I'm a UVA student, so I'll address some of the things brought up.
Is UVa's curriculum new or one that has cycled through several classes? That's always an important consideration.
It's been vetted. My class was the first through (I'm a rising fourth year).
Not sure what UVa has in terms of dual degree opportunities.
An MPH is offered, as is an MBA. I believe we also have a few other dual degree programs, but they're obviously not as popular.
UNC provides a ton of research (basic science, clinical, translational, public health) opportunities to med students.[...]The same goes for international opportunities.
There is a summer research program for first year students. And if you're interested in research, it's not that difficult to get involved, you just have to make your interest known. You can earn up to 12 weeks of research credit during fourth year as well, should you so desire.
As for international electives, there's also a number of those you can do your first summer. Most of my classmates seem to be scheduling international electives for fourth year as well... Guatemala is particularly popular, but we also have the Semester At Sea program run out of UVA (as a med student, you do a month as the ship's doctor, as well as learn about medicine in the countries of the ports of call). There are several African opportunities as well. And, of course, there's also the AMSA international rotations.
The clinical experience at UNC is probably its biggest MD educational selling point. You will rotate around the state, including between 3 Level I Trauma Centers - UNC, WakeMed (Raleigh), and CMC (Charlotte). You'll also get exposure to smaller hospitals and practices. That's not to say you'll be in a new city every 4-8 weeks during third year but that you'll have the opportunity here and there to train somewhere new and different from what you see in Chapel Hill. Again, significant flexibility is afforded to students in creating their fourth year elective schedule, whether at UNC or elsewhere.
We don't necessarily rotate through 2 level 1 trauma centers, but we do have away rotations during third year as well--some people like this, and others don't. For Family Medicine and Outpatient Internal Medicine, students work in private practice clinics, usually one-on-one with a preceptor (some students have multiple preceptors). These could be in rural settings where you also work in the hospital or in more urban settings where your focus is outpatient. We also are able to rotate at the Salem VA hospital, Western State Psychiatric hospital, Fairfax INOVA hospital, and Bon Secours hospital system in Richmond. You are generally required to do 3 'months' away (the away rotations are 3-4 weeks long).
Also, because we have a 1.5 year preclerkship curriculum, you get a SUPER long fourth year. As in, I've been in fourth year for a month now. We get a ridiculous amount of time off during fourth year as well, scheduled when we want (1 week for Thanksgiving, 3 for winter break, and 12 weeks scattered throughout the year, and we have to finish rotations by the end of April). So, there's definitely time to do all that research and international work. I will have all my letters of recommendation for residency before a lot of schools even finish with core clerkships. And I'll have Step 2 out of the way.
In terms of living, how do the costs of living compare? What about life outside of school? [...] Is Charlottesville that close to other cities of interest?
Chapel Hill probably wins out in being close to an urban center, as Charlottesville is an hour away from Richmond, and three hours from DC. But, we do have a lot of wineries (22 within a 20 mile radius, I believe), a few microbreweries, and a LOT of restaurants. Of course, there is also a direct train to DC if you want to get away for the weekend, and we kinda are in the mountains (I'm from Colorado, so I don't consider these the mountains, but whatever). Lots of hiking trails are nearby, if that's your thing. And the Outer Banks and Virginia Beach aren't that far away.
The other big difference I noticed was that UVA felt more like a private school, there are more OOS students (50% or something), less focus (is there any?) on primary care, and the facilities are beautiful. [...] Not sure how these schools do in the match, although I remember hearing that UVA's step1 average was ~235, so along with the difference in the schools' missions, I wouldn't be surprised if UVA students tended towards more prestigious residencies.
We actually have an amazing family medicine department. And amazing Gen Peds faculty. And amazing IM faculty. A lot of people end up doing primary care (my class seems particularly interested in family medicine), but if you're not interested in it, we have just as many (if not more) go into surgical subspecialties and anesthesia. Our match list is pretty awesome, sending students to some of the most prestigious residencies in their fields (Mass Gen was popular last year).