I went to med school in Rochester, but graduated in 1986, so my info. Is too old to be helpful. In general, in most cities, the University Hospital will have the biggest concentration of Specialists, and Drs who Specialize in rare or unusual conditions. Fibromyalgia is (sadly) NOT rare, but it remains poorly understood and without a lot of (at least so far) successful treatments. University Hospitals are usually where you will find Active Medical Research going on, to help answer some of the questions posed by these more challenging Diagnoses (like Fibromyalgia.) Also, University Hospitals usually have programs that accept/treat patients with No Medical Insurance and/or Limited Financial Means. F. is an Equal Opportunity Offender, striking rich as well as poor, but if you can't work because of the profound Fatigue and Chronic Pains a lot of F. Patients have, you may lose your Job, then your Health Insurance, or you may ring up so many health-related bills you get charged so much for coverage you become essentially "uninsurable". University Hospitals also can enroll people in Research Studies where meds and Dr visits are covered by the Study. The University of Rochester School of Medicine and Dentistry (my Alma Mater!) has it's Main Hospital in Strong Memorial Hospital on Elmwood ave corner Mt. Hope. The have an association of MDs that go by the name "Strong Medicine.". Look for UofR on line or StrongMedicine for MD referrals. Good Luck!