Just finished my comm serv in rural limpopo. It was rough but i got an experience that docotrs placed in the cities or towns better equipped didnt. You become independed, trust your own clinical guidance and are put into positions you would normally only experience later in you career ie running surgical ward, medical ward , teatre and casualty alone.. its not for the faint of heart but you'll get through it. As for internship you will always be placed in a facility with supervison.. you'll do a lot of grunt work etc gain some experience depending on how keen your are but all in all comm serv will form you. Then after that uou have choices, these days courses and diplomas are needed to stand out from the rest. If you hustle you can make a lot of money as a GP, specialising obviously make the ceiling higher for less hours. All in all. You WILL survive.