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I don't know of any schools that require EVERYONE to do a Surgery and Medicine Sub-I. They may just require a Sub-I period, and the student chooses which one.
Mayo requires everyone to do a medicine sub-I. http://www.mayo.edu/mms/programs/md/curriculum/year-4
I asked about why there wasn't the option for surgery during interview day. Didn't get a good answer. Then I didn't get in.
Also, BTW the 4th year at WashU is no longer going to be all-elective. A residency bootcamp in the spring of 4th year will be mandatory for incoming students.