I am NOT saying UHS doesn't have good rotations sites, because they do (and always did). I should not say that KC is a bad place to do clinicals, because they may have improved. I am only saying that it was not a good place to be WHEN I WAS THERE (late 1990's). At that time, most of my class wanted to stay in KC, myself included. The VAST majority wanted to stay for personal reasons (I had purchased a home there). However, I can't think of a SINGLE person who wanted to stay for the clincial training. We really didn't know any better. I'm not going to argue with you since you obviously don't understand what I'm trying to say, so I propose you do the following. Initiate and distribute a pole among recent third year students and ask them the following questions:
1. On your IM rotations:
What was your average daily patient census?
How much autonomy did you have?
How many LPs, paracenteses and other proceedures did you do?
Did you have ICU responsibilities or a dedicated ICU rotation?
Were you taught to read chest and abdominal films? Head CTs?
Did you have dedicated didactics?
Did you have access to and lectures from specialists in GI, Pulmonology,
Heme/Onc, ID, Urology, Nephrology, Neurology, Ophtho, Derm, etc.?
2. On your EM rotation:
Was your facility a level 1 or even level 2 trauma center?
How many codes did you see and/or assist with?
How many intubations did you do?
How many lines did you place?
Were you taught to read chest, abdominal and skeletal films as well as
head CTs?
How many lacerations did you repair?
3. On your general surgery rotation:
How many surgeries did you see and assist with?
How many different types of proceedures did you see and assist with?
How many central lines did you do?
How many art lines did you do?
How many PA catheters did you do?
What was your average daily patient census?
Did you have access to surgical subspecialists or the opportunity to do
rotations on surgical subspecialties (cardiac, trauma, ortho, transplant,
etc.)?
4. On your peds rotation:
Did you have inpatient responsibilities or just outpatient?
5. On your OB/GYN rotation:
How many babies did YOU deliver?
How many C-sections did you assist with?
How many hysterectomies, tubal ligations, oophorectomies, etc., did
you see and/or assist with?
How many pelvic exams did you do?
It's your education. If you don't have the variety you won't get the experience. If you don't have the volume you won't become proficient. Get the idea?🙄