Missoula was my second WWAMI month and quite different from the first. Missoula is a university town and significantly bigger than Livingston. There are multiple hospitals, plenty of subspecialists, and even some UW students running around; it has less of the “small town doctor” feel. That said it’s quite different from Seattle, and the exceedingly well-connected Dr. Schlesinger is eager to customize the rotation – I did two weeks of sports medicine and two weeks at a Community Health Center. But one gets the sense Dr. S could arrange anything from the ICU to podiatry, probably with someone not used to having a resident and excited to do some teaching. Go to Missoula to get away, see a different place, do some hiking/skiing, and all of that, but also take advantage of the opportunity to learn whatever you want.