Hey! Current M3. There are some personal interest clubs, of course! There's usually a bunch of sports teams as well, but I think this depends largely on the desires of the current class. I believe there is a women in medicine club - and as a woman I'm a little ashamed to say I can't confirm this (was too busy studying for most of year 1 and 2 to pay attention to this). If there isn't a club, and you want to start one - it's quite simple and encouraged for you to start one. There's very little limit on the types of clubs that students can start an lead, and depending on what you do - the school may even fund activities for you.
For the rural vs urban underserved: it is a lottery, but you can rank where you'd like to go. This helps students who don't want to be in a very rural location have a better chance at spending their 5 month family medicine clerkship in a community that better reflects their interests (locations like Muskegon, Detroit, Saginaw - for example). The school is heavily on the underserved, and somewhat focused on the rural. This of course does not mean that you have to be a family doctor in the woods of Michigan! Graduates have matched into radiology, surgery, anesthesiology... etc.
Speaking of matches, I'll attach the list for the class of 2017 and 2018. Both classes were 100% match for those who entered the match. A few students chose a gap year to increase chances of matching into a highly competitive subspecialty. The attached lists do not include names, but they do include speciality and locations.