For what it's worth to those of you who have been asking what Middletown is like---I live an hour north of the M-town campus and will be part of the inaugural class, commuter. I'm not super familiar with M-town, but I recently spent a day there and here are my gross generalizations/first impressions regarding the lay of the land:
The city is quite spread out. The part of town that seems busiest is near hwy 17 & 87, comprised of large/new shopping malls, home depot, sam's club, and all the other corporate franchises. This is where all the rural people to the North and West come to do their shopping. Numerous smaller strip malls line rt. 211/Wickham Ave as you head toward "old town"/what I'd call "downtown". Many (30%?) of the stores/diners along that road are out of business. This whole area definitely has a suburban sprawl feel to it, ie you want a car to get around. Any public transport would consist of buses/taxis (and I don't know anything about that). The downtown area struck me as economically depressed as compared to nearby downtowns that are closer to the Hudson, but it I'd say it's thriving compared to the more rural towns to the North and West. About half the storefronts were vacant (of course it depends upon which street you're on), and many ethnic restaurants (including lots of Mexican and Chinese) and NYC style "corner delis" set it apart from less diverse areas to the north. There are some seemingly nice cafe's, pubs, restaurants. Also some that seem not-so-nice. I've only driven through this area once, so I have no idea what the local economic development trend is, but nearby cities like Kingston/Poughkeepsie/Beacon have downtowns that are definitely on the upswing over the last decade, and Newburgh too seems to be following this trend. It's very possible that Middletown is on the upswing as well--Can anyone chime in on this?
I heard in Touro's promotional video that M-town has an award-winning trails/parks system but I saw no evidence of that. 30 min to the north, however, begins the Shawangunk Ridge, an amazingly unique and well-preserved/protected ecosystem with tons of hiking/biking/rock climbing. To the northwest/west are lots of lakes but I think most of them have limited public access (lots of NYC folks with vacation homes). As you leave M-town it gets very rural very quickly (at least as you go North/West, my stomping grounds). All in all, M-town could be a great place for medical students, especially if you are truly interested in rural medicine. I'd say this is as rural as it gets while still having enough population & healthcare infrastructure needed for our training. All the culture of NYC is only ~1.5 hrs away, but do not expect M-town to be anything like NYC.