I should preface this question / answer with I don't mind helping students make their decision about AZCOM as long as it is on factual information. Misinformation always seem to make its way out. I am more than happy to answer any questions that you may have, below is a question from a prospective student of ours and my answer.
I will be posting the PowerPoint that our Dean gave us regarding third year clinical rotations and sites, along with the OMS-II Class Council's work on giving information about each site.
Hey!
I was wondering if i can ask you about the rotations at AZCOM. I got accepted at several schools, but AZCOM was my favorite in terms of atmosphere, however, I am worried about the rotation spots. I know that 3rd year is now entirely preceptor based at AZCOM, and it doesn't seem like a very good thing, and I know a bit about ward based rotations (how favorable they are when it comes to finding residency). So here are my questions if you are willing to answer:
1) What is your opinion on preceptor based system, and do you think it really limits student opportunities? What was/is your experience like?
2) How many ward based rotations do you think I will get, or you got during 3rd year?Also, during 4th year, does the school help students set up ward based rotations in AZ or out of state, or are the students kinda on their own? Basically what real chance do I have to stay all 4 years and beyond in AZ?
Thank you so much for your time!
Where did you hear that third year is preceptor based? That is misinformation. We have gone to a regional based system and the great majority of our rotations are ward based. There are a few rotations that will remain preceptor based and those are Family Medicine and OB/GYN, etc. Our school also requires that at least four weeks of your 8 week IM rotation be on a ward regardless (by ward it means that they have a IM Residency) so you get the residency experience. We have a powerpoint presentation that I think Lou from our first year class was going to post on the website regarding our regional affiliations. As for your questions though.. let me address those...
1) Preceptor opinion: I think that certain specialities have to be preceptor based for you to get the full experience. Essentially family medicine and ob/gyn are the ones that I can think of off the top of my head. It would be hard to find a Family Medicine on a ward, one of the ones I could think of is in Tucson at the VA. I believe they have a family medicine clinic / IM in the VA that could be classified as ward based. There is a place for preceptor based learning, and it is being correctly utilized by the school. There is an interesting preceptor review system that is available to the medical students, this allows us to review the past experiences of medical students and if the ratings are poor for a round then the school considers dropping the preceptor from the program. Our school is moving away from preceptor based rotations since our Deans have changed and it is continuously heading in the direction of ward based.
2) Depending on the region that you pick, this will determine how many rotations you will get in a ward. Just because you are on a preceptor rotation doesn't mean that you will not be getting rotations in a hospital. This is a misconception of preceptor based rotations. Unfortunately, if you are in a hospital that doesn't have a residency it can be classified as non-ward / preceptor based. You can still be at a major hospital getting great experiences. I think the way you should be thinking about it is do you want a ton of hands on or do you want to be rotation with an army of residents and medical students. For example, if you want to be a surgeon when you grow up, if you do all your surgical rotations on a ward then the most you will probably do is a stitch or two and holding clamps. On the other hand, if you pick a regional site like Cottonwood, expect to do much more and by the end of your rotation don't be surprised if you are assisting on surgeries because you will be way more involved becaues for once you are not at the end of the totem poll of learning (attendings, residents, medical students, etc).
During our 4th year, our clinical education department will absolutely help you setup your rotations in or outside of the state. We have a huge book of places that our students went to in the past and they will help as much as possible to get you into those locations. There will be parts where you will have to fill out paperwork on your own, but it is not a process that falls completely on your own shoulders. This school is great about helping their students out. In 4th year we can pick where we want to do rotations, you can do all of them in Arizona or you can do them in Michigan or wherever else. Ideally you would want to do rotations at the sites that you are considering applying for residency (audition rotation) wherever that may be. You could theoretically stay in Arizona all four years, but depending on what you want to specialize in, I haven't known many people to do that for their entire 4th year because people want to try for a variety of residencies in the country.
I hope I answered your question and I will be posting your question on AZCOM 2014 thread so others can benefit from it. If you have anymore questions please do not hesitate to email or PM me.
Sincerely,
Mansoor Jatoi, OMS-II
Student Government President
Midwestern University
Arizona College of Osteopathic Medicine