I am not a resident at Larkin, but I went to NSU and have met several residents from the program. They seem to get pretty decent MSK training, but their inpatient experience seemed ok at best and they did A LOT of driving (sometimes well over an hour) to get places. They work at the VA in west palm beach, which if you aren't familiar with south FL is close 1.5hrs each way from Larkin, even without heavy traffic. The residents I did meet were all great people though and very likable. They are categorical so you don't have to move twice, but their intern year is weak at best as the acute hospital is barely bigger than my rehab hospital is now. I have heard stories of interns only carrying like 2-3 patients each and having limited interactions with attending's, including them sometimes just rounding with out the residents and not ever teaching. This may have improved and could all be totally different now as these are all stories from several years ago, but I would be sure to talk to as many RESIDENTS from there as possible to try and get an accurate picture of what the program is really like if you are interested in going there. Don't listen to what admin says there as I have heard that they seem to have an attitude that they are the greatest most desirable training program across all fields ever in the history of Osteopathic GME, but I doubt a hospital with like 4-5 ORs has awesome ortho, gen surg, opthal and anesthesiology training with out spending a ton of time elsewhere. And assuming they do spend a lot of time elsewhere they are then at the Mercy of that other program to treat them as equals and not like inferior residents from the outside. Residents have told me when they bring up issues about various things to GME that they typically have just told them to deal with it, even when they have had some very valid concerns about training issues. I never really got very in depth on things with the people who trained there other than travel issues, but since they are really only at Larkin as interns the PM&R people may be sheltered from that some. I would apply to allopathic programs too to get as many interviews as you can, but when you rotate their just make sure to ask as many residents how they feel about the program as you can. If the residents are frustrated they will let you know.