Keg,
I appreciate your comments. I'm definitely looking forward to the second look weekends, where I'll have a chance to meet some of my potential classmates and see more the school and city.
Personally, I'm not worried about the competition, but WashU was the only place that an interviewer wanted to know how I would handle the competition because students are very "grade oriented" (his words).
Here are some of my priorities that I would appreciate feedback on:
Diversity of student body AND faculty
Flexibility of curriculum (clinical years)
Research (i.e. faculty responsiveness, opportunities to get published, international experiences, funding)
Location (quality of life outside of medical school, cost of living)
Student support and advisement
With regards to the diversity of the student body, I'm looking at the class composite. We have 122 students. Of those, 59 are female, six appear to be of African descent, 13 appear to be of South Asian descent, 21 appear to be of East Asian descent, and 2 are of other non-Caucasian backgrounds. There is wide variability in where these people come from, some as far as Tibet and some as close as Saint Louis. I think we have almost every state represented and 3 or 4 continents. From what I remember, Wash U's class seems more diverse than the class that I had seen at Vandy; at least when I was an undergrad, and more specifically when I was interviewing, it seemed a bit more homogenized. Someone who's there now could speak to that a bit better.
So far, we have seen the gamut of professors - every race, sex, and background. They're good about bringing in guest lecturers who are experts on the topics that they present, but that's not uncommon for any medical school. You do get an opportunity, however, through small groups to meet with these faculty members on a more intimate level, and you see the same diversity amongst faculty in these small group sessions, which gives you exposure to different points of view when it comes to medicine. With regards to this aspect, I am unsure how Vandy compares, and would hope that a Vandy student could address this.
Third year is all set for you, as far as what classes you take, but from what I understand (I'm just a first year), you get to enter a lottery to pick the order you take them in. So on the first round, you get to pick the block you want to take whatever class, so if you're interested in taking surgery last, then you pick that. And so on and so forth. A lot like high school, where you had all the classes you had to take (mostly) but you get to choose the times, based on availability of the times that you want.
Fourth year is open to the student, allowing time for away-rotations, sub-internships, or interviews. Fourth year at WashU is definitely the easiest year because there is little official programming from the school. That's the way you'll want it to be. I seem to remember that Vandy was a bit more structured through third and fourth years, but again, someone at Vandy would be more qualified to speak to that.
Research opportunities are amazing both places for those who are dedicated to the idea, but I think Wash U surpasses Vandy for funding and diversity of opportunities. I think that Vandy's emphasis program puts you into one of several categories, but at Wash U, while summer research isn't required, it's encouraged and is paid for, so most people (~90%) do it. And you can do it in any lab on the medical school campus in any field and on any subject. That, to me, was a selling point for Wash U over Vandy. My own personal experience, I'm planning to do research in the cardiothoracic surgery lab this summer, and the PI told me to expect two if not more publications out of the work. Additionally, there is an MA/MD program here where you take a year off of studies, get a $30k stipend, and do research for a year in any field you want, get a primary authorship, and you get a MA in biomedical research or a MS in clinical research design. I'm not sure if there are any comparable programs at Vandy.
With regards to location, I'm originally from the Nashville area, and am only getting settled in the Lou. With that said, I love Nashville's nightlife - it's fun to go downtown to Lonnie's, get a bucket, and sing karaoke. Here, the opportunities are there, but they're not as concentrated. The med school is part of the Central West End, and Euclid is the main party corridor - something like 20+ bars and clubs between Forest Park Avenue and Manchester. That's where most hang out on free nights and on the weekends, and everyone from all backgrounds seem to think it's nice - there's something for everyone, just perhaps not to the same level as in Nashville. I've never been to Laclede's landing, which is the huge club scene, so if that's your thing, hit it up when you come for second visit. I'd give Nashville a 6/10 for clubs, just because of a lack of diversity among good places to go. Sports-wise, St. Louis can't be beat - they have everything, including a world-champion baseball team (even though I'm a Braves fan at heart). Recreationally, Saint Louis is better just because of Forest Park and the centrality of the city's outdoor recreation systems to the city itself. To get the same in Nashville, you'd have to drive to Percy Warner or some other park, when you can just walk in St. Louis. Overall, I'd say quality of life here outside of school is marginally better than in Nashville.
With regards to cost of living, Saint Louis is about 10% cheaper than Nashville on everything, most notably on rent prices. If you shop around the CWE, you can find an apartment cheaper than a room in Olin. So I'd say St Louis is better than Nashville as far as living.
I would have to stay that student support goes to Vandy - Scott Rodgers is an amazing guy and is probably more accessible than Dean Kahl at Wash U. That being said, even if it isn't an open-door policy here, if you make an appointment in the morning, you can have your questions answered by the afternoon. But still, I'd say Vandy is a bit more supportive of their students overall.
With regards to advising, I'm not sure how that's done at Vandy, but here, we have a society, so a social advising group, and an academic advisor (who I have yet to meet with). When I got here, I emailed the chief of cardiothoracic surgery, met with him, and he's going to be my mentor throughout med school - he's already set me up with some really cool opportunities with the promise of many more. So don't be afraid to go outside the system to find someone in a field you really love, it really does pay dividends.
So, noting your concerns, I'd say that Wash U is the better place for you- unless you're weighting student supportiveness as 90% of your equation or some such. But you'd be happy here. OK - I hope that answered your questions. If someone who goes to Vandy would like to give their perspective on those questions, I'm sure that'd be appreciated as well. Best of luck to you, BucsFan, on your decision - whichever one you make, it's the right one. PM me or post here if I can be of any more help in the process.