However, the house staff at Michigan definitely work harder with a front loadeed program. I believed this was what I really wanted until I visited Mayo, where the call is q6 and more spread out, and they're preaching a balance between education and service. In other words, Mayo sounded more cush, and I'd say the general consensus is just that. So, my question to some current house staff is, what do you think of this blend at your institution? It would be great to hear from some people at JHU, Penn, and UW as I have upcomming interviews there, as well as Mich, having been there and loved it. Do those at the more traditionally "malignant"/east coast programs feel cheated on education and overburdened by useless scut and paperwork? On the flipside, do those at Mayo, NW and other traditionally more "cush" programs feel cheated on patient load and the "getting your hands dirty/down in the trenches mentality". Do those with an emphasis on education through conferences feel that the conference are helpful and worthwhile, or do you wish you were seeing more patients? Do those that are getting killed with case load wish you had more time for conferences and just to sit and read about your patients? Most of all, how do you feel this blend of education and service is effection your end product as a physician? I know I'll get alot of "this is a personal decision" and all that. But like I said, I really don't know what I want. Originally I though I would really like a frontloaded, hardcore, down and dirty residency for the once in a lifetime experience, but I'm recently thinking about the end result. Any feedback/opinions are most appreciated.