I am sure they will have some growing pains, as with any new institution.
However, I do not think they will all have an inexperience in teaching. I know for a fact that there has been a good number of doctors transfering their practices out into this area just so they can have the opportunity to teach in a more rural environment, a good number of these doctors are coming from the Charlottesville and Richmond area where they were tied in with either UVA or MCV.
I do think one interesting fact is that the 2 largest hospitals in southwest virginia will not be associated with VCOM rotation sites, that being Radford and Roanoke. I think the reason is because these hospitals are associated with the Carilion Health System, which is part of the UVA medical school training system. Alot of UVA M.D. rotations take place in Roanoke and maybe Radford. Although I have a feeling that some doctors might be willing to give up there big hospital teaching spots to go more rural, and to get away from that UVA mentality (sorry I had to say that cause I am a Hokie!

), I have heard of a alot of D.O.'s assocated with Carilion wanting to help out any way they can at VCOM.
So in other words you may be seeing a shift in teaching out here, more doctors wanting to be associated with the more rural VCOM than UVA, but thats just speculation.
But seriously, that did worry me at first, but as long as you are not looking to go into a big city hospital with research tie-ins, I doubt the clinical rotations here will have much difference. Remember, they are looking to place doctors in rural medicine, the doctor shortage out here is pretty big, therefore I doubt they will be too picky about where you learned what. But again it all depends on what you want to do and where you want to do it.
~Surf~