Well i'm a first year so I'll put in my 2 cents...They completely changed the cirrciculum this year. There is both a Lecture Based Cirriculum and a Problem Based Cirrculum with about 40 students in it. I am in the Lecture Based Cirriculum and I must say I am pretty happy with it. The new cirriculum integrates different subjects into one system so instead of doing ALL of let's say Biochemistry at once, they do it piece by piece throughout the year as it applies to the system we are on. For example, we are doing the integumentary system now so we only did THAT portion of Biochem. The professors are pretty helpful and are good about answering emails. ALso, we are getting a lot more lectures from clinicians which makes the material way more interesting. Usually only second years hear from clinicians. The class is very large (300 something I believe) so its hard to meet all your classmates but everyone is really helpful to one another. I haven't seen any cut-throat action that you usually see in a lot of med schools. By far the BEST thing NYCOM has is Video Streaming. Almost all the classes and OMM labs are streamed so you can not go to class or use it to review. It's really useful on rainy, snowy days or when the professor talks really slow, you can speed up the lecture. PM if you have more q's.