Tensions between the Detroit Medical Center and Wayne State University are mounting as Michigan State University's May 1 visit to the former DMC Hutzel Women's Hospital draws nearer. Hutzel is one of three sites the Michigan State board of trustees plans to visit as part of a search for a site to host a satellite campus of its College of Osteopathic Medicine. DMC and Wayne State are at odds mainly over whether there is capacity for additional clinical training of new Michigan State medical students at DMC sites. As part of its bid to host the campus, Detroit Medical Center is offering third- and fourth-year clinical training slots at DMC Sinai-Grace Hospital in Detroit and DMC Huron Valley-Sinai Hospital in Commerce Township. Wayne State said adding students from other schools will hurt the quality of clinical training available to the 30 new medical students the university added to its class of 270 last fall. "Guarantees are not worth anything to me," said Robert Frank, executive vice dean for Wayne State's School of Medicine. "The rules are changing on a daily basis."