both are great schools... i'm also from pa and back in the day, my "final 2" also included pitt. didn't apply to unc for med school but i'll be a resident there so i know a little. both pitt and unc are top-notch schools, though i think pitt has more research activity and focus (this is neutral to slightly negative for me personally). i think the biggest distinction between the two is "big city" vs. "college town." which type of person are you? (i'll be at the college town every time.)