I went through Ft. Sam in class 08-08, D Co. I was relatively unimpressed with it as a whole. Some parts were well-done (the outdoor STX lanes, the FTX, and a few parts of the didactic course), but there's not too much else to recommend it. The class sizes are way, way too big, the companies are too large for effective leadership, and the NREMT portion for ours was treated like a joke by the vast majority of the students and cadre.
If I hadn't gone through I-school and gotten into P-school, I'm certain that I'd be SOL. My unit has perhaps five medics I'd trust, everyone else I'd have to say I don't trust their skills. Assessment, medical conditions, and assessment (again) are extremely weak. On our last FTX, the vast majority of our medics treated EVERYONE as a heatcat, but ignored a Level-2 trauma patient and sent him back to his tent (pt was c/o signifigant neck and back pain after falling from a 5-ton @ 40mph). Then we had a "cardiac arrest" who walked out of the BAS in fustration for waiting 40 minutes to be seen and screened. It even shows that my PA is refusing to teach anyone anything above BLS because he doesn't trust our skills as a unit and I'm getting fustrated because I'm not getting the opportunity to demonstrate that I can do a lot more than put on a CAT.
Hope it gets better or that I get picked up for Flight Medic.