So what if you got accepted to a school that you know would drive you clinically insane if you had to attend for four years, but that is your only acceptance. Lets say it is also going to cost you nearly 60,000 to go a year.
Do you...
A. go and just grind it out
B. withdraw and reapply the following year
And would withdrawing an acceptance to a school look really bad if you applied again the following year?
I'm assuming that you're talking about Temple. I'm sure you don't want to offend anyone, but, come on - if we're going to talk about your options, you have to be specific about which school it is.
How do you know that it would drive you clinically insane? And I think that "nightmare school" is a little harsh. Yes, it's not a great neighborhood. But tons of students go to Temple Med, Temple podiatry, and Temple dentistry, and survive just fine. Plus, let's look on the bright side:
1) Temple is located near many public transportation options (subway, regional rail, buses). You can't say necessarily say that about Drexel, which is, I believe, only near the R2 line.
2) You can live in other neighborhoods if you're not comfortable living near Temple. Center city is easily (very easily) accessible by subway, and Manayunk/Roxborough is easily accessible by regional rail. This is a common practice for all the med schools in the area. Even at Jefferson, which has on-campus housing, some people choose to live elsewhere for a variety of reasons.
3) Temple has a very nice, integrated, systems-based curriculum. I think there is minimal focus on PBL. As PandaBear said, PBL is (in my mind) the only reason to call a school a "nightmare school." I hate, hate, hate, HATE PBL. I'd much rather be lectured at for 4 hours.
Sure, Temple is expensive for out of staters. That may be a factor, but you'll have to talk to the financial aid department about that. Or, ask to talk to a current Temple student who is from out of state, and ask how they manage financially.
Don't pass up this opportunity. You don't know that you'll be able to get in elsewhere next year. (P.S. I wouldn't bank on transferring between 1st and 2nd year. "I hated the neighborhood" is not a valid reason to request a transfer.)