When it comes to deciding on a school "rank" should not really matter, assuming a top 25 school is not on the radar. I urge you to instead choose based on where you feel you are the best fit. This should take into consideration the curriculum, the student body, the student life, etc. When I was applying, I was dead set on stony because it was a "better" school, but now I feel as though I would hate to be at stony given the curriculum, the grading scheme, and the overall stress-levels of their current students. (Granted I didn't get accepted there, but still I hear horror stories about what their students go through, and am really happy with where I am)...To be honest, if you are accepted into US MD school in general, let alone a state school, you have hit the jackpot. Go where you think you will be happiest, not where you think looks better...all of the SUNYs are great schools.