I am a recent graduate of LMU DCOM. The 3rd year rotations are about on the same line with the review of NJ above. There a couple hospitals in Memphis and Knoxville that are available as core sites that may provide adequate training that is on par with national standards in regards to medical education. However due to the limited number of openings, only people who are fortunate enough to snag one of those spots through the lottery system are able to go there. The majority of students end up at (very) small rural/community hospitals that could not be less academic. In my IM months I wrote zero notes, did zero procedures, and usually left by 1-5 o'clock. My GYN was a joke, no pelvic exams. I did assist on one c section and help deliver 2 babies. Other than that it was 9-3 standing around watching a rural doc try to get out the door. Peds was nothing but shadowing a doc in clinic, no note writing, no seeing kids in the hospital. Phych was just sitting in a clinic watching a guy write ssri's to everyone. Surgery was following around a very disinterested rural surgeon who came in at 9-10, did a couple of cases, saw a few people in the office, then went home. I rarely had any independent responsibilites in surgery (or any other core rotation for that matter).
In my entire third year, can't remember a note I wrote, or a procedure I performed, yet I paid $35k for the year. I have heard that DCOM does not pay the sites or the preceptor's, so I have no idea where that money is going (though I have an idea). When I started as a first year, they didn't have a lot of sites but I was told they were always adding more, and because it was a new school, I wasn't too worried. But in my four years, they didn't add a single core site; in fact, they lost a few.
4th year was pretty much the same. I had to schedule all my electives on my own with minimal help from the school. Despite paying $37k for tuition, there were like 2 employees dedicated to the clinical sites and they were always unavailable and unhelpful.
My fist two years at DCOM were very adequate and they provided a good education in that regard. The campus is state of the art and they seem to have a good grip on how to bring the resources together for the first two years. However, it is very obvious that the quality of clinicals at DCOM is not a priority. On top of that, they just upped their class size to over 250. They did not have enough clinical resources to educate the students when they had class sizes at 160. There is no way they will be able to even come close to having adequate clinical education for that many people. I find it irresponsible, reckless, and just plain wrong that they would do something like jack up their attendance knowing full well that they have no ability to educate everyone..
I have to say that I am thankful for what I was able to accomplish through DCOM. They gave me an opportunity to be a physician and for that I must be extremely grateful. I was able to match at the resident specialty of my choice. However, it is very obvious that you must go above and beyond and scratch and claw to get your education while at DCOM.
PS: I typed this on my phone so please excuse the mistakes.