I am currently a first year at UVM, so feel free to PM me if you have any questions. I wouldn't say that you absolutely need to be going into rural med or primary care if you go here. At this time, I am not interested in doing primary care, and I mentioned nothing about a desire to enter PC in my interview. You also have the opportunity to do rotations at Maine Medical Center in Portland, which is an excellent hospital. I am interested in emergency medicine, and Maine Med has an excellent EM residency program. Another nice thing is that you have a lot of flexibility to do external rotations because you take step 1 of boards in Feb of your second year, and then you start rotations, so you are 6 months ahead of schools in the rest of the country. Let me know if you have other questions - I absolutely love it here, so I might be fairly biased...