I will second just about everything that Hercules said -- I was there a few weeks ago, and definitely came away from it more impressed than before. I didn't totally fall in love with it though, but I think that was b/c I got into a very lengthy conversation with a pretty bitter MS3 which sort of prejudiced me for the rest of the visit. It has very good balance between clinical and research, which I really liked, and which I think tends to be more uncommon than not. Virtually all the students you meet really seem to love the school, and the faculty are extremely approachable to student concerns. One thing that impressed me most was the other interviewees -- extremely diverse, lots of different colleges, incl. really small ones that I was totally unfamiliar with. It really made for a good mix of people, and gave me the impression that the AdComm is looking at more than numbers and school name. However, there did seem to be a slightly greater representation from east coast than west coast. I'm from CA myself, and in talking to students also from the west, I heard that they typically find it a little difficult to adjust to St. Louis at first, but definitely get used to it, and end up being very pleased with their choice. I personally didn't explore St. Louis that much, but the cost of living is great, and it seems fairly safe. All in all, Wash U is a great program, and I'd be thrilled to end up there.