I think you are faced with a no-lose decision here. I"m a 2nd year at KCOM, and I can offer a little advice: If you are in love with big-city life and all that a big city has to offer and this is very important to you, then Kirksville can and will frustrate you. However, if you are the kind of person who enjoys getting different perspectives of how the world lives outside of major metropolis areas, KCOM could be one of the best experiences of your life. I think it is important to remember that not all of your patients in the future are going to be from major urban areas. Living in Kirksville has given me a lot of perspective on how I will deal with patients from a rural and sub-rural population. On the other hand, there are more opportunities at CCOM to make clinical connections in your first two years at big hospitals. It may or may not be important to you to make connections like these before your clinical rotations even begin, so that may be a factor in your decision. As far as quality of education, I think you can't lose with either decision. good luck!! (p.s. I like the coin idea too)