Hi guys,
Long time lurker and was recently accepted to both Hofstra and Downstate! There was an old thread about this in 2011, but I'm sure much has changed at Hofstra between now and then.
I'm a NYC resident and live about 20 minutes from both schools. Are there any current/graduated medical school students from these schools who could tell me what they enjoyed/didn't enjoy about the school/curriculum/clinical experiences/social life etc to try and help me make a decision between the two?
Graduating Hofstra student. I am slightly biased.
Hofstra's "innovative" curriculum is based around cases and small-group discussions. There are 3 major benefits to the basic science education at Hofstra. First, it is completely pass-fail with no class ranking. This lessens competition and promotes teamwork. I remember many medical schools that I interviewed at 4 years ago switching to a pass-fail curriculum during the basic science years. Second, class time is very minimal at Hofstra. You will be in class 4-5 hrs for 4 days per week. You will have afternoons off for research, studying, etc. Thus, Hofstra is great for students who have a strong interest in pursuing meaningful extracurricular activities. One caveat: don't expect to do much during EMT training. You will be doing ambulance shifts and that eats up a ton of time. Finally, I didn't like lectures during college, so PBL was very much suited to my learning habits. If you are person who enjoys structure (i.e. having a syllabus, knowing exactly what you need to study, etc.), Hofstra might not be for you as the curriculum promotes self-directed learning. People who tend to thrive at Hofstra are very independent and flexible.
In terms of clinical training, you will rotate mainly at North Shore University Hospital (more posh patients, old money from LI) and Long Island Jewish Hospital (more diverse patients from Queens/Brooklyn). It's true that students get more hands-on experience at Downstate, but all my Downstate friends who have rotated through the NS-LIJ system said they liked NS-LIJ better. You will see a more diverse patient population at Downstate b/c of location, but I think the clinical education at both healthcare systems are equally robust.
In all honesty, the reputations of Downstate and Hofstra are... probably exactly the same because you will be considered with all the other students who come from a non-top10/20 US medical school when you apply for residency.
The class size at Hofstra is now at 100 students. Personally, I like that number: large enough so you can find your niche, but small enough so that you at least know everyone. The students are all very social; lots of clubs, intramural sports, going out in the city, etc.
My least favorite part about Hofstra was grading during the clinical years, which is probably due to my being a member of the very first class and Hofstra was still figuring stuff out. This shouldn't be an issue for incoming students. Evaluation from attendings/residents is still subjective, but that happens everywhere. Your 3rd year grades are composed of evaluations, shelf scores, preceptor rounds, and presentations. This diverse rubric allows a student who may not be strong at test taking (i.e. don't do as well on the shelf exam) to still get a good overall grade (pro). On the other hand, there are many more things for a student to worry about, in addition to studying for the shelf exam (con).
In conclusion, if I had to pick again between Hofstra and Downstate (money/location not being an issue), I would pick Hofstra. But, you can't go wrong with either. Go with your gut instinct (did you like the interview day? did you like the students you met?).