Richmond has one of the highest child poverty rates in the state (Richmond children under poverty 38 %, Virginia state children under poverty 13 %), the median income of families is nothing compared to the richer areas of Virginia such as up north close to DC, Loudoun county and Fairfax county (two of the top 3 richest counties in the entire US). The median income for those households in two counties is 115k a year and I think Richmond is at 36k a year. There's huge populations of underserved and disadvantaged individuals in Richmond, folks that can't afford health insurance. VCU has provided these types of individuals, families and many more with quality healthcare. In Richmond City, the rate of those living in poverty is 25.8% compared to the nations which is 15 % that alone speaks a lot. There's major health and social economical disparities in the city. Quite frankly man these statistics of Richmond are not only depressing but heart breaking. You can start off by asking yourself, "What am I future Dr. virtuoso735 going to do about all of this?" If you can start by answering those questions not just to your interviewer but most importantly to yourself then you're on the right path. No one is asking you to fix the problem but many are trying to see what is your plan since if you do decide to come you will one day be the future of medicine bred from Richmond.
The way to accomplish the bolded statement is to use your ECs and gather up a lot of information about VCU and Richmond. I'm sure you have strong ECs, try to integrate your past extracurricular activities into your future plans. I don't know if you're passionate about disadvantaged communities but if you are, you could talk about how you would like to work with communities and that's something you're going to have to do during your interview. Look up programs that VCU has to offer, message medical students from VCU ask them about community service that's going on around VCU. See my passion is in primary care and so I don't want to start talking about primary care and all that if you're interested in research or becoming a plastic surgeon. Therefore, it's best that you gather a lot of information according to your needs and desires before coming to interview. If you don't know much about VCU then the interview is just going to end up being a disaster.
Don't get me wrong VCU interviewers are very nice and polite but that doesn't mean they aren't going to pay attention to the "Why VCU?" This is why as an interviewee it's essential you recon for information to build up your arsenal. You don't want your interviewer standing in front of the committee saying, "Yeah the guys awesome and great but I don't really know why he picked VCU over the other schools other than he just wants to be a doctor". Being a fit for VCU is NOT about just being a doctor, it's more about what you can do as a doctor. What you want to do as a doctor for Richmond. I literally laugh when I hear people with the typical BS, "Oh i want to be a doctor to save lives and that's why I picked VCU" okay... that's great but you can do that at any other medical school or you could save lives in other professions. You have to have a story, a reason that you can fight for. I never wanted to be a doctor, I even dreaded the idea but like I said I had a story/ a reason for why I picked medicine and it worked out. Just be yourself, I did the same I even told them that hey I never even wanted to be a doctor in the first place till XYZ happened. If you can be genuine, they will see that and appreciate you for who you are.
Make yourself unique, if you know there were another 6000 applicants or 1000 interviewees who wrote or said the same thing ("I want to save lives") then don't say it because it's just going to be a waste of time, if you have a life experience where you did actually save a life then definitely talk about it and most importantly what you learned from it. Find unique things about the school that will truly impress not only your interviewer but the committee. I hope that was some what helpful, if you need anything else just message any of the students, everyone is willing to help. There are VCU medical students on SDN, you could ask the school for student housing and get a couple students numbers that way. Mostly though you need to sit down and read a lot about the school. They have tons of information available on their website, it's pretty decent stuff.