Ok, I don't want to start some kind of war and I'm not trying to stir up crap.
Make sure you read as many threads as you can about the school. It seems the school is not very supportive of the students and if students have problems they are on their own. I'm a self reliant kind of guy so I personally don't care.
It is not the school so much as the environment. I know I have made jokes and references about the film Deliverance and hillbillys but the town is a shock to many students. It is an isolated and disconncected city that requires adjustment. Maybe this is a moot point b/c you'll be studying so much you won't care, but for others it is more important.
Some Kentucky towns have their own rules. It is the little things that bug me. I laughed when someone said the local fast food restaurant was "not-so-fast" and it took 20 minutes to get an order. That is so true of many small Kentucky towns like Pikeville. In Paris Kentucky they still smoke the McDonalds despite the corporate franchise ban prohibiting smoking. The manager and owner supply the ashtrays! That is what I mean when they have their own rules.
I'm not going to stretch it and say the cops are Boss Hog kind of corrupt but they just do thing differently. It is definitely operates on the good-old-boy system. They handle car accidents and misdemeanors differently. The "turn a blind eye" attitude prevails. Some people think it is a Southern thing, it is not. Don't make the mistake thinking that because you're from South Carolina, Georgia or Mississippi you "get it" or have something in common with Appalachia. When these schools recruit for Appalachia they really mean it, because it is so different.
I'm not going to get into the diversity thing. I am not the kind that sits up on a high horse, attends protests and hold rally's with the local ACLU but I know ignorance when I see it. It is not horrible but rather just ignorance from extreme lack of diversity. It is kind of like my 92 year old grandmother who I love and respect, but still holds on to those beliefs she was taught back in the 1930s.
Oh, everybody in that town smokes. Even many of the medical school admin. smoke, some it their offices. I know it is a small thing, but it is a perfect illustration of the school's attitude.
I know this because my family has been in the mineral rights/ natural gas business. I've made trips down there since I could walk. However, I have never lived there. I also have two friends, who have interviewed there. One in 2003? and one last year.
So maybe I went overboard by saying the school has problems. Really, it is the city and the region that has the problem.
It is pure insanity, I just hope I get a free banjo. 
