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So it seems that the consensus opinion is "go where you're accepted, don't count on another year." Money issues aside, I agree with the OP that this is still a very difficult decision. It's not always a matter of rejection vs. acceptance. What happens if you're waitlisted at 3 of your top schools, and only accepted to the "worst" school on your list? You didn't get "rejected" per se from the other schools...you were in the running, you were close, and you'll probably have a better shot as a 2nd time applicant (esp. if you can improve your application in other ways). So do you hold out for one of those three schools that you really fell in love with, or do you go to the only school that would have you (this year)? It's easy to say "well, do you want to be a doctor or not," but "settling" for a school you're really not thrilled with when you were so close to being accepted at a good or great school is difficult to swallow.
"Why did you apply there in the first place" is an obvious question, but again, life is not that easy. I wish I could have visited every school before I wasted money applying to them all- but medical schools are spread out all across the country. During interviews I've been impressed almost every time, until visiting another school and being MORE impressed once realizing everything the previous school was lacking. I don't envy your situation, and I hope that I don't end up there myself.
"Why did you apply there in the first place" is an obvious question, but again, life is not that easy. I wish I could have visited every school before I wasted money applying to them all- but medical schools are spread out all across the country. During interviews I've been impressed almost every time, until visiting another school and being MORE impressed once realizing everything the previous school was lacking. I don't envy your situation, and I hope that I don't end up there myself.