Many DO schools focus on primary care medicine. Rural areas are the most underserved areas in primary care in the US. So, when these schools establish themselves in a rural setting, and their mission statements state they focus on rural, primary care medicine, you shouldn't be surprised that they look for people who want to do RPC medicine. That being said, when they choose their candidates they tend to choose people from more rural areas, not always, but it's a pretty good rule. So it's not like they grab their applicants, put them into strangle hold, and force them into rural primary care. They already want to do it. That's not always the case as I know people who are planning on going back into a more urban setting, but these schools do have mission statements they like to fulfill, and they look for the right person to fill it. Also, when it is time for you to choose a residency, and a place to live, whether tim-buk-to, BFE, the moon, it doesn't matter, if you are competitive, your school can't force you into rural primary care if you don't want to. However, you may have a hard time gaining entry to some of these places if you tell them your plans.