I have to say that before I interviewed at SIU, it was at the bottom of my list too (probably because it had the word "southern" in it). After the interview, I knew that I'd go there over UIC. After taking and passing our first set of finals, I have to say that this school is AWESOME!! The M1 year has been great so far. Life in Carbondale is lacking to say the least, but it's not too bad since we study quite a bit.
SIU is not too research based, which can make people think it is a bad school. You can do research if you want, but it's not a huge focus. This is exactly what I was looking for. I'd rather focus on the patient and leave the research to people who love it. Our cirriculum is problem based and kind of systems based. A group of 6 of us (plus a faculty mentor) get a case, learn the basic sciences of the case based on how the patient presents. We also learn a little pharm and path in addition to biochem, physio, etc. of normal M1s. We each get assigned to a mentor and have to spend 16 hrs per unit with them. I've actually identified a carotid bruit and discussed a possible diagnosis and treatment with my mentor. The school seems to produce a lot of FP, I think, because some students want to come back to the southern/central IL area and practice and FP is in the highest demand there. In the past, we've had students place in highly ranked programs (which specialties, I don't know).
Carbondale has bars and deer and that's about it. The undergrads have the bars pretty well covered. People here like to hunt, which totally threw me off. Patients we see here seem to have stock in tobacco companies. Culture is minimal unless you drive to Kentucky or St. Louis (even that is a stretch. Chicago is 5.5-6 hours away). We do study a lot, but there are some nice state parks and wineries (sp?) close by that some classmates have visited and loved. It is what you make of it I think. I don't think Springfield it too much better for the last 3 yrs, but you can go to other cities/states and do rotations 4th year so it's not too bad.
I know I seem like a big cheerleader for SIU, but it's SO not the stereotype people think it to be. Everything we learn seems important because it actually is relevant to the case we're studying. I remember things better because it is my job to look it up, explain it to classmates and learn it. It's easy to relate it to the case we're studying and apply it to future cases. One of my profs said that Harvard based their PBLM on our previous cirriculum, but that they would never admit it. I don't have any proof, but one of my classmates said they had heard the same thing.
So....this got long quick. If you have any other questions, I'd be happy to answer them!