Golytely, have you actually worked in the program? This "more zebras than horses" viewpoint is completely wrong about the Rochester Medicine program. It's true that you do see more rare cases here--1% of cases at most other places, about 5-10% here. If you spend a month on the Gen Med service here, you see that we get plenty of "bread and butter", and just enough of the rare stuff to make the program that much more interesting. Honestly, how many diabetic foot ulcers do I need to see before I figure out what to do for them? On the other hand, the specialty clinics and some of the surgical services do tend to see a larger proportion of rare cases.
There are shortcomings in the program, though. Here, you have a special team for everything--IVs, foleys, glucose/insulin management, and not to mention an endless supply of consult services, which you are strongly encouraged to use. It's easy for one to get in the habit of deferring a lot of tasks that we should be learning.
As for the town of Rochester, it's a great place to live, in my (married, with kids) opinion. Fairly affordable homes, nice looking town, safe neighborhoods, as many restaurants as you would expect to find in a midwest town of this size, and OK weather (except for Nov-Mar). There are a few good places to go out for a drink on free evenings, but I can see how single folks would be very disappointed in the nightlife. The twin cities (MPLS/St. Paul) are only an hour away though, and there is plenty to do there. 👍