Ok, folks. This is my first post with any real pragmatic substance. I need to decide between doing a preceptorship or hospital-based program for my clinical rotation years. Let me explain a sec. Our school (KCOM) is so rural our students are sent to other parts of the country to do the 3rd & 4th years. Some sites are hospital-based, some are preceptor-based. As a general trend, Western states are preceptor-based, and Eastern-states are hospital-based. The preceptorship program emphasizes an outpatient, one-on-one, hands on sort of training. Few residents & interns. Again, mostly clinics, except of course for internal med, surg, etc. When the doc goes home, you go home. A hospital-based program is the traditional, floor-by-floor tour of the hospital (exceptions being family practice, etc.). Lots of residents & interns. May not get as much hands-on experience. When the doc goes home, you're off to another floor to learn about something else. These are my impressions of the programs. I REALLY want to go to Arizona (preceptorship) based on location (I'm from AZ and my wife is from CA), but I think the hospital-based programs will offer a better education overall. Any thoughts at all would be greatly appreciated.