Trained in ACT model or independent

For those of you who are in programs that train students for the ACT model, do you feel like your education is compromised a bit? If there are residents at your clinical sites, how does your education compare with theirs? Better or worse?

I'm a bit concerned since I'm in a state that utilizes the ACT model. Nothing against the ACT model but the MDAs do all the preop evals, CVL placements, fiberoptic placements, and regional blocks. We can do a few rotations to learn more blocks but not lines. Anyone else have similar concerns?

Anyone have recommendations for improving my education besides being proactive and pushing for bigger cases and such?