To address your negatives on Hopkins,
- see if Hopkins is willing to shell out any merit aid, and let them know your Vandy financial situation. I used to think they only did need-based, but I’ve heard tale of them awarding some merit-based as well. Can’t hurt to ask.
- research year would only be necessary if you truly loved research and just wanted to spend a year pumping out pubs and/or for some reason had a very subpar app otherwise (which, given P/F pre-clinical, P/F step 1, and possible P/F clinical, would be very hard to do). If you can find the work/life balance that allows you to pass pre-clinicals with a little room to spare, you will have ample time to do research. Several of my classmates in 1st year are involved on several projects with attendings, residents, and/or fellows—it’s common to have a main project/mentor, then a few side hustles if you want to maximize productivity. We haven’t even started our “Scholarly Concentration” dedicated research time yet. Point being, although it doesn’t have a full year option carved out like Vandy, Hopkins won’t limit your research opportunities.
- No gunner vibes. Among a class of mostly type A’s, you may have a few type AAAA’s who go above and beyond in class and/or EC’s. But no one is really at each other’s throats; the handful of uber productive people stay in their lane. People like to see each other do well.
- Cars are convenient to have, but I have many car-less friends who know or live with people who do have cars. It’s possible to get around without one, depending on where you live. Though you’ll likely want one during rotations.