ptptt -- This is a really frustrating process, and I can understand your strong feelings about one school or another. I assume you had very good feelings about Michigan after your first look, so you went for a second look. If you disliked Michigan after your first look, that's a funny reason to do a second look. There are too many great programs in the country in my opinion -- I am having a hard time narrowing it down, so any negative feelings about one, and it's off my list. When you did your second look, why did you allow a negative view on your second look to change your opinion about your first look?
I was taken on a tour by a prelim at Michigan, so Michigan does take prelims. There are 40 categorical positions, but you will find that there are also prelim and primary care positions in addition to this.
I had the feeling from the housestaff that the PDs would be my attendings, but even if they are not, there is an important role for PDs in fellowship placement. I just like liking my PDs, even if they have no role other than friends and mentors.
It also depends on what you call malignant. I call a program malignant if attendings become angry and disparage interns for not having the experience of residents or attendings. If tradition and formality bothers you at Michigan, you should try some of the prominent east and west coast programs.
Case presentations are all done completely from memory in centuries old auditoriums, you introduce yourself by your name and school name, professors mention what position they hold and what instrument they play in what orchestra of what prominence, residents present a 30 min powerpoint every day and quote articles from last week's NEJM at daily rounds. Michigan is pretty laid back in comparison.
I can understand if you thought Michigan was formal, because it was in many ways. Anyway, shame on them if they weren't kind to you -- that's no way to treat people who bother to come to their interview.