If you go in thinking this, you WILL get rejected. Positive attitude is the name of the game. Physicians must be positive. They do actually make a big deal about this (and I'm being tested on it tomorrow
😛). Go in and be confident (not arrogant!). Be friendly and upbeat and completely forget about last year's rejection. You got an interview 2x in a row now, which means that Downstate believes that you are academically capable of handling the incredible workload. They just want to see who you are now. Show them.
Best of luck!