Can you clarify what you mean about issues with getting rotations in competitive specialties? Not sure I'm following you there...competing for information?? The DCOM rotation experience will not, in my opinion, prevent you from getting rotations in competitive specialties. Maybe I can expand more once I understand what you're saying exactly...
As for living in a rural area....it just is what it is honestly. It's all relative to where you're from city size wise, what you like to do in your free time (which is almost next to none, so really it doesn't matter that much anyway lol), etc. I came from a town around 120,000 or so, so Harrogate was DEFINITELY an adjustment. However, some of my class came from Denver, Miami, Nashville etc and they survived as well
There are LOTS of outdoor activities to get into. Tons of hiking, places to bike, etc. Within driving distance you can ski, whitewater raft, etc. Outdoor activities are not lacking for sure...time to do them is another question. As for nightlife...well...you may be sorely disappointed. I'm not sure of the current status of the one main bar in the Gap...it constantly changes ownership and names, but my class would always go there post exams. Most people, though, seemed to make the trek down to Knoxville with a group after a test, get dinner, go out etc. It's really not bad once you get used to the idea of it. Also, about 30 min away is a fun marina type restaurant/bar on the water. They do karaoke and have live music at times. The food is average at best, but the drinks are cold and the ambience is fun. I organized a big outing for a back to school thing second year and it was a lot of fun. You'll find that people tend to just throw house parties after exams. Keeps people from driving far and you're able to have a little more "fun" if you will
Other than that, there's a city park where people get together for sports stuff sometimes, there's a bowling alley, a movie theater (that has like 2 screens, mind you lol) and a building that they try to pass off as a mall, but is really just a few stores in one building
Anywho, the point is, it may be suffocating at times, but it's honestly a good setting for focusing on school. And it's BEAUTIFUL. On days where I was just really spent, there wasn't much that beat just stepping out on one of the balconies, taking in the view, breathing a few deep breaths...it was a great way to recharge during a stressful days.