Thanks for the input!
I guess I'll just put it out there that I'm considering Rochester and Mount Sinai. Both are great schools and both are well regarded in clinical and research training. I'm sure I'd be happy at either.
It's just hard to compare UW to other schools because it doesn't have the same name recognition out in the east and because nearly no one gets offered an interview from out of region.
My impression is that UW would be a better experience for someone wishing to go into primary care simply because so many people from there go into primary care and it provides the unique opportunity to practice medicine in such a variety of settings - even crossing state lines (the WWAMI program).
UW's famed medical centers are probably great to train at for residency, but I don't know how that translates into benefiting the med students there.
Obviously, I'm considering UW because I'd love to be on the west coast, but it would help to further justify the move if UW's training would be significantly different from the kind that I can get out east.
I know this is turning into a very UW centered question, so I hope I don't offend anyone by bringing this up here.
Thanks!
UW > Mount Sinai >> Rochester, in my opinion. Larger, more comprehensive system that allows its students dominant access to an entire region of hospitals, whereas Mount Sinai hospitals are competing with Cornell and Columbia, both of which are commonly considered "better." Nobody outside of medicine has heard of Mount Sinai, even moreso after their recent name change (Icahn School of Medicine?), if that matters to you.
UW also has more substantial NIH money, and their main undergrad campus and corresponding programs obviously provides the opportunity for massive diversity in terms of research and study opportunities, something Mount Sinai simply can't match.
Of course, Mount Sinai has New York City if you're into that, but the benefits aren't especially tangible when you're a poor medical student, and Seattle's cost of living will be lower.
Rochester isn't really in the same tier as the others in terms of research, hospital, etc. opportunities, and MS or UW will most likely take you farther.
And if you're an east coaster, it never hurts to get some cred on the opposite coast for greater opportunities later.
UW is by far the best primary care school out there. If you're interested in primary care, go to UW.
You overstate the significance of the US News and World rankings. They're the research rankings, minus NIH funding, plus what percentage of people go into primary care. As in, they're as meaningless outside of broad categorizations as the research rankings are.