Arite big bad Vulcan's gonna make an appearance here
So The guy who spoke about a third year doing all that cool stuff? Well I'm the third year. I am proud to be here at Downstate and wouldn't choose any other school over it. Here's why:
When I first started out, I interviewed at DS and got accepted, but expected not to go b/c it looked run down and was in a bad area. I won't lie...this is true. I ended up here b/c it was the only place I got into. That being said, I was so pleasantly surprised at how much I loved this school, that I had forgotten my apprehensions within a month or so.
The first year at DS is normal body, as others have alrdy told you. The second year is abnormal body. You get this everywhere...at every school...it's very shortsighted to judge a school by its lecture facilities...since youre only using those facilities for the first 2 years. Also, the human body does not change from school to school. From DS to SB to Harvard to UCLA, the gallbladder is in the same place. Any school in this country will give you a solid lecturing education during MS1/2.
I personally like the way DS has it set up in MS2, because they start really ramping up the length and difficulty of exams as you get closer to USMLE Step 1...it really helps you build stamina for that exam (think 2 MCATs back to back and 10x harder).
The real reason to pick a school is the clinical years. I've been told by multiple residents/attendings that the 2 years where you learn the most during your medical education is your MS3 year and your intern year in residency. The MS3 year is critical. It can go one of two ways:
You can work in a private hospital the whole time, where the affluent patient population will not let you touch them because youre a student. You can sit and watch the whole time...never touch a needle...never do a procedure...and sit there reading.
or
You can work in a "run down" county hospital which caters to the poor, the underserved, and the extremely ill. You can work in a hospital which is severely understaffed, and therefore the students shoulder a large amount of the work. You can spend your days doing histories and physicals...learning through experience how to set up proper treatment plans, drawing blood when theres no one else to do it, doing procedures beyond your year because they need the help, and and many points, basically BEING THE PRIMARY PROVIDER with only the necessary amount of supervision.
I always say that DS forces us to 'do more with less resources.' This is 100% a good thing. As my colleague above me has said, I have done so many procedures...and all of my friends in other schools tell me they would NEVER be allowed to do those. I am comfortable drawing blood...from vein or artery. I can place multiple IV's on multiple patients in a few minutes. I've sutured on my own. I've helped with shoulder dislocations. I currently am on Primary Care rotation where I get MY OWN OFFICE and see the patients on my own. The attending only pops his/her head in briefly to confirm my findings. You find me another school that lets you do that.
And to whoever said DS has a bad reputation? Every residency program director/attending I've spoken to this year has said they love taking DS students. Why?
Think about it....we have been so well trained due to the level of autonomy in our hospitals that we can basically function as interns in our MS4 year. I'll be honest...I've had more than one (non-DS schooled) intern this year who asked me to draw blood for them because they 'hadn't done many blood draws in medical school.'
Yes, I'm biased. This is obvious. But I see my fellow MS3 class as an incredible group of students who are willing to plunge into new procedures whenever they present themselves...we work with what we have (which sometimes isn't as much as other schools), but we become better doctors for it. I don't regret a single part of my education here. Not for a second.
...or you can go to the research school
The choice is yours, and yours alone.
Good Luck