Systems wih low traffic, low acuity, and low complexity supply you with a minimum level of training. But the difference in the skill of a clinician that graduates from a place like this and one who sees everything there is to see and learns to do it all, quickly is vast. One accrues bonuses from academic variety in the institution but the substrate for clinical training is the patients. It's not pivotal that the AOA fails to deliver on the latter. But the former is indepensible. Failing it means graduating a 2nd, 3rd, or 4th rate clinician.
I guess this is ultimately my biggest concern with your proposals, mad jack.