Do I think there's anything I would have done differently? I was considering Baylor against Duke and Penn, and I had a HORRIBLE interview experience at Duke (neither my faculty nor student interviewer nor any of the tour guides seemed all that jazzed about Duke, even when I asked them point-blank what was special about Duke). Had I not gotten into Baylor, I probably would have gone to Penn - but Baylor and Penn have the same curriculum, Baylor is cheaper and... there are other reasons that are less admirable why I wouldn't want to go to Penn (let's just say it has to do with intra-Ivy snobbery). My undergrad alma mater (Columbia) would have been a lot higher on my list had its campus been on the Morningside campus and not in ghetto-ville. But throughout my interview there I kept picturing myself getting mugged if I dared leave the hospital after sunset.
I wish the school hadn't gone back to the old grading system from Pass/Fail for the first semester. That's the semester I had the worst grades, so for me, at least, it was essentially Pass/Fail - I certainly wasn't concerned with Honors, and I can say with near-certainty that most of my classmates weren't, either. In addition, the content of the first semester is RARELY tested on any kind of national standardized exam in real depth, so it probably doesn't help on those kinds of scores. That said, like I said before, I think most people will approach that first semester as Pass/Fail, and it should only matter to you if you have your heart set on doing Plastic Surgery or Dermatology at UCLA or UCSD (trying to think of nicest locations here). And even if you do want to be a dermatologist, we had people in our class this year match to Derm at Mt. Sinai who definitely didn't honor the 1st semester... I still think it was a mistake, and would argue they need to get rid of it, if for no other reason than it hasn't improved anything and it only stresses young medical students out, but I definitely don't think it's a reason to be stressed about your first year here or consider going elsewhere, if that makes any sense.