I'm a first year at NYMC and I really couldn't be happier. Everything that has been said about the pros of Downstate on this thread really applies to NYMC. NYMC has amazing clinicals available, in many different hospitals with lots of options about where you want to go for your clinical years. Everything from St. Vincent's and Metropolitan in Manhattan, to Westchester Medical Center, to Danbury Hospital in CT. Of all the schools I interviewed at, I truly felt that NYMC would give me the widest variety of clinical experiences I could get anywhere. And as far as urban medicine goes, I spent this afternoon in an inner city clinic interviewing patients.
Most of our professors have been great, and many of them are accessible at school on a daily basis, which is something that I hear from friends at others schools is a bit of a rarity. NYMC has great board scores and a great match list. I've told this story on this board several times, but my mom goes to a Harvard-affiliated doctor who is on their curriculum committee. In discussing me ('cause, really, what else is there to discuss - kidding!) and where I go to school, the doc said to my mom, "Yeah, I really wish they gave more information about their curriculum. I'd like to see us do some of what they are doing. Whenever we have students rotate here from NYMC we always end up asking them to consider matching here." I thought that was an incredible statement on NYMC's quality of medical education.
As far as NYMC students being "less supportive" that really hasn't been my experience. I'm not sure why it seemed like no one bought tickets to the multicultural show - a HUGE portion of the 1st and 2nd years (myself included!) attended to support our friends who had worked really hard to put it on!! It might have been that people didn't have cash on them at that moment, or were planning to pay at the door.
Please feel free to PM me if you have any questions about NYMC!!