This was my home program as a medical student. If it were not for the fact that I was also an undergrad at Case, I would have tried like h$%& to stay there. Next to the program that I ended up at, this was my favorite. The rotation is split up into two two-week segments. You spend two weeks at Metro Health Medical Center (the trauma center and county hospital). You will work your tail off, but you will also learn a ton. The attendings are great and the residents love the place. The second two weeks are on either the spine or the joint service at the University Hosptals of Cleveland. May I suggest the spine sevice, not so much because I like spin (I don't) but because most of the influental attendings (i.e. the ones who are student advocates) are on the spine service (Emery, Yoo). Overall a great experience.