My classmates have probably been my favorite thing about med school. I was kind of painfully unpopular in high school and I don't think I have ever felt that way in med school. We are a big enough class that you will easily find people that share your interests and who you enjoy hanging out with. I also think it is one of the most interesting groups of people I have even spent time with. There is probably a little gossip, but it is usually more innocent- like, " have you seen Sarah lately? She is pregnant!" The class is probably more single than married (at first- a lot happens in 4 years) but with our fair share of people with kids and even people who have kids during med school. I think they are crazy, but they manage it. There is definitely enough free time to go out or have hobbies, just not as much as college. We actually would go out together a lot during the first two years after exams, and now at the end of rotations. The school will even sponsor a keg to get things started (I hope I am allowed to say that!)
I have spent some time with ECU students and have a friend at UVA and I think we are definitely less stressed out than the ECU kids while UVA sounds pretty similar. To be honest, med school has been hard but not as bad as I thought it would be. My life didn't end 4 years ago. It just got busier, and more interesting.
During 3rd year I did two months in raleigh and one month in asheville. This year I did one in charlotte and two in raleigh (wake med is a great hospital- totally worth the 30 minute commute). Some students do more, but usually they choose to- like they have parents in greensboro or they live in raleigh so they ask for more rotations there. It's actually nice being exposed to different clinical settings like that, so I never really minded.
Students live everywhere from half a mile from the hospital to Raleigh, Hillsborough, Mebane, Pittsboro, Durham etc. It's not a big deal because on every side of town you can park in a lot and take a free bus to campus then for your clinical years you can buy a parking pass close to the hospital (because the buses don't run early enough for your surgery rotation, trust me) On the other hand, I live on a bus line and it is super convenient. The trade off is cost of living, so if I had kids I might prefer a nice house outside Chapel Hill. To be clear, what I am saying is living inside Chapel Hill is more expensive, and living out of town isn't a big deal and commonly done.
Lots of students leave NC at least for residency, but a good number stay too. That's really going to be up to you. I'd say more people go far away than I expected for a state school. They certainly don't discourage us from leaving town the day after we get our MD. I would like to maybe come back after residency, but that's because I like NC- good weather, you know.
Hope this is helpful.