There used to be a limited number of spots at MMC, but now that Tufts has partnered with MMC I don't know what happened to those.
For what it's worth, I did my rotations in community hospitals with only one residency program. I did surgery unopposed - which means I was first assist on EVERYTHING. I didn't see cardiothoracic surgery, but I was first assist on total hips, spinal surgery, big abdominals, etc. So I did FAR less watching and "oh, please let me just get a fingertip on a retractor!!" and much more hands on, hands IN surgery. I chose to do my ER in Cleveland as a fourth year.
Now as a resident, I'm doing IM and we rotate at two level 1 trauma centers. We do five ICU months in my program - yeah, five ICU months at a level 1 center. I was really no farther behind any of my fellow residents who did medical student rotations at level 1 centers.
Med student rotations are what you make of them. Don't get hung up on "level 1 trauma center" - you may end up watching a lot and doing very little.
Thanks! Question - Have you happened to do a review on UNE-COM? I'm very far OOS and am trying to do my homework as much as possible - but UNECOM is looking pretty high up on my list from what I can tell so far!