In August I saw grizzly bears, wolves, bighorn sheep, and more bison and elk than I can count.  I also got to see a model of medicine very different from anything in Seattle: rounding on inpatients (including the small ICU) in the morning, then off to clinic for the bulk of the day.  It’s a great combination and much more balanced than a Seattle ward/clinic day.  With daily clinic you can establish continuity even over a single rotation.  In my month, there was a lady with COPD who I saw in clinic, admitted to the hopital, transferred briefly to the ICU, and had follow up with me in back clinic a few days later.
The few ER shifts and visits to SNFs add some variety.  The scheduling was very flexible, allowing for plenty of time to explore.  Plus, Wadle, a former Boise chief, is an all-star doctor and preceptor.