I also don't get where this thing about Hopkins/Columbia/Michigan being malignant is coming from. Doesn't Michigan have a reputation for the happiest, most well looked after students? From the stuff they keep sending me, the number of students who volunteered to be there during interview day, and the friendliness of everyone, I think Michigan is far from being a malignant place to learn. Hopkins and Columbia probably have that reputation just because until fairly recently, they both still had a grading system. The only school I've heard negative things about when it comes to time in the wards is actually Harvard. I've heard that medical students there don't get a lot of hands on experience because everyone else higher up on the ladder is striving to perfect their own techniques. And Harvard medical students, for good or for worse, are largely left to their own devices during the preclinical and clinical years. I've heard complaints of PBL being a google and blind leading the blind fest. I'm sure this is a good thing for building up problem solving and teamwork skills. But this might be one factor to keep in mind about HMS.