I'm an M1 at a top10 med school - and I have friends who are M1s at both other Top10s and some who are in the bottom tier of US news rankings or unranked. From talking to both groups, it seems like the students in unranked schools are working harder (eg. their curriculum is more challenging!) than big name schools - weird?? I am certainly not working too hard - maybe 60-70% of my max. ???