•••quote:•••Originally posted by Vader:
•I would have to politely disagree. The environment at different schools varies tremendously. It is true that the top programs continue to attract very bright and highly motivated students, but many of these students made their decision at least partially based on the environment. Like it or not,
where you go to school DOES shape you as a future physician. Different schools emphasize different things in their curriculum and have different ways of going about teaching. For example, compare Columbia's very traditional curriculum to the "Yale System" or Penn's condensed curriclum to UCSF's integrated one. The environment affects what, where, and how you learn.
In addition, the surrounding community will affect the types of patients you see and your daily activities of life. I can tell you for a fact that living in San Francisco is QUITE a bit different from living in Baltimore.
The bottom line is that environment does matter: one should go where he/she will be happy and most productive.•••••Yup, we disagree =)
1. Just because students base their choices on the environment, it does not mean that there is really a "real" difference among all these schools. The most important factor is what kinds of people go there. And we both agree that motivated, highly-focused students tend to fill all these schools and thus I don't see how the environments would be that different from one another. I base my opinions on my friends who are at Penn, Duke, Yale, Stanford, and Wash U. Hey, so maybe UCSF is different after all.
2. Different basic science curricula do not differ that much! Let's break it down. Yale system basically = 2 years of basic sciences, same as elsewhere except they require a thesis, so my Yalie friend has stayed on campus for summer research. Penn squeezes it into 1 1/2 years but overall, it is still the same, mostly lecture and some PBL. Therefore, unless you talk about Cornell and Harvard, I don't see much difference. And that thing about Yale having no grades. That's nice. But my friend there and a bunch of his own friends basically study, work out, sleep and go back to study (all the while trying to fit research during their summers). I don't see how different that is from, say, my friend at Wash U.
3. I am now in the clinical year at a school that is located out of the major metropolitan regions (i.e. no NYC, SF, Chicago, etc.). But since we are THE referral center, we get to see very sick patients from far-away places. And I just finished my ob-gyn rotation where I was going to 4 different county clinics throughout the week. At some of them, more than half of our patients speak Spanish only. Anyway, my point is that all of these schools will let you see different types of patients and give you good clinical experience (yes, even at Stanford and Cornell). But 1) if you want to argue our patients are 90% spanish-speaking while yours are 50% spanish-speaking, then of course, yes, there is a difference and 2) top 10 schools tend to produce specialists and if you want primary care, then don't come here (for ex. my school produced a total of 2 family doc in last year's graduating class). Otherwise, I would still argue that which school you choose will not have an impact on what kind of doctor you will be.
4. I did not say that location does not matter. In fact, if it is cool to live there or it is closer to home, then by all means choose that school. In fact, if they throw more money at you than else where, then go there too. But I don't think education-wise (both basic science and clinical rotations), there is no difference.