I think one of the most important things to take into consideration for your decision is how you perceive that the - tuition, research opportunities, administrative/faculty and student support, match rates and STEP scores - will benefit YOUR medical school experience. For many students, this is their only choice. As for me, I received II's from other puerto rican medical schools, however, decided to turn them down because PHSU is my first choice after touring each school and talking to MS3 students. PHSU is undergoing renovations, they aim to send students to the states for residency (my end goal), there is a plethora of research and volunteering opportunities, they have an honor society, offer clinical rotations in the states, and PHSU is known to have competitive STEP scores. At the end of the day, we have to objectively weigh the pros and cons for each school. And, unfortunately, if you dig long enough on SDN you will find negative aspects for every medical school - UCC and SJB included. Congratulations on your acceptances! Medical school will be hard no matter what and at the end of the day, we will have to make the best out of our situation.