I'm in the midst of my MSW. In my program, macro students get a few clinical courses but nothing that will prepare you for strict clinical work. Similarly, clinical students receive a few courses in Macro (Basic Macro, Advanced Policy regarding concentration). If you go macro, clinical skills are good to have because a Macro SW will inevitably deal with individuals. It may be peers, employees, or community members. You'll need certain interviewing skills to be able to do macro work. For the clinician, you'll need macro knowledge to understand clients within their environment.