Hi I thought I'd give a few thoughts about Birmingham. When I applied many scores of moons ago I really wanted to go to Cambridge. When I was eventually rejected I was quite upset (not quite in tears, though). I got an offer from Birmingham though and went there. As you might know we have 2 pre-clinical and three clinical years. Throughout the pre-clinical years, I didn't "love" it, but I was very happy. Partly in the way most students are happy to at least some extent go to any university and partly because I thought all the pre-clinical science was a bit heavy and blimey, I would never cope in Cambridge where they do three times as much. First clinical year was ok, but a downward spiral began. I realised, probably in the same way as many do, that medicine isn't quite as glamorous as people make out and can be a bit, well, dull. And never more so than our fourth year where we have little time on wards and are mostly banished to interminable clinics. At the same time I became increasingly interested in academic medicine. Now, I don't hate my medical school quite... but I won't be sad to graduate. I feel quite strongly now that I should have applied to UCL and Imperial and perhaps I would have enjoyed those environments more.
So why do I take issue with my medical school? I think the bottom line is that it is just too big. With about 400 students per year group, even with the best will in the world, it would be difficult to resource as good an experience as students might hope. In the first two years most teaching is either lecture based or "small groups". But small groups are 16-18 people. Inevitably, in groups of that size 4-6 strong characters take control and everyone else ends up sitting, listening (or not) without too many opportunities to participate. The only one-to-one contact ever with staff is your personal mentor who you meet a couple of times a year, usually to "reflect" on a student selected activity. Many of these personal mentors are either disinterested or lack the knowledge to effectively mentor - so it is really pot luck whether you re given someone who genuinely wants to help. Even with the personal mentor system, the overall impression is that the medical school do not care too much about individual students and their aspirations, unless you run in to serious difficulties, in which case they actually offer good support. But it does mean the majority go largely ignored.
This lack of interest in students is best exemplified in the fourth year where we have seven placements of about 5 weeks each, potentially each at a different trust. Invariably you will be sent to some trusts over an hour's commute away. Each rotation covers roughly three specialties. So every five weeks you are thrown in to a new hospital where no one knows you and even within a particular module most trusts have little co-ordination between the few specialties, so that there is no one clearly responsible for your teaching, no one who should get to know you or take an interest. And for some reason doctors in trusts show less interest in fourth years than third years. You're expected to be in clinics not on wards, so if people see you outside of clinics you are usually (not always and not everywhere) ignored. So fourth year is just a series of many random, disconnected clinics, with little actual teaching. Most people find this quite demotivating.
Then there are all the usual problems - incompetent administrators, useless libraries, unfair and illogical rules about just about anything, painfully slow IT systems etc etc... but these things I suppose are the same everywhere to some extent.
My experience of course might not reflect those of others'. I feel I am fairly mainstream in my views, but perhaps I'm completely wrong. And I'm sure all medical schools have similar or other problems. There are many good times - but I find these are mostly down not to med school but to the very rare doctors you might meet who are actually passionate about teaching and want to share their enthusiasm and teach. Most of the hospitals are quite new and friendly (one or two exceptions!) and some of the commutes are terrible - but again that will be the same elsewhere and perhaps even worse.
Personally, I feel that they haven't given me what I wanted in terms of encouraging those interested in academia. I got involved in a lot of projects, but it was all done to me. Med school gave little relevant teaching, no advice, no framework, no support. Of course in any med school the greatest effort has to be on the student and I am not asking to be spoon fed - but sometimes it would be nice if they at least let us know of the opportunities that exist. Perhaps other med schools do this better, perhaps not.
I know they are working on changing the clinical curriculum and I hope they manage to improve it. I'm not too optimisic though. No doubt they will cling on to the student selected activities that everyone knows are mostly a waste of time (the patient information leaftlet, the "teaching" project, the baby posters etc etc). The fact that the med school is largely run either by GPs or medical educationaliss (who lack a medical degree) means it will always have a certain spin to it - the sort of spin that sends us on endless GP placements where you spend all day brainstorming and filling in question sheets, but not actually seeing patients.
Well, who cares. If you make it to the end and learn some medicine along the way and graduate - well that is what you came for and what gives you so many opportunities in the future. I just hope I do make it to that happy day...
Please don't hesitate to correct me if this is all nonsense. Nor should it put you off Birmingham. Just keep your expectations realistic...