your only options are to attend Tennessee, either next fall or the year after that by deferring for a year to work, travel, etc, OR to decline the acceptance and reapply next year with the hope of getting into a school you'd be happier at. ••
i agree with sandflea, except on one crucial point: the option of declining your acceptance in Tennessee and reapplying another year is NOT a good idea. in your future application, addmission committees will know you've been accepted to an MD program previously, and they will be very turned off by your decision to decline it.
Some AdCom thinking:
(1) if this applicant said "no" once, who's to say he/she won't do it again?
(2) how badly could this person really want to be a doctor if he/she declined the chance last year?
(3) why should we offer a 2nd acceptance to this candidate when there are thousands of hungry applicants who are waiting for their 1st?
(4) does this person want to go to med school for the bumper sticker or for the priviledge of caring for patients?
sorry to be so blunt, but that's the reality. so, as i see it, your options are these:
(1) go to Memphis (or whatever other school you get into this year)
OR
(2) defer a year or two, and then attend that school.
you have some tough decisions to make in the next few months...
good luck
dingiswayo